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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Novant Health Forsyth Medical Center

Novant Health · Winston-Salem, NC

6915 Village Medical Circle, Winston-Salem, NC 27103(336) 718-5000

4 of 5

CMS star rating

967

Beds

43,083

Inpatient discharges a year

$1.7B

Net patient revenue a year

37

In-network payers

About this hospital

Novant Health Forsyth Medical Center is a 967-bed voluntary non-profit - private hospital in Winston-Salem, NC, affiliated with Novant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 424 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
340014
NPI
1447200233
Health system
Novant Health
Teaching
Teaching hospital
County
Forsyth County
Metro area
Winston-Salem, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2010

Prices for common services

The 24 services Novant Health Forsyth 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

$7,723 - $14,795

from 4 insurers · median $11,612

UnitedHealthcare$12,160
Insurer A*$7,723
Insurer B*$11,065
Insurer C*est.$14,795

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

$11,917 - $22,989

from 4 insurers · median $16,891

UnitedHealthcare$18,341
Insurer A*$11,917
Insurer B*$15,442
Insurer C*est.$22,989

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

$21,642 - $87,153

from 4 insurers · median $40,344

Blue Cross$32,865
Insurer A*$21,642
Insurer B*$47,824
Insurer C*est.$87,153
Medicare $12,061Nearby hospitals $30,22233% above nearby hospitals

323 Medicare discharges for this DRG in CMS hospital data

X-ray and bone density

Chest X-ray, two views

CPT 71046

$142 - $1,761

from 4 insurers · median $924

Aetna$226
Insurer A*$142
Insurer B*$1,622
Insurer C*$1,761
Medicare $84Nearby hospitals $124642% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Novant Health Forsyth 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*24
251%
127
Insurer B*23
215%
711
Insurer C*23
196%
33
Insurer D*24
112%
45

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 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 Novant Health Forsyth 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 206 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.02%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 47 services, including trauma care
    • 1,681 affiliated clinicians
    See doctors and services
  • Finances

    $1.7B net patient revenue

    • Operating margin on patient care -7.0%
    • $48.7M unreimbursed and uncompensated care
    • -$82.6M net income
    See finances
  • Ownership and leadership

    Owned by Novant Health Triad Region, LLC

    • Private (not for profit)
    • Alisha Hutchens, 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 Novant Health Forsyth 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
56-0928089(multi-state) Forsyth Memorial Hospital INC70Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 65 more1447200233 Forsyth Memorial Hospital Inc.1982656252 Forsyth Memorial Hospital Inc.1083666556 Forsyth Memorial Hospital Incand 233 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

6915 Village Medical Circle, Winston-Salem, NC 27103

(336) 718-5000

Get directions

Frequently asked questions

About Novant Health Forsyth Medical Center's rates and hospital price transparency.

How much does an MRI cost at Novant Health Forsyth Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Novant Health Forsyth Medical Center range from $730 to $2,459 across 4 insurers. Aetna's rate is $823. The median at nearby comparable hospitals is $1,634. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Novant Health Forsyth Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Novant Health Forsyth Medical Center range from $337 to $2,708 across 4 insurers. Aetna's rate is $790. 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 Novant Health Forsyth Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Novant Health Forsyth Medical Center range from $960 to $2,249 across 4 insurers. Cigna's rate is $1,257. The median at nearby comparable hospitals is $4,100. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Novant Health Forsyth Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Novant Health Forsyth Medical Center range from $7,723 to $14,795 across 4 insurers. UnitedHealthcare's rate is $12,160. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Novant Health Forsyth Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Novant Health Forsyth Medical Center range from $219 to $560 across 4 insurers. UnitedHealthcare's rate is $219. The median at nearby comparable hospitals is $220. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Novant Health Forsyth Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Novant Health Forsyth Medical Center range from $21,642 to $87,153 across 4 insurers. Blue Cross Blue Shield's rate is $32,865. The median at nearby comparable hospitals is $30,222. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Novant Health Forsyth Medical Center's CMS star rating?

Novant Health Forsyth Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Novant Health Forsyth Medical Center a teaching hospital?

Yes. CMS counts 0.00 Medicare-funded residents per bed at Novant Health Forsyth Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Novant Health Forsyth Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Novant Health Forsyth Medical Center's base inpatient payments by an estimated 0.02% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Novant Health Forsyth Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (463 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (310 discharges), heart failure and shock with mcc (304 discharges).

For hospital finance and compliance teams

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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.

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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
      }
    ]
  }]
}
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  • 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.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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