Novant Health Forsyth Medical Center
Novant Health Forsyth Medical Center in Winston-Salem, NC charges 4.8x the Medicare reimbursement rate across 145 analyzed procedures at this nonprofit-private hospital.
Winston-salem, NC 27103 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
Pricing grade
C
Average
Avg markup vs Medicare
4.77x
Charge / Medicare rate
Max markup
7.73x
Worst procedure
Procedures analyzed
145
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $66,774 | $33,387 | — | 7.7x |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $49,415 | $24,707 | — | 6.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $53,924 | $26,962 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $23,764 | $11,882 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $28,143 | $14,072 | — | 6.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $33,139 | $16,569 | — | 6.7x |
| COAGULATION DISORDERS | 813 | $72,173 | $36,086 | — | 6.7x |
| SEIZURES WITH MCC | 100 | $87,908 | $43,954 | — | 6.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $33,713 | $16,856 | — | 6.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $41,634 | $20,817 | — | 6.2x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $101,258 | $50,629 | — | 6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $93,433 | $46,717 | — | 6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $61,992 | $30,996 | — | 5.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $68,996 | $34,498 | — | 5.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $35,022 | $17,511 | — | 5.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $101,801 | $50,901 | — | 5.8x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $67,271 | $33,635 | — | 5.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $104,831 | $52,416 | — | 5.8x |
| SEIZURES WITHOUT MCC | 101 | $33,893 | $16,947 | — | 5.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $90,387 | $45,194 | — | 5.7x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $65,801 | $32,900 | — | 5.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $40,835 | $20,418 | — | 5.7x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $70,080 | $35,040 | — | 5.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $78,372 | $39,186 | — | 5.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $131,173 | $65,587 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $64,925 | $32,462 | — | 5.6x |
| HYPERTENSION WITHOUT MCC | 305 | $23,695 | $11,848 | — | 5.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $28,638 | $14,319 | — | 5.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $158,874 | $79,437 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $33,847 | $16,924 | — | 5.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $180,736 | $90,368 | — | 5.4x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $184,152 | $92,076 | — | 5.3x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $63,877 | $31,939 | — | 5.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $60,590 | $30,295 | — | 5.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $163,223 | $81,611 | — | 5.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $72,827 | $36,414 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $37,237 | $18,618 | — | 5.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $35,533 | $17,766 | — | 5.2x |
| SYNCOPE AND COLLAPSE | 312 | $29,574 | $14,787 | — | 5.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $39,178 | $19,589 | — | 5.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $112,748 | $56,374 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $31,627 | $15,813 | — | 5.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $110,819 | $55,410 | — | 5.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $25,030 | $12,515 | — | 5.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $65,631 | $32,815 | — | 5.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $235,836 | $117,918 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $30,288 | $15,144 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $26,397 | $13,199 | — | 5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $64,227 | $32,114 | — | 5x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $34,130 | $17,065 | — | 4.9x |
Showing 50 of 145 procedures
How NOVANT HEALTH FORSYTH MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from NOVANT HEALTH FORSYTH MEDICAL CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Novant Health Forsyth Medical Center?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use