PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Wake Forest Baptist Medical Center

Atrium Health Wake Forest Baptist · Winston-Salem, NC

Medical Center Boulevard, Winston-Salem, NC 27157(336) 716-2011

4 of 5

CMS star rating

924

Beds

52,874

Inpatient discharges a year

$3B

Net patient revenue a year

28

In-network payers

About this hospital

Wake Forest Baptist Medical Center is a 924-bed voluntary non-profit - private hospital in Winston-Salem, NC, affiliated with Atrium Health Wake Forest Baptist. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 363 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
340047
NPI
1144211301
Health system
Atrium Health Wake Forest Baptist
Teaching
Major 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
2011

Prices for common services

The 24 services Wake Forest Baptist 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

$8,075 - $11,093

from 3 insurers · median $9,314

Blue Cross$8,075
Insurer A*$9,314
Insurer B*$11,093

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

$12,052 - $14,072

from 3 insurers · median $13,931

Blue Cross$12,052
Insurer A*$13,931
Insurer B*$14,072

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

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$4,125 - $4,921

from 2 insurers · median $4,523

Aetna$4,921
Insurer A*$4,125
Medicare $871Nearby hospitals $3,32936% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,819

negotiated rate

Aetna$1,819
Medicare $335Nearby hospitals $1,26644% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Wake Forest Baptist 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*18
190%
18
Insurer B*18
153%
116
Insurer C*6
-
20
Insurer D*6
-
21

How we chose these services: 11 appear in this hospital's own Medicare claims, 9 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 Wake Forest Baptist 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)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 183 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.19%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 52 services, including trauma & transplant care
    • 2,537 affiliated clinicians
    See doctors and services
  • Finances

    $3B net patient revenue

    • Operating margin on patient care -25.8%
    • $54.6M unreimbursed and uncompensated care
    • $331.1M net income
    See finances
  • Ownership and leadership

    Owned by North Carolina Baptist Hospital

    • Private (not for profit)
    • 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 Wake Forest Baptist 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
56-0552787North Carolina Baptist Hospital63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1144211301 North Carolina Baptist Hospital1114995677 North Carolina Baptist Hospital1063480531 North Carolina Baptist Hospitaland 19 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

Medical Center Boulevard, Winston-Salem, NC 27157

(336) 716-2011

Get directions

Frequently asked questions

About Wake Forest Baptist Medical Center's rates and hospital price transparency.

How much does an MRI cost at Wake Forest Baptist Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wake Forest Baptist Medical Center range from $1,564 to $1,564 across 1 insurers. Aetna's rate is $1,564. The median at nearby comparable hospitals is $1,158. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Wake Forest Baptist Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wake Forest Baptist Medical Center range from $1,819 to $1,819 across 1 insurers. Aetna's rate is $1,819. The median at nearby comparable hospitals is $1,266. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Wake Forest Baptist Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Wake Forest Baptist Medical Center range from $924 to $4,125 across 2 insurers. Aetna's rate is $924. The median at nearby comparable hospitals is $3,733. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Wake Forest Baptist Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Wake Forest Baptist Medical Center range from $8,075 to $11,093 across 3 insurers. Blue Cross Blue Shield's rate is $8,075. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Wake Forest Baptist Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Wake Forest Baptist Medical Center range from $25,777 to $29,495 across 3 insurers. UnitedHealthcare's rate is $29,495. The median at nearby comparable hospitals is $26,925. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Wake Forest Baptist Medical Center's CMS star rating?

Wake Forest Baptist 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 Wake Forest Baptist Medical Center a teaching hospital?

Yes. CMS counts 0.62 Medicare-funded residents per bed at Wake Forest Baptist Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Wake Forest Baptist Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wake Forest Baptist Medical Center's base inpatient payments by an estimated 0.19% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Wake Forest Baptist Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (296 discharges), heart failure and shock with mcc (207 discharges), kidney and urinary tract infections without mcc (85 discharges).

What is Wake Forest Baptist Medical Center's case mix index?

Wake Forest Baptist Medical Center's Medicare case mix index is 2.23 for fiscal year 2027, higher than 88% of hospitals paid under the inpatient prospective payment system.

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
Talk to us about your MRF
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
Talk to us about your chargemaster