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Short Term Acute Care HospitalVoluntary Non-Profit - Private

High Point Medical Center

Atrium Health Wake Forest Baptist · High Point, NC

601 North Elm Street, High Point, NC 27262(336) 878-6000

2 of 5

CMS star rating

304

Beds

16,695

Inpatient discharges a year

$453.9M

Net patient revenue a year

35

In-network payers

About this hospital

High Point Medical Center is a 304-bed voluntary non-profit - private hospital in High Point, NC, affiliated with Atrium Health Wake Forest Baptist. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 427 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
340004
NPI
1396746228
Website
wakehealth.edu
Health system
Atrium Health Wake Forest Baptist
Teaching
No Medicare-funded residents
County
Guilford County
Metro area
Greensboro-High Point, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services High Point Medical Center 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

$5,133 - $10,018

from 3 insurers · median $8,265

Blue Cross$5,133
Insurer A*$8,265
Insurer B*$10,018

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

$10,830 - $14,246

from 3 insurers · median $13,068

Blue Cross$10,830
Insurer A*$13,068
Insurer B*$14,246

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$9,719 - $12,069

from 2 insurers · median $10,894

UnitedHealthcare$12,069
Insurer A*$9,719
Medicare $3,012Nearby hospitals $5,314105% above nearby hospitals

15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$3,061 - $3,630

from 4 insurers · median $3,248

Aetna$3,243
Insurer A*$3,061
Insurer B*$3,253
Insurer C*$3,630
Medicare $325Nearby hospitals $1,129188% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at High Point Medical Center

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*15
859%
56
Insurer B*22
412%
93
Insurer C*14
333%
22
Insurer D*18
292%
161

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 High Point Medical Center, 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
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 247 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.27%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 46 services, including trauma & transplant care
    • 678 affiliated clinicians
    See doctors and services

  • Finances

    $453.9M net patient revenue

    • Operating margin on patient care -1.3%
    • $13.2M unreimbursed and uncompensated care
    • $105.4M net income
    See finances

  • Ownership and leadership

    Owned by Wake Forest University Baptist Medical Center

    • Private (not for profit)
    • James Hoekstra, 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 High Point Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-0532309High Point Regional Health System61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1396746228 High Point Regional Health1568463289 High Point Regional Health1194123810 High Point Regional Healthand 30 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

601 North Elm Street, High Point, NC 27262

(336) 878-6000

Get directions

Frequently asked questions

About High Point Medical Center's rates and hospital price transparency.

How much does an MRI cost at High Point Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at High Point Medical Center range from $2,937 to $4,060 across 4 insurers. Cigna's rate is $2,986. The median at nearby comparable hospitals is $1,146. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at High Point Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at High Point Medical Center range from $3,061 to $3,630 across 4 insurers. Aetna's rate is $3,243. The median at nearby comparable hospitals is $1,129. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at High Point Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at High Point Medical Center range from $3,553 to $10,034 across 2 insurers. Aetna's rate is $3,553. The median at nearby comparable hospitals is $3,728. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at High Point Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at High Point Medical Center range from $5,133 to $10,018 across 3 insurers. Blue Cross Blue Shield's rate is $5,133. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at High Point Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at High Point Medical Center range from $203 to $261 across 4 insurers. Aetna's rate is $203. The median at nearby comparable hospitals is $297. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at High Point Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at High Point Medical Center range from $20,352 to $28,660 across 3 insurers. UnitedHealthcare's rate is $25,487. The median at nearby comparable hospitals is $26,623. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is High Point Medical Center's CMS star rating?

High Point Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is High Point Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at High Point Medical Center for fiscal year 2027.

Does Medicare penalize High Point Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts High Point Medical Center's base inpatient payments by an estimated 0.27% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at High Point Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (185 discharges), heart failure and shock with mcc (139 discharges), kidney and urinary tract infections without mcc (49 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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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
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