▸ Hospital · NC · CCN 340047
North Carolina Baptist Hospital
MEDICAL CENTER BLVD, WINSTON-SALEM, NC, 27157-
831 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
144
of 209 target codes
Payers
22
with negotiated rates
Rates published
56,967
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $13,796 | $14,210 | $22,759 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 22 | $312 | $156 | $61.78 | $104.18 | $280.8 |
| Psychiatric eval with medical services | CPT | 90792 | 22 | $629 | $314.5 | $124.54 | $210.03 | $566.1 |
| Psychotherapy 30 minutes | CPT | 90832 | 22 | $118 | $59 | $23.17 | $39.24 | $106.2 |
| Psychotherapy 45 minutes | CPT | 90834 | 22 | $153 | $76.5 | $30.29 | $51.09 | $137.7 |
| Psychotherapy 60 minutes | CPT | 90837 | 22 | $228 | $114 | $45.14 | $76.13 | $205.2 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 22 | $227 | $113.5 | $44.95 | $75.8 | $204.3 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 22 | $676 | $338 | $110.39 | $223.76 | $608.4 |
| ED visit level 2 | CPT | 99282 | 22 | $1,130 | $565 | $184.53 | $374.03 | $1,017 |
| ED visit level 3 | CPT | 99283 | 22 | $2,089 | $1,044.5 | $341.13 | $691.46 | $1,880.1 |
| ED visit level 4 | CPT | 99284 | 22 | $3,494 | $1,747 | $570.57 | $1,156.51 | $3,343 |
| ED visit level 5 | CPT | 99285 | 22 | $4,959 | $2,479.5 | $809.8 | $1,641.43 | $4,463.1 |
| Critical care, first hour | CPT | 99291 | 22 | $3,214 | $1,607 | $524.85 | $1,063.83 | $2,892.6 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 22 | $2,276 | $1,138 | $450.65 | $821.64 | $2,048.4 |
| CT head with contrast | CPT | 70460 | 22 | $3,210 | $1,605 | $635.58 | $1,088.76 | $2,889 |
| CT head with and without contrast | CPT | 70470 | 22 | $3,755 | $1,877.5 | $743.49 | $1,233.52 | $3,379.5 |
| CT neck with contrast | CPT | 70491 | 22 | $3,069 | $1,534.5 | $607.66 | $1,060.73 | $2,762.1 |
| MRI brain without contrast | CPT | 70551 | 22 | $2,351 | $1,175.5 | $465.5 | $908.31 | $2,115.9 |
| MRI brain with contrast | CPT | 70552 | 22 | $5,758 | $2,879 | $1,140.08 | $1,905.9 | $5,182.2 |
| MRI brain with and without contrast | CPT | 70553 | 22 | $4,797 | $2,398.5 | $949.81 | $1,706.46 | $4,317.3 |
| Chest X-ray single view | CPT | 71045 | 22 | $350 | $175 | $69.3 | $117.04 | $315 |
| Chest X-ray 2 views | CPT | 71046 | 22 | $433 | $216.5 | $85.73 | $144.8 | $389.7 |
| Chest X-ray 3 views | CPT | 71047 | 22 | $525 | $262.5 | $103.95 | $175.57 | $472.5 |
| CT chest without contrast | CPT | 71250 | 22 | $1,297 | $648.5 | $256.81 | $468.22 | $1,178 |
| CT chest with contrast | CPT | 71260 | 22 | $2,882 | $1,441 | $570.64 | $1,040.4 | $2,593.8 |
| CT chest with and without contrast | CPT | 71270 | 22 | $2,391 | $1,195.5 | $473.42 | $863.15 | $2,151.9 |
| MRI chest without contrast | CPT | 71550 | 22 | $2,534 | $1,267 | $501.73 | $979.01 | $2,280.6 |
| MRI chest with and without contrast | CPT | 71552 | 22 | $4,687 | $2,343.5 | $928.03 | $1,686.66 | $4,218.3 |
| Lumbosacral spine X-ray | CPT | 72100 | 22 | $432 | $216 | $85.54 | $144.46 | $388.8 |
| CT cervical spine without contrast | CPT | 72125 | 22 | $2,756 | $1,378 | $545.69 | $994.92 | $2,480.4 |
| CT thoracic spine without contrast | CPT | 72128 | 22 | $2,286 | $1,143 | $452.63 | $825.25 | $2,057.4 |
| CT lumbar spine without contrast | CPT | 72131 | 22 | $1,302 | $651 | $257.8 | $470.02 | $1,178 |
| MRI cervical spine without contrast | CPT | 72141 | 22 | $2,652 | $1,326 | $525.1 | $1,024.6 | $2,386.8 |
| MRI thoracic spine without contrast | CPT | 72146 | 22 | $2,811 | $1,405.5 | $556.58 | $1,086.03 | $2,529.9 |
| MRI lumbar spine without contrast | CPT | 72148 | 22 | $2,855 | $1,427.5 | $565.29 | $1,103.03 | $2,569.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 22 | $5,287 | $2,643.5 | $1,046.83 | $1,765.5 | $4,758.3 |
| MRI cervical spine with and without contrast | CPT | 72156 | 22 | $4,910 | $2,455 | $972.18 | $1,726.8 | $4,419 |
| MRI lumbar spine with contrast | CPT | 72158 | 22 | $5,287 | $2,643.5 | $1,046.83 | $1,765.5 | $4,758.3 |
| CT pelvis without contrast | CPT | 72192 | 22 | $1,377 | $688.5 | $272.65 | $497.1 | $1,239.3 |
| CT pelvis with contrast | CPT | 72193 | 22 | $2,927 | $1,463.5 | $579.55 | $1,047.3 | $2,634.3 |
| Shoulder X-ray | CPT | 73030 | 22 | $455 | $227.5 | $90.09 | $152.16 | $409.5 |
| Humerus X-ray | CPT | 73060 | 22 | $330 | $165 | $65.34 | $110.35 | $297 |
| Hand X-ray 3 views | CPT | 73130 | 22 | $400 | $200 | $79.2 | $133.76 | $360 |
| MRI upper extremity joint without contrast | CPT | 73221 | 22 | $3,509 | $1,754.5 | $694.78 | $1,355.71 | $3,158.1 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 22 | $6,527 | $3,263.5 | $1,292.35 | $2,160.44 | $5,874.3 |
| Knee X-ray 1-2 views | CPT | 73560 | 22 | $345 | $172.5 | $68.31 | $115.37 | $310.5 |
| Ankle X-ray 3 views | CPT | 73610 | 22 | $360 | $180 | $71.28 | $120.39 | $324 |
| MRI lower extremity joint without contrast | CPT | 73721 | 22 | $3,495 | $1,747.5 | $692.01 | $1,350.3 | $3,145.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 22 | $6,500 | $3,250 | $1,287 | $2,151.5 | $5,850 |
| CT abdomen without contrast | CPT | 74150 | 22 | $2,781 | $1,390.5 | $550.64 | $1,003.94 | $2,502.9 |
| CT abdomen with contrast | CPT | 74160 | 22 | $4,286 | $2,143 | $848.63 | $1,407.96 | $3,857.4 |
| CT abdomen with and without contrast | CPT | 74170 | 22 | $4,865 | $2,432.5 | $963.27 | $1,598.16 | $4,378.5 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 22 | $3,707 | $1,853.5 | $733.99 | $1,217.75 | $3,336.3 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 22 | $5,792 | $2,896 | $1,047.3 | $1,902.67 | $5,212.8 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 22 | $6,546 | $3,273 | $1,047.3 | $2,150.37 | $5,891.4 |
| MRI abdomen without contrast | CPT | 74181 | 22 | $2,710 | $1,355 | $536.58 | $1,047.01 | $2,439 |
| MRI abdomen with and without contrast | CPT | 74183 | 22 | $5,016 | $2,508 | $993.17 | $1,733.5 | $4,514.4 |
| Abdominal ultrasound complete | CPT | 76700 | 22 | $1,000 | $500 | $198 | $341.5 | $900 |
| Abdominal ultrasound limited | CPT | 76705 | 22 | $746 | $373 | $147.71 | $254.76 | $671.4 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 22 | $931 | $465.5 | $184.34 | $317.94 | $837.9 |
| Obstetric ultrasound first trimester | CPT | 76801 | 22 | $608 | $304 | $120.38 | $207.63 | $547.2 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 22 | $699 | $349.5 | $138.4 | $238.71 | $629.1 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 22 | $980 | $490 | $194.04 | $334.67 | $882 |
| Transvaginal ultrasound | CPT | 76830 | 22 | $884 | $442 | $162.36 | $280.03 | $738 |
| Pelvic ultrasound complete | CPT | 76856 | 22 | $1,077 | $538.5 | $213.25 | $367.8 | $969.3 |
| Scrotal ultrasound | CPT | 76870 | 22 | $844 | $422 | $167.11 | $288.23 | $759.6 |
| Diagnostic mammography unilateral | CPT | 77065 | 22 | $990 | $495 | $193.74 | $327.69 | $891 |
| Diagnostic mammography bilateral | CPT | 77066 | 22 | $1,501 | $750.5 | $293.75 | $496.83 | $1,350.9 |
| Screening mammography bilateral | CPT | 77067 | 22 | $364 | $182 | $72.07 | $126.49 | $327.6 |
| EKG tracing only | CPT | 93005 | 22 | $411 | $205.5 | $80.02 | $136.04 | $369.9 |
| Transthoracic echocardiogram complete | CPT | 93306 | 22 | $4,448 | $2,224 | $762.39 | $1,472.29 | $4,003.2 |
| Stress echocardiogram | CPT | 93350 | 22 | $2,774 | $1,387 | $475.46 | $918.19 | $2,496.6 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $19,468 | $20,052 | $32,118 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $9,952.4 | $10,251 | $16,419 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $6,736.39 | $6,938.48 | $11,113 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $15,821 | $16,295 | $26,100 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $10,991 | $11,321 | $18,132 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $8,408.01 | $8,660.25 | $13,871 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $6,334.15 | $6,524.17 | $10,450 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $8,025.34 | $8,266.1 | $13,240 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $6,094.36 | $6,277.2 | $10,054 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $16,064 | $16,546 | $26,502 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $9,021.66 | $9,292.31 | $14,883 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $7,096.55 | $7,309.45 | $11,707 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $12,770 | $13,153 | $21,067 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $8,428.56 | $8,681.42 | $13,905 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $5,370.13 | $5,531.23 | $8,859.31 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $11,802 | $12,156 | $19,470 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $7,235.53 | $7,452.59 | $11,937 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $5,475.83 | $5,640.1 | $9,033.69 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $9,649 | $9,938.47 | $15,918 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $6,231.38 | $6,418.32 | $10,280 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $7,636.8 | $7,865.9 | $12,599 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $14,924 | $15,372 | $24,621 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $11,454 | $11,797 | $18,896 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $7,855.05 | $8,090.7 | $12,959 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $19,203 | $19,779 | $31,680 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $10,090 | $10,393 | $16,647 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 22 | $204 | $102 | $14.59 | $68.24 | $183.6 |
| General health panel | CPT | 80050 | 10 | — | — | $16.45 | $16.62 | $35 |
| Electrolyte panel | CPT | 80051 | 22 | $114 | $57 | $12.54 | $38.93 | $102.6 |
| Comprehensive metabolic panel | CPT | 80053 | 22 | $455 | $227.5 | $15.37 | $152.2 | $409.5 |
| Lipid panel | CPT | 80061 | 22 | $292 | $146 | $20 | $97.68 | $262.8 |
| Renal function panel | CPT | 80069 | 22 | $179 | $89.5 | $14 | $59.88 | $161.1 |
| Hepatic function panel | CPT | 80076 | 22 | $170 | $85 | $14.59 | $56.87 | $153 |
| Urinalysis non-automated | CPT | 81002 | 22 | $41 | $20.5 | $4.66 | $14.01 | $36.9 |
| Urinalysis automated | CPT | 81003 | 22 | $36 | $18 | $4.09 | $12.05 | $32.4 |
| Glucose quantitative | CPT | 82947 | 22 | $25 | $12.5 | $4.95 | $8.37 | $22.5 |
| Hemoglobin A1c | CPT | 83036 | 22 | $114 | $57 | $16.95 | $38.13 | $102.6 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 22 | $202 | $101 | $25 | $67.57 | $181.8 |
| Complete blood count with automated differential | CPT | 85025 | 22 | $177 | $88.5 | $13.57 | $59.21 | $159.3 |
| Complete blood count without differential | CPT | 85027 | 22 | $106 | $53 | $11.3 | $35.46 | $95.4 |
| Urine culture bacterial | CPT | 87086 | 22 | $45 | $22.5 | $8.91 | $15.37 | $40.5 |
| Urine culture identification | CPT | 87088 | 22 | $72 | $36 | $14.14 | $24.09 | $64.8 |
| Tissue exam by pathologist level IV | CPT | 88305 | 22 | $344 | $172 | $68.11 | $121.69 | $309.6 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 22 | $443 | $221.5 | $87.71 | $147.92 | $398.7 |
| Vaginal delivery only | CPT | 59409 | 22 | $12,428 | $6,214 | $2,029.49 | $4,113.67 | $11,185 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 0 | $155 | $77.5 | — | — | — |
| preventive | ||||||||
| Sigmoidoscopy diagnostic | CPT | 45330 | 22 | $1,867 | $933.5 | $304.88 | $613.31 | $4,086 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 22 | $2,986 | $1,493 | $502.84 | $988.37 | $4,086 |
| surgery | ||||||||
| ACL reconstruction | CPT | 29888 | 1 | — | — | $13,771 | $14,154 | $14,537 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $44,941 | $46,289 | $74,141 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $23,134 | $23,828 | $38,164 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $16,158 | $16,643 | $26,657 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $16,231 | $16,718 | $26,777 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $12,895 | $13,282 | $21,274 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $34,543 | $35,580 | $56,987 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $31,991 | $32,950 | $52,776 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $18,453 | $19,007 | $30,443 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $28,784 | $29,647 | $47,485 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $20,307 | $20,916 | $33,501 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $15,526 | $15,992 | $25,614 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $26,684 | $27,485 | $44,022 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $15,630 | $16,099 | $25,785 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $14,307 | $14,736 | $23,602 |
| Intravitreal injection | CPT | 67028 | 22 | $1,164 | $582 | $190.08 | $382.37 | $4,086 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $11,732 | $12,084 | $19,354 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $19,124 | $19,698 | $31,549 |
| PCI single major coronary artery | CPT | 92920 | 22 | $16,816 | $8,408 | $3,329.57 | $5,614.87 | $22,798 |
| PCI with drug-eluting stent | CPT | 92928 | 22 | $24,191 | $12,096 | $4,789.82 | $8,077.38 | $22,798 |
| PCI bypass graft | CPT | 92937 | 22 | $24,191 | $12,096 | $4,789.82 | $8,077.38 | $22,798 |
| Left heart catheterization | CPT | 93452 | 22 | $15,082 | $7,541 | $2,523.22 | $4,916.73 | $13,574 |
| Coronary angiography with cath | CPT | 93455 | 22 | $8,138 | $4,069 | $1,361.49 | $2,693.68 | $7,324.2 |
| Coronary angiography with bypass cath | CPT | 93458 | 22 | $19,516 | $9,758 | $3,265.03 | $6,362.22 | $17,564 |
Payer mix (top 22)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 143 | $1,178 |
| alliance | 142 | $739.91 |
| partners | 142 | $725.46 |
| carolina complete | 142 | $725.46 |
| vaya | 142 | $732.84 |
| WellCare | 142 | $734.77 |
| amerihealth | 142 | $789.87 |
| health blue | 142 | $725.46 |
| trillium | 142 | $747.29 |
| Ambetter | 141 | $867.24 |
| Cigna | 141 | $1,047.3 |
| Blue Cross Blue Shield | 141 | $1,017.43 |
| medcost | 99 | $501.73 |
| healthgram | 98 | $911.4 |
| cone health | 98 | $911.4 |
| directnet | 98 | $769.48 |
| first carolina care | 98 | $1,041.6 |
| Aetna | 98 | $570.64 |
| Humana | 98 | $712.19 |
| Multiplan | 98 | $1,171.8 |
| oscar | 98 | $434.67 |
| private healthcare systems | 98 | $1,067.64 |