▸ Hospital · NC · CCN 340148

Novant Health Medical Park Hospital

1950 SOUTH HAWTHORNE ROAD, WINSTON-SALEM, NC, 27103

9 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

194

of 209 target codes

Payers

with negotiated rates

Rates published

12,581

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/561340424_medical-park-hospital-llc-dba-novant-health-medical-park-hospital_standardcharges.json · JSON

Procedures & rates

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

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