Summary

4 facilities within 25 miles of Winston-Salem publish prices for Spirometry Pulmonary Function Test. Cash prices range from $152 to $276 — a 1.8x difference for an identical procedure. The North Carolina average is $347.

$152 lowest
$276 highest
Best Value

High Point Regional Health System

High Point, VA · UNC Health · 16.7 mi

$152 Cash price
2/5 CMS rating
64.0% Patient satisfaction

Lowest published cash price in the area at $152.

All facilities ranked by price

1
High Point Regional Health System 2★ · 16.7 mi · Nonprofit
$152
2
Novant Health Clemmons Medical Center · 9.0 mi ·
$178
3
Davie Medical Center · 12.0 mi ·
$276
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 $152 $303 1.99x 2/5 64.0% Nonprofit
2 Novant Health Clemmons Medical Center Novant Health Clemmons, NC · 9.0 mi $178 $296 1.67x
3 Davie Medical Center Atrium Health Wake Forest Baptist Bermuda Run, NC · 12.0 mi $276 $551 2.0x
4 Novant Health Kernersville Medical Center Novant Health Kernersville, NC · 9.6 mi

Insurance negotiated rates by facility

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

High Point Regional Health System

Cash: $152
Insurance Plan Negotiated Rate vs Cash
Medicaid $40 -$112
Blue Cross Blue Shield $138 -$14
Aetna $146 -$6
Cigna $146 -$6
Medicare $146 -$6
UnitedHealthcare $148 -$4
Humana $149 -$3
Direct Net $179 +$27
MedCost $204 +$52
Coventry WellPath Carolinas $242 +$90
Coventry WellPath (National) $258 +$106
Coventry First Health $282 +$130
Beech Street $288 +$136

Novant Health Clemmons Medical Center

Cash: $178
Insurance Plan Negotiated Rate vs Cash
Blue Cross Blue Shield Advantage65 $29 -$148
Blue Cross Blue Shield BlueCare $29 -$148
Blue Cross Blue Shield BlueMedicare HMO $29 -$148
Blue Cross Blue Shield BlueMedicare PPO $29 -$148
Blue Cross Blue Shield BlueSelect $29 -$148
Blue Cross Blue Shield HMO $29 -$148
Blue Cross Blue Shield BlueOptions $33 -$145
Blue Cross Blue Shield CoverFL $33 -$145
Blue Cross Blue Shield GoBlue $33 -$145
Blue Cross Blue Shield NetworkBlue $33 -$145
Blue Cross Blue Shield BlueChoice $34 -$144
Blue Cross Blue Shield Essential Network $34 -$144
Blue Cross Blue Shield FEP $34 -$144
Blue Cross Blue Shield PPC $34 -$144
Blue Cross Blue Shield PPO $34 -$144

39 additional plans not shown.

Davie Medical Center

Cash: $276
Insurance Plan Negotiated Rate vs Cash
Medicaid $40 -$236
Medicare $136 -$140
Cigna $136 -$140
UnitedHealthcare $136 -$140
Humana $138 -$138
Blue Local Individual $144 -$132
Ambetter $165 -$111
Blue Cross Blue Shield $192 -$84
Aetna $203 -$73
MedCost $208 -$68
Direct Net Managed Care $326 +$50
Healthgram Managed Care $386 +$110

Novant Health Kernersville Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Advantage65 $29
Blue Cross Blue Shield BlueCare $29
Blue Cross Blue Shield BlueMedicare HMO $29
Blue Cross Blue Shield BlueMedicare PPO $29
Blue Cross Blue Shield BlueSelect $29
Blue Cross Blue Shield HMO $29
Blue Cross Blue Shield BlueOptions $33
Blue Cross Blue Shield CoverFL $33
Blue Cross Blue Shield GoBlue $33
Blue Cross Blue Shield NetworkBlue $33
Blue Cross Blue Shield BlueChoice $34
Blue Cross Blue Shield Essential Network $34
Blue Cross Blue Shield FEP $34
Blue Cross Blue Shield PPC $34
Blue Cross Blue Shield PPO $34

9 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 Spirometry Pulmonary Function Test (CPT 94010). 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
Novant Health Clemmons Medical Center N/A (for-profit)
Davie 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.