Vascular embolization coil, bare platinum 3D at Forsyth Memorial Hospital, Inc.

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

JADA HEMO CONTROL SUPPLIES

Winston-Salem, NC

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Pricing by billing methodology

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $5.9k is 150% above the median hospital's median price ($2.3k), higher than 80% of the 1,507 hospitals reporting HCPCS C1889. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C1889 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$2,328	$2,328	$1,250 – $3,407
2	UnitedHealthcare medicaid fee schedule · outpatient	$2,328	$2,328	$1,250 – $3,407
3	WellCare medicaid fee schedule · outpatient	$2,328	$2,328	$1,250 – $3,407
4	Cigna aca fee schedule · outpatient	$4,757	$4,757	$2,553 – $6,961
5	Caresource qualified health plan fee schedule · outpatient	$4,917	$4,917	$2,639 – $7,194
6	Aetna medicare fee schedule · outpatient	$6,146	$6,146	$3,299 – $8,993
7	Blue Cross Blue Shield blue home fee schedule · outpatient	$6,416	$6,416	$3,444 – $9,389
8	Blue Cross Blue Shield blue value fee schedule · outpatient	$6,638	$6,638	$3,563 – $9,712
9	Cigna commercial fee schedule · outpatient	$7,301	$7,301	$3,919 – $10,684
10	Aetna commercial fee schedule · outpatient	$7,572	$7,572	$4,064 – $11,079
11	UnitedHealthcare all payer fee schedule · outpatient	$8,273	$8,273	$4,440 – $12,105
12	Blue Cross Blue Shield hmo fee schedule · outpatient	$8,445	$8,445	$4,533 – $12,356
13	Blue Cross Blue Shield ppo fee schedule · outpatient	$8,445	$8,445	$4,533 – $12,356
14	Humana commercial fee schedule · outpatient	$9,575	$9,575	$5,140 – $14,011
15	Aetna aca fee schedule · outpatient	$9,834	$9,834	$5,278 – $14,389
16	Aetna first health fee schedule · outpatient	$9,834	$9,834	$5,278 – $14,389
17	Aetna non-par products of apcn fee schedule · outpatient	$9,834	$9,834	$5,278 – $14,389
18	Aetna rental network products fee schedule · outpatient	$9,834	$9,834	$5,278 – $14,389
19	Aetna whole health non-multitier fee schedule · outpatient	$9,834	$9,834	$5,278 – $14,389
20	Medcost mbs fee schedule · outpatient	$10,448	$10,448	$5,608 – $15,288
21	Beechstreet commercial fee schedule · outpatient	$11,063	$11,063	$5,938 – $16,187
22	MultiPlan all plans fee schedule · outpatient	$11,063	$11,063	$5,938 – $16,187
23	Phcs all plans fee schedule · outpatient	$11,063	$11,063	$5,938 – $16,187
24	Medcost non-mbs fee schedule · outpatient	$11,554	$11,554	$6,202 – $16,907

Last updated: Mar 30, 2026

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