North Carolina / Novant Health Forsyth Medical Center
CMS certification 340014 · Winston-Salem, NC · 1 entry in CMS's price-transparency list
Novant Health Forsyth Medical Center: charges and Medicare payments
Novant Health Forsyth Medical Center reported 6,272 Medicare inpatient stays across 155 DRGs in 2024. Across them it charged 3.87 times what it was paid — mid-range in North Carolina, number 29 of 73 hospitals with at least 100 stays (state median 3.55×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 463 stays at an average charge of $58,674, 35% below the national average. It also billed 6,132 outpatient services, charging 5.39 times what Medicare paid.
- 1Medicare inpatient stays 6,272
- 2Charge ÷ paid, inpatient 3.87×
- 3Rank in NC (highest ratio = 1) 29 of 73
- 4CMS price-transparency actions 1
Inpatient stays
For the 155 DRGs that can be compared with the national average, Novant Health Forsyth Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 463 | $58,674 | -35% | $15,438 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 310 | $56,862 | -39% | $14,471 |
| 291 Heart Failure and Shock with MCC | 304 | $40,450 | -28% | $10,871 |
| 193 Simple Pneumonia and Pleurisy with MCC | 201 | $37,780 | -37% | $10,434 |
| 177 Respiratory Infections and Inflammations with MCC | 186 | $39,295 | -44% | $12,996 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 127 | $29,988 | -41% | $8,959 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 125 | $26,180 | -35% | $7,023 |
| 690 Kidney and Urinary Tract Infections without MCC | 112 | $22,386 | -41% | $6,866 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 110 | $36,279 | -26% | $8,571 |
| 689 Kidney and Urinary Tract Infections with MCC | 106 | $33,068 | -36% | $9,236 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 104 | $35,634 | -36% | $8,458 |
| 378 Gastrointestinal Hemorrhage with CC | 103 | $31,759 | -35% | $8,158 |
| 189 Pulmonary Edema and Respiratory Failure | 98 | $38,342 | -33% | $10,088 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 89 | $24,658 | -33% | $6,666 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 82 | $30,498 | -49% | $10,554 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 81 | $45,813 | -19% | $11,147 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 80 | $66,843 | -33% | $16,308 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 73 | $24,803 | -31% | $6,585 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 73 | $144,200 | -37% | $42,184 |
| 603 Cellulitis without MCC | 72 | $24,316 | -35% | $7,425 |
| 885 Psychoses | 71 | $32,597 | -26% | $10,986 |
| 312 Syncope and Collapse | 67 | $28,146 | -38% | $7,391 |
| 682 Renal Failure with MCC | 67 | $45,556 | -31% | $11,964 |
| 377 Gastrointestinal Hemorrhage with MCC | 65 | $53,015 | -38% | $13,498 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 63 | $49,132 | -35% | $12,828 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 62 | $39,419 | -39% | $10,806 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 59 | $56,389 | -51% | $14,198 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 56 | $44,712 | -27% | $10,447 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 56 | $41,574 | -43% | $11,884 |
| 481 Hip and Femur Procedures except Major Joint with CC | 54 | $59,454 | -41% | $15,556 |
| 194 Simple Pneumonia and Pleurisy with CC | 53 | $26,896 | -30% | $7,174 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 53 | $111,462 | -29% | $24,992 |
| 330 Major Small and Large Bowel Procedures with CC | 53 | $71,209 | -40% | $18,816 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 53 | $67,735 | -34% | $15,542 |
| 683 Renal Failure with CC | 50 | $24,739 | -39% | $7,633 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 46 | $40,092 | -37% | $9,915 |
| 305 Hypertension without MCC | 43 | $24,074 | -40% | $6,941 |
| 178 Respiratory Infections and Inflammations with CC | 41 | $26,197 | -42% | $8,113 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 40 | $149,886 | -32% | $34,373 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 39 | $51,117 | -40% | $15,306 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 38 | $67,692 | -40% | $18,646 |
| 812 Red Blood Cell Disorders without MCC | 38 | $27,508 | -38% | $8,361 |
| 069 Transient Ischemia without Thrombolytic | 37 | $28,134 | -44% | $7,422 |
| 951 Other Factors Influencing Health Status | 37 | $19,016 | -26% | $5,391 |
| 202 Bronchitis and Asthma with CC/MCC | 35 | $25,071 | -46% | $8,301 |
| 314 Other Circulatory System Diagnoses with MCC | 35 | $80,556 | -15% | $14,810 |
| 100 Seizures with MCC | 34 | $78,198 | -17% | $18,058 |
| 638 Diabetes with CC | 34 | $20,881 | -50% | $7,887 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 34 | $162,557 | -25% | $34,309 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 33 | $174,853 | -35% | $40,890 |
| 176 Pulmonary Embolism without MCC | 32 | $28,033 | -32% | $6,961 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 32 | $210,973 | -25% | $53,400 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 31 | $137,686 | -35% | $29,088 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 31 | $30,900 | -35% | $8,486 |
| 811 Red Blood Cell Disorders with MCC | 31 | $43,093 | -37% | $11,578 |
| 101 Seizures without MCC | 30 | $34,223 | -30% | $7,661 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 30 | $82,766 | -25% | $18,042 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 30 | $56,326 | -35% | $14,138 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 29 | $30,661 | -39% | $7,627 |
| 329 Major Small and Large Bowel Procedures with MCC | 29 | $123,765 | -42% | $31,304 |
Showing the 60 most frequent of 155 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Novant Health Forsyth Medical Center charged $58,674 on average, 3% more than the North Carolina average of $56,936, and was paid $15,438 against a state average of $16,444. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Novant Health Forsyth Medical Center charged $56,862 on average, 20% less than the North Carolina average of $70,932, and was paid $14,471 against a state average of $15,577. For Heart Failure and Shock with MCC (DRG 291), Novant Health Forsyth Medical Center charged $40,450 on average, 13% more than the North Carolina average of $35,799, and was paid $10,871 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Novant Health Forsyth Medical Center charged $37,780 on average, 5% less than the North Carolina average of $39,905, and was paid $10,434 against a state average of $11,523. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,462 was 36% below the state average of $10,153. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $950 was 63% below the state average of $2,536. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,494 was 17% below the state average of $18,779. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,407 was 60% below the state average of $11,021.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Novant Health Forsyth Medical Center in Winston-Salem, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-01 (CMS case 3478)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.