Understanding Your Health Care Costs

The billing and payment process related to health care services can be complex and confusing. We want to make it as easy as possible to understand your health care costs at Wake Forest Baptist.  We strive to deliver the highest quality of care while ensuring we offer you the financial information required to make informed decisions.

After reviewing the information provided, please contact Customer Service at 336-716-3988 with any additional questions about your financial obligation. Estimating the price of a health care procedure can be complicated. The hospital pricing information provided is what Wake Forest Baptist determines to be the average payment received from private insurance, Medicare and Medicaid. Depending on your health insurance policy, you may be responsible for paying all or part of the allowed amount. These estimates are for hospital services only. Physician services are billed separately. 

You can view our pricing for the:

  • 100 most common inpatient diagnosis-related groups (DRGs), which are categories for specific medical and hospital services
  • 20 most common surgical procedures
  • 20 most common imaging procedures

The hospital charges listed are what Wake Forest Baptist determines to be the appropriate cost to treat these 140 DRGs and procedures. The hospital charge is not typically what you have to pay.

Most patients are covered by either private health insurance, Medicare or Medicaid. Private health insurance companies, as well as Medicare and Medicaid, receive what are called allowable reimbursements from Wake Forest Baptist Health. We list these allowable reimbursements for our five largest health insurance companies as well as for Medicare and Medicaid.

If you have health insurance, the allowable reimbursement is what must be paid for treatment. Depending on your health insurance benefit policy, you may be responsible for paying all or part of that allowable reimbursement.

Due to the different physician groups and hospitals within the Wake Forest Baptist system, physician services and hospital services are billed separately. You or your insurance company are also responsible for physician charges.

Physician Services

Include but are not limited to:

  • Examinations
  • Interpretations of tests
  • Surgical procedures
  • Consultations performed by physicians and, in some instances, physician assistants and nurse practitioners

Hospitals Services

Include but are not limited to:

  • Laboratory
  • Radiology and other testing services (referred to as ancillary services)
  • Operating room services
  • Emergency
  • Pharmacy
  • Medical supplies
  • Inpatient room and board
  • Other services provided by the hospital

Point of Service Payment

Registration and front desk personnel now request up-front payment for patients’ co-pays, coinsurance and deductibles, previous balances, and/or pre-established deposits. Communication to patients prior to service now clearly states this expectation and includes financial assistance counseling where appropriate.

Meeting patient needs will always be our priority. Those who are unable to meet their financial obligations at the time of service may receive information to pursue financial assistance.

You may contact our Customer Service Center at 336-716-3988 or 877-938-7497 (toll-free), Monday through Friday from 8 am to 5 pm, to discuss any financial questions you may have.

Frequently Asked Questions

View a glossary of common billing terms.

Pricing Transparency

Files provided below are in compliance with CMS fiscal year 2019 inpatient prospective payment system final rule. (Any pricing information provided on this website is not intended for media use.)

Wake Forest Baptist makes no guarantees regarding the accuracy of the pricing information provided herein. Any pricing information provided by this website is strictly an estimate of prices, and Wake Forest Baptist cannot guarantee the accuracy of any estimates. All estimates are based on information provided by a prospective patient and do not include, among other things, any unforeseen complications, additional tests or procedures, and non-hospital related charges, any of which may increase the ultimate cost of the services provided. Any prospective patient should understand that a final bill for services rendered at Wake Forest Baptist may differ substantially from the information provided by this website, and Wake Forest Baptist shall not be liable for any inaccuracies.