Novant Health Thomasville Medical Center — price list

← Hospital overviewVerified from Novant Health Thomasville Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

119 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
""y set"" tubing Outpatient	A4719 HCPCS	—	—	—	—
& chlamydia ag dfa Outpatient	87270 CPT	$241	$145	$11.98 – $234	—
<50% total PT outpt ra encts Outpatient	M1008 HCPCS	—	—	—	—
<6yr new onset hd ache Outpatient	G2193 HCPCS	—	—	—	—
>= 2 same hi-rsk med not ord Outpatient	G9368 HCPCS	—	—	—	—
>= 2 same hi-rsk med ord Outpatient	G9367 HCPCS	—	—	—	—
>=2 same hi-rsk med without diag Outpatient	M1209 HCPCS	—	—	—	—
>=2 same meds tbl4 not ord Outpatient	M1210 HCPCS	—	—	—	—
>=50% total PT outpt ra enct Outpatient	M1007 HCPCS	—	—	—	—
>=86y no hx colo ca/rsn scop Outpatient	G9659 HCPCS	—	—	—	—
>55 yrs temp hd ache Outpatient	G2192 HCPCS	—	—	—	—
1 admn rsv monoc antb IM njx Outpatient	96381 CPT	—	—	—	—
1 bod temp >=35.5 Outpatient	G9773 HCPCS	—	—	—	—
1 bodytemp >=35.5cw/in 30min Outpatient	4559F CPT	—	—	—	—
1 cc sterile syringe&needle Outpatient	A4206 HCPCS	—	—	—	—
1 em core session Outpatient	G9873 HCPCS	—	—	—	—
1 med visit in 24mo Outpatient	G9247 HCPCS	—	—	—	—
1 or no CT sinus within 90d dx Outpatient	G9354 HCPCS	—	—	—	—
1,25-dihydroxyvitamin d level Outpatientapprox. match	82652 CPT	$571	$343	$38.50 – $554	—
100 insulin syringes Outpatient	S8490 HCPCS	—	—	—	—
11-dehydro thromboxane b2 Outpatient	83520 CPT	$931	$559	$17.27 – $903	—
11-deoxycortisol Outpatient	82634 CPT	$652	$391	$29.28 – $632	—
11-desoxycorticosterone Outpatient	82633 CPT	$692	$415	$30.98 – $671	—
12-lead ECG performed Outpatient	3120F CPT	—	—	—	—
17 hydroxyprogesterone urine Outpatient	83498 CPT	$329	$197	$27.17 – $319	—
17-hydropregnenolone Outpatient	84143 CPT	$363	$218	$22.81 – $352	—
17-hydroxyprogesterone Outpatient	83498 CPT	$251	$151	$27.17 – $243	—
17-ketosteroids total Outpatient	83586 CPT	$524	$314	$12.80 – $508	—
17-oh corticosteroid ur 24 hr Outpatient	83491 CPT	$1,089	$653	$17.90 – $1,056	—
1dose menig vac btwn 11 & 13 Outpatient	G9414 HCPCS	—	—	—	—