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Psychiatric HospitalVoluntary Non-Profit - Private

Cone Health Behavioral Health Hospital

Cone Health · Greensboro, NC

618 S Main St, Greensboro, NC 27403None

3 of 5

CMS star rating

905

Beds

43,272

Inpatient discharges a year

$1.9B

Net patient revenue a year

About this hospital

Cone Health Behavioral Health Hospital is a 905-bed voluntary non-profit - private hospital in Greensboro, NC, affiliated with Cone Health. Below you'll find publicly disclosed negotiated rates and facility details, including 539 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
340091
NPI
1760818868
Health system
Cone Health
Teaching
Teaching hospital
County
Guilford County
Metro area
Greensboro-High Point, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2009

Prices for common services

The 24 services Cone Health Behavioral Health Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,089 - $13,155

from 4 insurers · median $11,205

Blue Cross$2,089
Insurer A*$10,149
Insurer B*$12,261
Insurer C*$13,155

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,479 - $18,708

from 4 insurers · median $15,077

Blue Cross$6,479
Insurer A*$12,718
Insurer B*$17,437
Insurer C*$18,708

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$24,693 - $37,637

from 4 insurers · median $25,905

UnitedHealthcare$37,637
Insurer A*$24,693
Insurer B*$25,188
Insurer C*$26,623
Medicare $12,269Nearby hospitals $27,9387% below nearby hospitals

117 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$273 - $2,214

from 2 insurers · median $1,243

Aetna$2,214
Insurer A*$273
Medicare $330Nearby hospitals $1,81932% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Cone Health Behavioral Health Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*8
300%
40
Insurer B*24
214%
130
Insurer C*23
151%
513
Insurer D*6
-
02

How we chose these services: 8 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Cone Health Behavioral Health Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare

More about this hospital

  • Quality

    3 of 5 stars

    • 224 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.12%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 1,523 affiliated clinicians
    See doctors and services
  • Finances

    $1.9B net patient revenue

    • Operating margin on patient care 7.7%
    • $65.3M unreimbursed and uncompensated care
    • $182.3M net income
    See finances
  • Ownership and leadership

    Owned by Risant Health, Inc.

    • Private (not for profit)
    • Mary J Cagle, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Cone Health Behavioral Health Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-1588823Moses H Cone Memorial Hospital63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1477591055 The Moses H. Cone Memorial Hospital Operating Corporation1295848562 The Moses H. Cone Memorial Hospital Operating Corporation1962515353 The Moses H. Cone Memorial Hospital Operating Corporationand 76 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

618 S Main St, Greensboro, NC 27403

None

Get directions

Frequently asked questions

About Cone Health Behavioral Health Hospital's rates and hospital price transparency.

How much does an MRI cost at Cone Health Behavioral Health Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cone Health Behavioral Health Hospital range from $273 to $1,927 across 2 insurers. Aetna's rate is $1,927. The median at nearby comparable hospitals is $1,564. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Cone Health Behavioral Health Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cone Health Behavioral Health Hospital range from $273 to $2,214 across 2 insurers. Aetna's rate is $2,214. The median at nearby comparable hospitals is $1,819. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Cone Health Behavioral Health Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Cone Health Behavioral Health Hospital range from $2,152 to $3,978 across 2 insurers. Aetna's rate is $2,152. The median at nearby comparable hospitals is $3,948. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Cone Health Behavioral Health Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Cone Health Behavioral Health Hospital range from $2,089 to $13,155 across 4 insurers. Blue Cross Blue Shield's rate is $2,089. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Cone Health Behavioral Health Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cone Health Behavioral Health Hospital range from $84 to $414 across 3 insurers. Cigna's rate is $414. The median at nearby comparable hospitals is $216. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Cone Health Behavioral Health Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Cone Health Behavioral Health Hospital range from $24,693 to $37,637 across 4 insurers. UnitedHealthcare's rate is $37,637. The median at nearby comparable hospitals is $27,938. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Cone Health Behavioral Health Hospital's CMS star rating?

Cone Health Behavioral Health Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Cone Health Behavioral Health Hospital a teaching hospital?

Yes. CMS counts 0.08 Medicare-funded residents per bed at Cone Health Behavioral Health Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Cone Health Behavioral Health Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Cone Health Behavioral Health Hospital's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Cone Health Behavioral Health Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (506 discharges), heart failure and shock with mcc (373 discharges), simple pneumonia and pleurisy with mcc (162 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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