▸ Hospital · NC · CCN 340085

Novant Health Thomasville Medical Center

207 OLD LEXINGTON ROAD, THOMASVILLE, NC, 27360

73 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

194

of 209 target codes

Payers

with negotiated rates

Rates published

13,028

last crawl 2026-05-22

▸ Compare with other hospitals All NC hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www2.novanthealth.org/Public_Files/regulatory/560636250_novant-health-thomasville-medical-center-llc-dba-novant-health-thomasville-medical-center_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	22	—	—	$36.77	$77.9	$35,024
Psychiatric diagnostic evaluation	CPT	90791	22	—	—	$18.17	$71.4	$344.3
Psychiatric eval with medical services	CPT	90792	22	—	—	$18.17	$71.4	$344.3
Psychotherapy 30 minutes	CPT	90832	22	—	—	$18.17	$71.4	$344.3
Psychotherapy 45 minutes	CPT	90834	22	—	—	$18.17	$71.4	$344.3
Psychotherapy 60 minutes	CPT	90837	22	—	—	$18.17	$71.4	$344.3
Crisis psychotherapy 60 minutes	CPT	90839	22	—	—	$18.17	$71.4	$344.3
emergency
ED visit level 1	CPT	99281	22	$282	$169.2	$51.23	$183.3	$273.54
ED visit level 2	CPT	99282	22	$573	$343.8	$104.11	$372.45	$555.81
ED visit level 3	CPT	99283	22	$1,726	$1,035.6	$264.75	$1,121.9	$1,674.22
ED visit level 4	CPT	99284	22	$2,455	$1,473	$404.69	$1,595.75	$2,381.35
ED visit level 5	CPT	99285	22	$3,453	$2,071.8	$577.58	$2,244.45	$3,349.41
Critical care, first hour	CPT	99291	22	$4,644	$2,786.4	$801.13	$3,189.74	$4,504.68
imaging
CT head without contrast	CPT	70450	22	$2,148	$1,288.8	$101.39	$398.02	$2,083.56
CT head with contrast	CPT	70460	22	$2,551	$1,530.6	$170.11	$472.7	$2,474.47
CT head with and without contrast	CPT	70470	22	$2,929	$1,757.4	$170.11	$542.74	$2,841.13
CT neck with contrast	CPT	70491	22	$2,978	$1,786.8	$170.11	$551.82	$2,888.66
MRI brain without contrast	CPT	70551	22	$3,243	$1,945.8	$231.41	$1,721.89	$3,145.71
MRI brain with contrast	CPT	70552	22	$3,801	$2,280.6	$338.36	$704.32	$3,686.97
MRI brain with and without contrast	CPT	70553	22	$5,036	$3,021.6	$338.36	$933.17	$4,884.92
Chest X-ray single view	CPT	71045	22	$392	$235.2	$71.22	$254.8	$380.24
Chest X-ray 2 views	CPT	71046	22	$465	$279	$84.4	$302.25	$451.05
Chest X-ray 3 views	CPT	71047	22	$560	$336	$84.4	$364	$543.2
CT chest without contrast	CPT	71250	22	$2,123	$1,273.8	$101.39	$1,050.83	$2,059.31
CT chest with contrast	CPT	71260	22	$2,865	$1,719	$170.11	$530.88	$2,779.05
CT chest with and without contrast	CPT	71270	22	$3,504	$2,102.4	$170.11	$649.29	$3,398.88
MRI chest without contrast	CPT	71550	22	$3,213	$1,927.8	$231.41	$595.36	$3,116.61
MRI chest with contrast	CPT	71551	22	$3,369	$2,021.4	$532.58	$783.1	$3,267.93
MRI chest with and without contrast	CPT	71552	22	$4,540	$2,724	$338.36	$841.26	$4,403.8
Lumbosacral spine X-ray	CPT	72100	22	$560	$336	$34.12	$104.43	$543.2
CT cervical spine without contrast	CPT	72125	22	$2,600	$1,560	$101.39	$481.78	$2,522
CT thoracic spine without contrast	CPT	72128	22	$2,234	$1,340.4	$101.39	$413.96	$2,166.98
CT lumbar spine without contrast	CPT	72131	22	$2,768	$1,660.8	$101.39	$512.91	$2,684.96
MRI cervical spine without contrast	CPT	72141	22	$3,922	$2,353.2	$231.41	$726.74	$3,804.34
MRI thoracic spine without contrast	CPT	72146	22	$3,922	$2,353.2	$231.41	$726.74	$3,804.34
MRI lumbar spine without contrast	CPT	72148	22	$3,922	$2,353.2	$231.41	$726.74	$3,804.34
MRI lumbar spine with and without contrast	CPT	72149	22	$4,273	$2,563.8	$338.36	$791.78	$4,144.81
MRI cervical spine with and without contrast	CPT	72156	22	$4,982	$2,989.2	$338.36	$923.16	$4,832.54
MRI lumbar spine with contrast	CPT	72158	22	$4,982	$2,989.2	$338.36	$923.16	$4,832.54
CT pelvis without contrast	CPT	72192	22	$2,377	$1,426.2	$101.39	$1,262.19	$2,305.69
CT pelvis with contrast	CPT	72193	22	$2,874	$1,724.4	$170.11	$532.55	$2,787.78
Shoulder X-ray	CPT	73030	22	$465	$279	$26.41	$86.93	$451.05
Humerus X-ray	CPT	73060	22	$465	$279	$25.81	$118.41	$451.05
Hand X-ray 3 views	CPT	73130	22	$560	$336	$27.07	$103.76	$543.2
MRI upper extremity joint without contrast	CPT	73221	22	$3,388	$2,032.8	$231.41	$627.79	$3,286.36
MRI upper extremity joint with and without contrast	CPT	73223	22	$4,886	$2,931.6	$338.36	$905.37	$4,739.42
Knee X-ray 1-2 views	CPT	73560	22	$465	$279	$25.81	$198.63	$451.05
Ankle X-ray 3 views	CPT	73610	22	$560	$336	$27.07	$103.76	$543.2
MRI lower extremity joint without contrast	CPT	73721	22	$3,355	$2,013	$231.41	$1,739.82	$3,254.35
MRI lower extremity joint with and without contrast	CPT	73723	22	$4,126	$2,475.6	$338.36	$764.54	$4,002.22
CT abdomen without contrast	CPT	74150	22	$2,488	$1,492.8	$101.39	$461.02	$2,413.36
CT abdomen with contrast	CPT	74160	22	$3,216	$1,929.6	$170.11	$595.92	$3,119.52
CT abdomen with and without contrast	CPT	74170	22	$3,703	$2,221.8	$170.11	$1,996.38	$3,591.91
CT abdomen and pelvis without contrast	CPT	74176	22	$4,585	$2,751	$185.4	$849.6	$4,447.45
CT abdomen and pelvis with contrast	CPT	74177	22	$5,640	$3,384	$289.88	$1,045.09	$5,470.8
CT abdomen and pelvis with and without contrast	CPT	74178	22	$6,497	$3,898.2	$338.36	$1,203.89	$6,302.09
MRI abdomen without contrast	CPT	74181	22	$3,537	$2,122.2	$231.41	$655.4	$3,430.89
MRI abdomen with and without contrast	CPT	74183	22	$5,375	$3,225	$338.36	$995.98	$5,213.75
Abdominal ultrasound complete	CPT	76700	22	$1,322	$793.2	$101.39	$244.96	$1,282.34
Abdominal ultrasound limited	CPT	76705	22	$959	$575.4	$87.62	$177.7	$930.23
Retroperitoneal ultrasound complete	CPT	76770	22	$1,128	$676.8	$101.39	$209.01	$1,094.16
Obstetric ultrasound first trimester	CPT	76801	22	$791	$474.6	$101.39	$146.57	$767.27
Obstetric ultrasound after first trimester	CPT	76805	22	$791	$474.6	$101.39	$146.57	$767.27
Obstetric ultrasound with fetal anatomy	CPT	76811	22	$1,122	$673.2	$162.27	$238.35	$1,088.34
Transvaginal ultrasound	CPT	76830	22	$1,028	$616.8	$101.39	$190.48	$997.16
Pelvic ultrasound complete	CPT	76856	22	$1,294	$776.4	$101.39	$239.77	$1,255.18
Scrotal ultrasound	CPT	76870	22	$1,035	$621	$101.39	$191.78	$1,003.95
Diagnostic mammography unilateral	CPT	77065	20	$360	$216	$65.41	$249.66	$349.2
Diagnostic mammography bilateral	CPT	77066	20	$457	$274.2	$83.03	$316.93	$443.29
Screening mammography bilateral	CPT	77067	20	$376	$225.6	$68.31	$260.76	$364.72
EKG complete	CPT	93000	20	—	—	$18.02	$45	$97
EKG tracing only	CPT	93005	22	$456	$273.6	$9.96	$84.49	$442.32
EKG interpretation only	CPT	93010	20	$46	$27.6	$8.35	$31.9	$44.62
Transthoracic echocardiogram complete	CPT	93306	22	$2,926	$1,755.6	$206.8	$1,529.26	$2,838.22
Transthoracic echocardiogram	CPT	93307	22	$2,266	$1,359.6	$133.09	$1,200.5	$2,198.02
Stress echocardiogram	CPT	93350	22	$2,926	$1,755.6	$176.25	$1,529.26	$2,838.22
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	22	—	—	$56.5	$88	$39,184
COPD w MCC	MS-DRG	190	22	—	—	$56.5	$88	$27,775
COPD w CC	MS-DRG	191	22	—	—	$56.5	$88	$21,138
COPD w/o CC/MCC	MS-DRG	192	22	—	—	$56.5	$88	$16,098
Simple pneumonia & pleurisy w CC	MS-DRG	194	22	—	—	$56.5	$88	$20,208
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	22	—	—	$56.5	$88	$15,759
AMI discharged alive w MCC	MS-DRG	280	22	—	—	$56.5	$88	$40,222
AMI discharged alive w CC	MS-DRG	281	22	—	—	$56.5	$88	$23,046
AMI discharged alive w/o CC/MCC	MS-DRG	282	22	—	—	$56.5	$88	$18,131
Heart failure & shock w MCC	MS-DRG	291	22	—	—	$56.5	$88	$32,191
Heart failure & shock w CC	MS-DRG	292	22	—	—	$56.5	$88	$21,288
Heart failure & shock w/o CC/MCC	MS-DRG	293	22	—	—	$56.5	$88	$14,192
Cardiac arrhythmia w MCC	MS-DRG	308	22	—	—	$56.5	$88	$30,190
Cardiac arrhythmia w CC	MS-DRG	309	22	—	—	$56.5	$88	$18,447
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	22	—	—	$56.5	$88	$14,195
GI hemorrhage w CC	MS-DRG	378	22	—	—	$56.5	$88	$24,591
GI hemorrhage w/o CC/MCC	MS-DRG	379	22	—	—	$56.5	$88	$15,807
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	22	—	—	$56.5	$88	$19,548
Fractures of femur w/o MCC	MS-DRG	533	22	—	—	$56.5	$88	$39,309
Kidney/UTI w MCC	MS-DRG	689	22	—	—	$56.5	$88	$29,094
Kidney/UTI w/o MCC	MS-DRG	690	22	—	—	$56.5	$88	$20,298
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	22	—	—	$56.5	$88	$48,707
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	22	—	—	$56.5	$88	$25,659
Initial hospital care, low complexity	CPT	99221	20	—	—	$18.17	$69.35	$97
Initial hospital care, moderate complexity	CPT	99222	20	—	—	$18.17	$69.35	$97
Initial hospital care, high complexity	CPT	99223	20	—	—	$18.17	$69.35	$97
Hospital discharge, <30 min	CPT	99238	20	—	—	$18.17	$69.35	$97
Hospital discharge, >30 min	CPT	99239	20	—	—	$18.17	$69.35	$97
lab
Basic metabolic panel (BMP)	CPT	80048	22	$131	$78.6	$8.46	$85.15	$127.07
General health panel	CPT	80050	20	$294	$176.4	$53.41	$203.89	$285.18
Electrolyte panel	CPT	80051	22	$104	$62.4	$7.01	$67.6	$100.88
Comprehensive metabolic panel	CPT	80053	22	$157	$94.2	$10.56	$102.05	$152.29
Lipid panel	CPT	80061	22	$200	$120	$13.39	$130	$194
Renal function panel	CPT	80069	22	$132	$79.2	$8.68	$85.8	$128.04
Hepatic function panel	CPT	80076	22	$131	$78.6	$8.17	$85.15	$127.07
Urinalysis non-automated	CPT	81002	22	$63	$37.8	$3.48	$37.44	$61.11
Urinalysis automated	CPT	81003	22	$43	$25.8	$2.25	$27.95	$41.71
Glucose quantitative	CPT	82947	22	$94	$56.4	$3.93	$45.79	$91.18
Hemoglobin A1c	CPT	83036	22	$145	$87	$9.71	$94.25	$140.65
Thyroid stimulating hormone (TSH)	CPT	84443	22	$240	$144	$16.8	$156	$232.8
Complete blood count with automated differential	CPT	85025	22	$229	$137.4	$7.77	$94.74	$222.13
Complete blood count without differential	CPT	85027	22	$97	$58.2	$6.47	$63.05	$94.09
Urine culture bacterial	CPT	87086	22	$120	$72	$8.07	$78	$116.4
Urine culture identification	CPT	87088	22	$120	$72	$8.09	$78	$116.4
Tissue exam by pathologist level IV	CPT	88305	22	$658	$394.8	$50.54	$433.44	$638.26
maternity
Fetal non-stress test	CPT	59025	22	$679	$407.4	$111.2	$436.1	$658.63
Routine obstetric care including vaginal delivery	CPT	59400	20	—	—	$18.17	$69.35	$97
Vaginal delivery only	CPT	59409	22	—	—	$18.17	$71.4	$6,279.12
Vaginal delivery with postpartum	CPT	59410	20	—	—	$18.17	$69.35	$97
Routine obstetric care with C-section	CPT	59510	20	—	—	$18.17	$69.35	$97
C-section delivery only	CPT	59514	20	—	—	$18.17	$69.35	$97
C-section with postpartum	CPT	59515	20	—	—	$18.17	$69.35	$97
office
Office visit, new patient, 15-29 min	CPT	99202	20	—	—	$18.17	$69.35	$97
Office visit, new patient, 30-44 minutes	CPT	99203	20	—	—	$18.17	$69.35	$97
Office visit, new patient, 45-59 min	CPT	99204	20	—	—	$18.17	$69.35	$97
Office visit, new patient, 60-74 min	CPT	99205	20	—	—	$18.17	$69.35	$97
Office visit, established patient, 5 min	CPT	99211	20	—	—	$18.17	$69.35	$97
Office visit, established patient, 10-19 min	CPT	99212	20	—	—	$18.17	$69.35	$97
Office visit, established patient, 20-29 minutes	CPT	99213	20	—	—	$18.17	$69.35	$97
Office visit, established patient, 30-39 minutes	CPT	99214	20	—	—	$18.17	$69.35	$97
Office visit, established patient, 40-54 min	CPT	99215	20	—	—	$18.17	$69.35	$97
preventive
Upper GI endoscopy diagnostic	CPT	43235	22	—	—	$18.17	$71.4	$1,759.3
Upper GI endoscopy with biopsy	CPT	43239	22	—	—	$18.17	$71.4	$1,759.3
Sigmoidoscopy diagnostic	CPT	45330	22	—	—	$18.17	$71.4	$1,803.86
Sigmoidoscopy with biopsy	CPT	45331	22	—	—	$18.17	$71.4	$1,803.86
Colonoscopy diagnostic	CPT	45378	22	—	—	$18.17	$71.4	$1,803.86
Colonoscopy with biopsy	CPT	45380	22	—	—	$18.17	$71.4	$2,321.16
Colonoscopy with polyp removal	CPT	45385	22	—	—	$18.17	$71.4	$2,321.16
surgery
Total shoulder arthroplasty	CPT	23472	22	—	—	$18.17	$71.4	$34,011
Hip hemiarthroplasty	CPT	27125	22	—	—	$18.17	$71.4	$24,903
Total hip replacement	CPT	27130	22	—	—	$18.17	$71.4	$24,903
Total knee replacement	CPT	27447	22	—	—	$18.17	$71.4	$24,903
Knee revision arthroplasty single component	CPT	27486	22	—	—	$18.17	$71.4	$24,903
Knee revision arthroplasty all components	CPT	27487	22	—	—	$18.17	$71.4	$34,011
Shoulder arthroscopy with decompression	CPT	29826	20	—	—	$18.17	$69.35	$97
Shoulder arthroscopy with rotator cuff repair	CPT	29827	22	—	—	$18.17	$71.4	$14,075
Knee arthroscopy with meniscectomy	CPT	29881	22	—	—	$18.17	$71.4	$6,346.78
ACL reconstruction	CPT	29888	22	—	—	$18.17	$71.4	$14,075
Major small/large bowel procedures w MCC	MS-DRG	329	22	—	—	$56.5	$88	$115,255
Major small/large bowel procedures w CC	MS-DRG	330	22	—	—	$56.5	$88	$60,109
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	22	—	—	$56.5	$88	$42,198
CABG single arterial graft	CPT	33533	20	—	—	$18.17	$69.35	$97
CABG 2 arterial grafts	CPT	33534	20	—	—	$18.17	$69.35	$97
CABG 3 arterial grafts	CPT	33535	20	—	—	$18.17	$69.35	$97
CABG 4+ arterial grafts	CPT	33536	20	—	—	$18.17	$69.35	$97
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	22	—	—	$56.5	$88	$42,416
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	22	—	—	$56.5	$88	$34,247
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	22	—	—	$56.5	$88	$85,432
Open appendectomy	CPT	44950	22	—	—	$18.17	$71.4	$12,557
Laparoscopic appendectomy	CPT	44970	22	—	—	$18.17	$71.4	$11,727
Major joint replacement w MCC	MS-DRG	469	22	—	—	$56.5	$88	$85,110
Major joint replacement w/o MCC	MS-DRG	470	22	—	—	$56.5	$88	$51,634
Laparoscopic cholecystectomy	CPT	47562	22	—	—	$18.17	$71.4	$11,727
Lap cholecystectomy with cholangiography	CPT	47563	22	—	—	$18.17	$71.4	$11,727
Hip & femur procedures except major joint w MCC	MS-DRG	480	22	—	—	$56.5	$88	$73,025
Hip & femur procedures except major joint w CC	MS-DRG	481	22	—	—	$56.5	$88	$52,519
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	22	—	—	$56.5	$88	$40,897
Lap inguinal hernia repair	CPT	49650	22	—	—	$18.17	$71.4	$11,727
Total abdominal hysterectomy	CPT	58150	20	—	—	$18.17	$69.35	$97
Vaginal hysterectomy	CPT	58260	22	—	—	$18.17	$71.4	$9,703.36
Lap-assisted vaginal hysterectomy	CPT	58550	22	—	—	$18.17	$71.4	$11,727
Lap-assisted vaginal hysterectomy >250g	CPT	58552	22	—	—	$18.17	$71.4	$20,619
Lap salpingo-oophorectomy	CPT	58661	22	—	—	$18.17	$71.4	$11,727
OR procedure for obesity w MCC	MS-DRG	619	22	—	—	$56.5	$88	$72,400
OR procedure for obesity w CC	MS-DRG	620	22	—	—	$56.5	$88	$40,127
OR procedure for obesity w/o CC/MCC	MS-DRG	621	22	—	—	$56.5	$88	$37,823
Complex cataract surgery	CPT	66982	22	—	—	$18.17	$71.4	$4,476.54
Cataract surgery with lens implant	CPT	66984	22	—	—	$18.17	$71.4	$4,476.54
Intravitreal injection	CPT	67028	22	—	—	$18.17	$71.4	$640.7
Vitrectomy mechanical	CPT	67042	22	—	—	$18.17	$71.4	$8,017.7
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	22	—	—	$56.5	$88	$31,110
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	22	—	—	$56.5	$88	$51,380
PCI single major coronary artery	CPT	92920	22	—	—	$18.17	$71.4	$11,040
PCI with drug-eluting stent	CPT	92928	22	—	—	$18.17	$71.4	$22,393
PCI bypass graft	CPT	92937	22	—	—	$18.17	$71.4	$22,393
Left heart catheterization	CPT	93452	22	—	—	$18.17	$71.4	$6,288.44
Coronary angiography with cath	CPT	93455	22	—	—	$18.17	$71.4	$6,288.44
Coronary angiography with bypass cath	CPT	93458	22	—	—	$18.17	$71.4	$6,288.44

Payer mix (top 22)

Payer	Codes covered	Median rate
Aetna	194	$80
amerihealth	194	$109.79
amps	194	$65
atlantic corporation dba atlantic packaging	194	$56.5
bcbsfl	194	$72
Blue Cross Blue Shield	194	$338.36
CareSource	194	$247
carolina complete	194	$107.66
Cigna	194	$221.76
employers choice network	194	$97
Humana	194	$229.02
UnitedHealthcare	194	$334.28
WellCare	194	$109.79
medcost	194	$95
Multiplan	194	$90
nc department of public safety	194	$431.9
phcs	194	$90
plotkin health	194	$60
primary physician care	194	$88
three rivers provider network	194	$97
liberty health	163	$355.28
pace of the southern piedmont	163	$338.36