Summary

4 facilities within 25 miles of Winston-Salem publish prices for Shoulder X-Ray. Cash prices range from $176 to $256 — a 1.5x difference for an identical procedure. The North Carolina average is $426.

Choosing the lowest-priced facility over the highest saves $80.

$176 lowest
$256 highest
Best Value

High Point Regional Health System

High Point, VA · UNC Health · 16.7 mi

$176 Cash price
2/5 CMS rating
64.0% Patient satisfaction

Lowest published cash price in the area at $176.

All facilities ranked by price

1
High Point Regional Health System 2★ · 16.7 mi · Nonprofit
$176
2
Davie Medical Center · 12.0 mi ·
$194
3
Novant Health Clemmons Medical Center · 9.0 mi ·
$205
4
Novant Health Kernersville Medical Center · 9.6 mi ·
$256
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 High Point Regional Health System UNC Health High Point, NC · 16.7 mi $176 $351 1.99x 2/5 64.0% Nonprofit
2 Davie Medical Center Atrium Health Wake Forest Baptist Bermuda Run, NC · 12.0 mi $194 $388 2.0x
3 Novant Health Clemmons Medical Center Novant Health Clemmons, NC · 9.0 mi $205 $342 1.67x
4 Novant Health Kernersville Medical Center Novant Health Kernersville, NC · 9.6 mi $256 $427 1.67x

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Shoulder X-Ray. Your actual out-of-pocket cost depends on your deductible status and copay structure.

High Point Regional Health System

Cash: $176
Insurance Plan Negotiated Rate vs Cash
Medicaid $55 -$121
Cigna $85 -$91
Medicare $85 -$91
Humana $86 -$90
UnitedHealthcare $86 -$90
Aetna $168 -$8
MedCost $168 -$8
Blue Cross Blue Shield $180 +$4
Direct Net $207 +$31
Coventry WellPath Carolinas $281 +$105
Coventry WellPath (National) $298 +$122
Coventry First Health $326 +$150
Beech Street $333 +$157

Davie Medical Center

Cash: $194
Insurance Plan Negotiated Rate vs Cash
Medicaid $74 -$120
Medicare $79 -$115
Cigna $79 -$115
UnitedHealthcare $79 -$115
Humana $80 -$114
Blue Local Individual $101 -$93
Ambetter $116 -$78
Blue Cross Blue Shield $135 -$59
Aetna $143 -$51
MedCost $147 -$47
Direct Net Managed Care $229 +$35
Healthgram Managed Care $272 +$78

Novant Health Clemmons Medical Center

Cash: $205
Insurance Plan Negotiated Rate vs Cash
Blue Cross Blue Shield Advantage65 $26 -$179
Blue Cross Blue Shield BlueCare $26 -$179
Blue Cross Blue Shield BlueMedicare HMO $26 -$179
Blue Cross Blue Shield BlueMedicare PPO $26 -$179
Blue Cross Blue Shield BlueSelect $26 -$179
Blue Cross Blue Shield HMO $26 -$179
Blue Cross Blue Shield BlueOptions $30 -$175
Blue Cross Blue Shield CoverFL $30 -$175
Blue Cross Blue Shield GoBlue $30 -$175
Blue Cross Blue Shield NetworkBlue $30 -$175
Blue Cross Blue Shield BlueChoice $31 -$175
Blue Cross Blue Shield Essential Network $31 -$175
Blue Cross Blue Shield FEP $31 -$175
Blue Cross Blue Shield PPC $31 -$175
Blue Cross Blue Shield PPO $31 -$175

39 additional plans not shown.

Novant Health Kernersville Medical Center

Cash: $256
Insurance Plan Negotiated Rate vs Cash
Blue Cross Blue Shield Advantage65 $26 -$230
Blue Cross Blue Shield BlueCare $26 -$230
Blue Cross Blue Shield BlueMedicare HMO $26 -$230
Blue Cross Blue Shield BlueMedicare PPO $26 -$230
Blue Cross Blue Shield BlueSelect $26 -$230
Blue Cross Blue Shield HMO $26 -$230
Blue Cross Blue Shield BlueOptions $30 -$226
Blue Cross Blue Shield CoverFL $30 -$226
Blue Cross Blue Shield GoBlue $30 -$226
Blue Cross Blue Shield NetworkBlue $30 -$226
Blue Cross Blue Shield BlueChoice $31 -$226
Blue Cross Blue Shield Essential Network $31 -$226
Blue Cross Blue Shield FEP $31 -$226
Blue Cross Blue Shield PPC $31 -$226
Blue Cross Blue Shield PPO $31 -$226

39 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Shoulder X-Ray (CPT 73030). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
High Point Regional Health System Nonprofit Call billing, request Financial Assistance application
Davie Medical Center N/A (for-profit)
Novant Health Clemmons Medical Center N/A (for-profit)
Novant Health Kernersville Medical Center N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.