Does Novant Health Medical Park Hospital publish its standard charges and chargemaster?

Yes. Novant Health Medical Park Hospital publishes a machine-readable file with 12,581 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Novant Health Medical Park Hospital charge for procedures?

Novant Health Medical Park Hospital (Winston-Salem, NC) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · NC · CCN 340148

Novant Health Medical Park Hospital

Winston-Salem, NC, 27103

9 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

12,581

last crawl 2026-05-22

Procedures tracked

194

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All NC hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www2.novanthealth.org/Public_Files/regulatory/561340424_medical-park-hospital-llc-dba-novant-health-medical-park-hospital_standardcharges.json · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	23	—	—	$36.05	$80	0.01×	$33,525
Psychiatric diagnostic evaluation	CPT	90791	23	—	—	$23.71	$71	0.40×	$344.3
Psychiatric eval with medical services	CPT	90792	23	—	—	$23.71	$71	0.41×	$344.3
Psychotherapy 30 minutes	CPT	90832	23	—	—	$23.71	$71	0.48×	$344.3
Psychotherapy 45 minutes	CPT	90834	23	—	—	$23.71	$71	0.44×	$344.3
Psychotherapy 60 minutes	CPT	90837	23	—	—	$23.71	$71	0.37×	$344.3
Crisis psychotherapy 60 minutes	CPT	90839	23	—	—	$23.71	$71	0.45×	$344.3
emergency
ED visit level 1	CPT	99281	23	—	—	$23.71	$71	0.51×	$163.56
ED visit level 2	CPT	99282	23	—	—	$23.71	$71	0.30×	$297.84
ED visit level 3	CPT	99283	23	—	—	$23.71	$71	0.18×	$529.5
ED visit level 4	CPT	99284	23	—	—	$23.71	$71	0.11×	$809.38
ED visit level 5	CPT	99285	23	—	—	$23.71	$71	0.07×	$1,155.16
Critical care, first hour	CPT	99291	23	—	—	$23.71	$71	0.07×	$1,602.26
imaging
CT head without contrast	CPT	70450	23	—	—	$23.71	$90	0.43×	$202.78
CT head with contrast	CPT	70460	23	—	—	$23.71	$90	0.38×	$340.22
CT head with and without contrast	CPT	70470	23	—	—	$23.71	$90	0.34×	$340.22
CT neck with contrast	CPT	70491	23	—	—	$23.71	$90	0.33×	$340.22
MRI brain without contrast	CPT	70551	23	—	—	$23.71	$90	0.22×	$504.7
MRI brain with contrast	CPT	70552	23	—	—	$23.71	$90	0.19×	$676.72
MRI brain with and without contrast	CPT	70553	23	—	—	$23.71	$90	0.15×	$729.56
Chest X-ray single view	CPT	71045	23	$361	$216.6	$59.4	$223.82	2.4×	$350.17
Chest X-ray 2 views	CPT	71046	23	$427	$256.2	$59.4	$264.74	2.7×	$414.19
Chest X-ray 3 views	CPT	71047	23	$515	$309	$59.4	$319.3	3.3×	$499.55
CT chest without contrast	CPT	71250	23	—	—	$23.71	$90	0.42×	$254.95
CT chest with contrast	CPT	71260	23	—	—	$23.71	$90	0.32×	$340.22
CT chest with and without contrast	CPT	71270	23	—	—	$23.71	$90	0.31×	$376.06
MRI chest without contrast	CPT	71550	23	—	—	$23.71	$90	0.21×	$551.07
MRI chest with contrast	CPT	71551	23	—	—	$23.71	$90	0.11×	$1,520.58
MRI chest with and without contrast	CPT	71552	23	—	—	$23.71	$90	0.15×	$836.21
Lumbosacral spine X-ray	CPT	72100	23	$515	$309	$34.12	$124.52	1.2×	$499.55
CT cervical spine without contrast	CPT	72125	23	—	—	$23.71	$90	0.45×	$255.68
CT thoracic spine without contrast	CPT	72128	23	—	—	$23.71	$90	0.45×	$255.31
CT lumbar spine without contrast	CPT	72131	23	—	—	$23.71	$90	0.44×	$254.95
MRI cervical spine without contrast	CPT	72141	23	—	—	$23.71	$90	0.23×	$462.82
MRI thoracic spine without contrast	CPT	72146	23	—	—	$23.71	$90	0.24×	$470.72
MRI lumbar spine without contrast	CPT	72148	23	—	—	$23.71	$90	0.24×	$463.41
MRI lumbar spine with and without contrast	CPT	72149	23	—	—	$23.71	$90	0.20×	$676.72
MRI cervical spine with and without contrast	CPT	72156	23	—	—	$23.71	$90	0.17×	$731.94
MRI lumbar spine with contrast	CPT	72158	23	—	—	$23.71	$90	0.16×	$721.21
CT pelvis without contrast	CPT	72192	23	—	—	$23.71	$90	0.45×	$241.73
CT pelvis with contrast	CPT	72193	23	—	—	$23.71	$90	0.32×	$340.22
Shoulder X-ray	CPT	73030	23	$427	$256.2	$26.41	$103.24	1.1×	$414.19
Humerus X-ray	CPT	73060	23	$427	$256.2	$25.81	$120.9	1.4×	$414.19
Hand X-ray 3 views	CPT	73130	23	$515	$309	$27.07	$124.52	1.3×	$499.55
MRI upper extremity joint without contrast	CPT	73221	23	—	—	$23.71	$90	0.22×	$477.48
MRI upper extremity joint with and without contrast	CPT	73223	23	—	—	$23.71	$90	0.15×	$709.78
Knee X-ray 1-2 views	CPT	73560	23	$427	$256.2	$25.81	$213.24	2.3×	$414.19
Ankle X-ray 3 views	CPT	73610	23	$515	$309	$27.07	$124.52	1.4×	$499.55
MRI lower extremity joint without contrast	CPT	73721	23	—	—	$23.71	$90	0.19×	$486.17
MRI lower extremity joint with and without contrast	CPT	73723	23	—	—	$23.71	$90	0.14×	$708.33
CT abdomen without contrast	CPT	74150	23	—	—	$23.71	$90	0.48×	$244.75
CT abdomen with contrast	CPT	74160	23	—	—	$23.71	$90	0.31×	$340.22
CT abdomen with and without contrast	CPT	74170	23	—	—	$23.71	$90	0.27×	$428.86
CT abdomen and pelvis without contrast	CPT	74176	23	—	—	$23.71	$90	0.25×	$462.82
CT abdomen and pelvis with contrast	CPT	74177	23	—	—	$23.71	$90	0.16×	$676.72
CT abdomen and pelvis with and without contrast	CPT	74178	23	—	—	$23.71	$90	0.16×	$676.72
MRI abdomen without contrast	CPT	74181	23	—	—	$23.71	$90	0.23×	$462.82
MRI abdomen with and without contrast	CPT	74183	23	—	—	$23.71	$90	0.16×	$747.17
Abdominal ultrasound complete	CPT	76700	23	—	—	$23.71	$90	0.60×	$202.78
Abdominal ultrasound limited	CPT	76705	23	—	—	$23.71	$87.62	0.60×	$202.78
Retroperitoneal ultrasound complete	CPT	76770	23	—	—	$23.71	$90	0.63×	$202.78
Obstetric ultrasound first trimester	CPT	76801	23	—	—	$23.71	$90	0.64×	$202.78
Obstetric ultrasound after first trimester	CPT	76805	23	—	—	$23.71	$90	0.59×	$202.78
Obstetric ultrasound with fetal anatomy	CPT	76811	23	—	—	$23.71	$90	0.38×	$462.82
Transvaginal ultrasound	CPT	76830	23	—	—	$23.71	$90	0.61×	$202.78
Pelvic ultrasound complete	CPT	76856	23	—	—	$23.71	$90	0.63×	$202.78
Scrotal ultrasound	CPT	76870	23	—	—	$23.71	$90	0.69×	$202.78
Diagnostic mammography unilateral	CPT	77065	21	—	—	$23.71	$68.7	0.46×	$97
Diagnostic mammography bilateral	CPT	77066	21	—	—	$23.71	$68.7	0.36×	$97
Screening mammography bilateral	CPT	77067	21	—	—	$23.71	$68.7	0.44×	$97
EKG complete	CPT	93000	21	—	—	$18.02	$50	2.0×	$97
EKG tracing only	CPT	93005	23	$233	$139.8	$9.96	$59.5	0.50×	$226.01
EKG interpretation only	CPT	93010	21	$44	$26.4	$10.43	$30.22	1.7×	$42.68
Transthoracic echocardiogram complete	CPT	93306	23	—	—	$23.71	$90	0.15×	$1,059.9
Transthoracic echocardiogram	CPT	93307	23	—	—	$23.71	$90	0.36×	$462.82
Stress echocardiogram	CPT	93350	23	—	—	$23.71	$90	0.18×	$1,059.9
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	23	—	—	$56.5	$90	0.01×	$37,506
COPD w MCC	MS-DRG	190	23	—	—	$56.5	$90	0.01×	$26,586
COPD w CC	MS-DRG	191	23	—	—	$56.5	$90	0.01×	$20,233
COPD w/o CC/MCC	MS-DRG	192	23	—	—	$56.5	$90	0.01×	$15,409
Simple pneumonia & pleurisy w CC	MS-DRG	194	23	—	—	$56.5	$90	0.01×	$19,342
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	23	—	—	$56.5	$90	0.01×	$15,085
AMI discharged alive w MCC	MS-DRG	280	23	—	—	$56.5	$90	0.01×	$38,500
AMI discharged alive w CC	MS-DRG	281	23	—	—	$56.5	$90	0.01×	$22,059
AMI discharged alive w/o CC/MCC	MS-DRG	282	23	—	—	$56.5	$90	0.01×	$17,355
Heart failure & shock w MCC	MS-DRG	291	23	—	—	$56.5	$90	0.01×	$30,812
Heart failure & shock w CC	MS-DRG	292	23	—	—	$56.5	$90	0.01×	$20,377
Heart failure & shock w/o CC/MCC	MS-DRG	293	23	—	—	$56.5	$90	0.01×	$13,585
Cardiac arrhythmia w MCC	MS-DRG	308	23	—	—	$56.5	$90	0.01×	$28,897
Cardiac arrhythmia w CC	MS-DRG	309	23	—	—	$56.5	$90	0.01×	$17,658
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	23	—	—	$56.5	$90	0.01×	$13,587
GI hemorrhage w CC	MS-DRG	378	23	—	—	$56.5	$90	0.01×	$23,538
GI hemorrhage w/o CC/MCC	MS-DRG	379	23	—	—	$56.5	$90	0.01×	$15,130
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	23	—	—	$56.5	$90	0.01×	$18,711
Fractures of femur w/o MCC	MS-DRG	533	23	—	—	$56.5	$90	0.01×	$37,626
Kidney/UTI w MCC	MS-DRG	689	23	—	—	$56.5	$90	0.01×	$27,848
Kidney/UTI w/o MCC	MS-DRG	690	23	—	—	$56.5	$90	0.01×	$19,429
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	23	—	—	$56.5	$90	0.00×	$46,622
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	23	—	—	$56.5	$90	0.01×	$24,560
Initial hospital care, low complexity	CPT	99221	21	—	—	$23.71	$68.7	0.74×	$97
Initial hospital care, moderate complexity	CPT	99222	21	—	—	$23.71	$68.7	0.41×	$97
Initial hospital care, high complexity	CPT	99223	21	—	—	$23.71	$68.7	0.31×	$97
Hospital discharge, <30 min	CPT	99238	21	—	—	$23.71	$68.7	0.80×	$97
Hospital discharge, >30 min	CPT	99239	21	—	—	$23.71	$68.7	0.57×	$97
lab
Basic metabolic panel (BMP)	CPT	80048	23	$126	$75.6	$8.46	$78.12	2.4×	$122.22
General health panel	CPT	80050	21	$331	$198.6	$59.4	$227.39	2.1×	$321.07
Electrolyte panel	CPT	80051	23	$104	$62.4	$7.01	$64.48	2.7×	$100.88
Comprehensive metabolic panel	CPT	80053	23	$157	$94.2	$10.56	$97.34	2.2×	$152.29
Lipid panel	CPT	80061	23	$200	$120	$13.39	$124	3.2×	$194
Renal function panel	CPT	80069	23	$129	$77.4	$8.68	$79.98	2.9×	$125.13
Hepatic function panel	CPT	80076	23	$121	$72.6	$8.17	$75.02	2.8×	$117.37
Urinalysis non-automated	CPT	81002	23	$54	$32.4	$3.48	$31.68	4.6×	$59.4
Urinalysis automated	CPT	81003	23	$34	$20.4	$2.25	$22.1	1.6×	$59.4
Glucose quantitative	CPT	82947	23	$61	$36.6	$3.93	$33.6	1.9×	$59.4
Hemoglobin A1c	CPT	83036	23	$145	$87	$9.71	$89.9	3.3×	$140.65
Thyroid stimulating hormone (TSH)	CPT	84443	23	$240	$144	$16.8	$148.8	3.1×	$232.8
Complete blood count with automated differential	CPT	85025	23	$229	$137.4	$7.77	$91.2	3.4×	$222.13
Complete blood count without differential	CPT	85027	23	$97	$58.2	$6.47	$60.14	2.8×	$94.09
Urine culture bacterial	CPT	87086	23	$120	$72	$8.07	$74.4	3.2×	$116.4
Urine culture identification	CPT	87088	23	$120	$72	$8.09	$74.4	3.3×	$116.4
Tissue exam by pathologist level IV	CPT	88305	23	$807	$484.2	$50.54	$474.03	4.6×	$782.79
maternity
Fetal non-stress test	CPT	59025	23	—	—	$23.71	$71	0.38×	$392.16
Routine obstetric care including vaginal delivery	CPT	59400	21	—	—	$23.71	$68.7	0.03×	$97
Vaginal delivery only	CPT	59409	23	—	—	$23.71	$71	0.03×	$6,279.12
Vaginal delivery with postpartum	CPT	59410	21	—	—	$23.71	$68.7	0.06×	$97
Routine obstetric care with C-section	CPT	59510	21	—	—	$23.71	$68.7	0.03×	$97
C-section delivery only	CPT	59514	21	—	—	$23.71	$68.7	0.07×	$97
C-section with postpartum	CPT	59515	21	—	—	$23.71	$68.7	0.05×	$97
office
Office visit, new patient, 15-29 min	CPT	99202	21	—	—	$23.71	$68.7	0.80×	$97
Office visit, new patient, 30-44 minutes	CPT	99203	21	—	—	$23.71	$68.7	0.56×	$97
Office visit, new patient, 45-59 min	CPT	99204	21	—	—	$23.71	$68.7	0.39×	$97
Office visit, new patient, 60-74 min	CPT	99205	21	—	—	$23.71	$68.7	0.31×	$97
Office visit, established patient, 5 min	CPT	99211	21	$152	$91.2	$36.03	$104.42	1.6×	$147.44
Office visit, established patient, 10-19 min	CPT	99212	21	$223	$133.8	$52.87	$153.2	1.9×	$216.31
Office visit, established patient, 20-29 minutes	CPT	99213	21	$280	$168	$66.38	$192.36	1.7×	$271.6
Office visit, established patient, 30-39 minutes	CPT	99214	21	—	—	$23.71	$68.7	0.45×	$97
Office visit, established patient, 40-54 min	CPT	99215	21	—	—	$23.71	$68.7	0.36×	$97
preventive
Upper GI endoscopy diagnostic	CPT	43235	23	—	—	$23.71	$71	0.08×	$1,759.3
Upper GI endoscopy with biopsy	CPT	43239	23	—	—	$23.71	$71	0.07×	$1,759.3
Sigmoidoscopy diagnostic	CPT	45330	23	—	—	$23.71	$71	0.08×	$1,803.86
Sigmoidoscopy with biopsy	CPT	45331	23	—	—	$23.71	$71	0.08×	$1,803.86
Colonoscopy diagnostic	CPT	45378	23	—	—	$23.71	$71	0.08×	$1,803.86
Colonoscopy with biopsy	CPT	45380	23	—	—	$23.71	$71	0.06×	$2,321.16
Colonoscopy with polyp removal	CPT	45385	23	—	—	$23.71	$71	0.06×	$2,321.16
surgery
Total shoulder arthroplasty	CPT	23472	23	—	—	$23.71	$71	0.02×	$34,011
Hip hemiarthroplasty	CPT	27125	23	—	—	$23.71	$71	0.06×	$24,903
Total hip replacement	CPT	27130	23	—	—	$23.71	$71	0.02×	$24,903
Total knee replacement	CPT	27447	23	—	—	$23.71	$71	0.02×	$24,903
Knee revision arthroplasty single component	CPT	27486	23	—	—	$23.71	$71	0.04×	$24,903
Knee revision arthroplasty all components	CPT	27487	23	—	—	$23.71	$71	0.04×	$34,011
Shoulder arthroscopy with decompression	CPT	29826	21	—	—	$23.71	$68.7	0.21×	$97
Shoulder arthroscopy with rotator cuff repair	CPT	29827	23	—	—	$23.71	$71	0.02×	$14,075
Knee arthroscopy with meniscectomy	CPT	29881	23	—	—	$23.71	$71	0.03×	$6,346.78
ACL reconstruction	CPT	29888	23	—	—	$23.71	$71	0.02×	$14,075
Major small/large bowel procedures w MCC	MS-DRG	329	23	—	—	$56.5	$90	0.00×	$110,321
Major small/large bowel procedures w CC	MS-DRG	330	23	—	—	$56.5	$90	0.00×	$57,535
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	23	—	—	$56.5	$90	0.01×	$40,391
CABG single arterial graft	CPT	33533	21	—	—	$23.71	$68.7	0.04×	$97
CABG 2 arterial grafts	CPT	33534	21	—	—	$23.71	$68.7	0.03×	$97
CABG 3 arterial grafts	CPT	33535	21	—	—	$23.71	$68.7	0.03×	$97
CABG 4+ arterial grafts	CPT	33536	21	—	—	$23.71	$68.7	0.03×	$97
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	23	—	—	$56.5	$90	0.01×	$40,600
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	23	—	—	$56.5	$90	0.01×	$32,781
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	23	—	—	$56.5	$90	0.00×	$81,774
Open appendectomy	CPT	44950	23	—	—	$23.71	$71	0.06×	$12,557
Laparoscopic appendectomy	CPT	44970	23	—	—	$23.71	$71	0.05×	$11,727
Major joint replacement w MCC	MS-DRG	469	23	—	—	$56.5	$90	0.00×	$85,110
Major joint replacement w/o MCC	MS-DRG	470	23	—	—	$56.5	$89	0.00×	$51,634
Laparoscopic cholecystectomy	CPT	47562	23	—	—	$23.71	$71	0.04×	$11,727
Lap cholecystectomy with cholangiography	CPT	47563	23	—	—	$23.71	$71	0.04×	$11,727
Hip & femur procedures except major joint w MCC	MS-DRG	480	23	—	—	$56.5	$90	0.00×	$69,898
Hip & femur procedures except major joint w CC	MS-DRG	481	23	—	—	$56.5	$90	0.00×	$50,270
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	23	—	—	$56.5	$90	0.01×	$39,146
Lap inguinal hernia repair	CPT	49650	23	—	—	$23.71	$71	0.06×	$11,727
Total abdominal hysterectomy	CPT	58150	21	—	—	$23.71	$68.7	0.07×	$97
Vaginal hysterectomy	CPT	58260	23	—	—	$23.71	$71	0.04×	$9,703.36
Lap-assisted vaginal hysterectomy	CPT	58550	23	—	—	$23.71	$71	0.05×	$11,727
Lap-assisted vaginal hysterectomy >250g	CPT	58552	23	—	—	$23.71	$71	0.03×	$20,619
Lap salpingo-oophorectomy	CPT	58661	23	—	—	$23.71	$71	0.03×	$11,727
OR procedure for obesity w MCC	MS-DRG	619	23	—	—	$56.5	$90	0.00×	$69,300
OR procedure for obesity w CC	MS-DRG	620	23	—	—	$56.5	$90	0.01×	$38,409
OR procedure for obesity w/o CC/MCC	MS-DRG	621	23	—	—	$56.5	$90	0.01×	$36,203
Complex cataract surgery	CPT	66982	23	—	—	$23.71	$71	0.03×	$4,476.54
Cataract surgery with lens implant	CPT	66984	23	—	—	$23.71	$71	0.03×	$4,476.54
Intravitreal injection	CPT	67028	23	—	—	$23.71	$71	0.21×	$640.7
Vitrectomy mechanical	CPT	67042	23	—	—	$23.71	$71	0.03×	$8,017.7
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	23	—	—	$56.5	$90	0.01×	$29,778
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	23	—	—	$56.5	$90	0.00×	$49,180
PCI single major coronary artery	CPT	92920	23	—	—	$23.71	$71	0.01×	$11,040
PCI with drug-eluting stent	CPT	92928	23	—	—	$23.71	$71	0.01×	$22,393
PCI bypass graft	CPT	92937	23	—	—	$23.71	$71	0.01×	$22,393
Left heart catheterization	CPT	93452	23	—	—	$23.71	$71	0.02×	$6,288.44
Coronary angiography with cath	CPT	93455	23	—	—	$23.71	$71	0.02×	$6,288.44
Coronary angiography with bypass cath	CPT	93458	23	—	—	$23.71	$71	0.02×	$6,288.44

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 23)

Payer	Codes covered	Median rate
WellCare	194	$24.18
amerihealth	194	$24.18
amps	194	$65
atlantic corporation dba atlantic packaging	194	$56.5
bcbsfl	194	$72
beechstreet	194	$90
Blue Cross Blue Shield	194	$68.7
CareSource	194	$40
carolina complete	194	$23.71
Cigna	194	$59.4
employers choice network	194	$97
Humana	194	$77.9
UnitedHealthcare	194	$67.3
Aetna	194	$80
medcost	194	$94
Multiplan	194	$90
nc department of public safety	194	$168.8
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

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