North Carolina / Adventhealth Hendersonville

CMS certification 340023 · Hendersonville, NC · 3 entries in CMS's price-transparency list

Adventhealth Hendersonville: charges and Medicare payments

Adventhealth Hendersonville reported 709 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 2.91 times what it was paid — among the lower ratios in North Carolina, number 53 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: 123 stays at an average charge of $35,076, 61% below the national average. It also billed 1,987 outpatient services, charging 7.83 times what Medicare paid.

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  1. 1Medicare inpatient stays 709
  2. 2Charge ÷ paid, inpatient 2.91×
  3. 3Rank in NC (highest ratio = 1) 53 of 73
  4. 4CMS price-transparency actions 3
DRG 871$35,076DRG 885$22,240DRG 291$25,574DRG 193$30,532DRG 177$34,215DRG 872$24,119DRG 378$29,428DRG 689$21,771DRG 853$103,872DRG 065$35,809
Average charge per stay at Adventhealth Hendersonville, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 28 DRGs that can be compared with the national average, Adventhealth Hendersonville charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC123$35,076-61%$13,820
885 Psychoses70$22,240-50%$10,253
291 Heart Failure and Shock with MCC51$25,574-55%$9,672
193 Simple Pneumonia and Pleurisy with MCC47$30,532-49%$10,034
177 Respiratory Infections and Inflammations with MCC42$34,215-52%$12,018
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC26$24,119-51%$8,472
378 Gastrointestinal Hemorrhage with CC22$29,428-39%$8,414
689 Kidney and Urinary Tract Infections with MCC22$21,771-58%$8,942
853 Infectious and Parasitic Diseases with O.R. Procedures with...21$103,872-55%$35,993
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...20$35,809-36%$8,606
389 Gastrointestinal Obstruction with CC20$20,487-47%$6,886
190 Chronic Obstructive Pulmonary Disease with MCC19$19,768-61%$8,262
390 Gastrointestinal Obstruction without CC/MCC19$18,999-32%$5,646
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$20,657-66%$9,903
682 Renal Failure with MCC16$26,616-60%$10,983
683 Renal Failure with CC16$21,615-47%$7,228
309 Cardiac Arrhythmia and Conduction Disorders with CC15$21,706-40%$7,309
470 Major Hip and Knee Joint Replacement or Reattachment of...15$87,985-6%$13,814
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...15$17,766-52%$6,460
698 Other Kidney and Urinary Tract Diagnoses with MCC15$25,225-66%$12,135
522 Hip Replacement with Principal Diagnosis of Hip Fracture...14$78,971-23%$14,889
308 Cardiac Arrhythmia and Conduction Disorders with MCC13$25,720-55%$9,223
854 Infectious and Parasitic Diseases with O.R. Procedures with...13$59,320-40%$14,600
189 Pulmonary Edema and Respiratory Failure12$28,191-51%$9,421
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC12$16,231-44%$5,568
603 Cellulitis without MCC12$21,114-43%$7,139
280 Acute Myocardial Infarction, Discharged Alive with MCC11$34,247-55%$10,570
377 Gastrointestinal Hemorrhage with MCC11$37,213-56%$12,997

Outpatient services

Against the North Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Hendersonville charged $35,076 on average, 38% less than the North Carolina average of $56,936, and was paid $13,820 against a state average of $16,444. For Psychoses (DRG 885), Adventhealth Hendersonville charged $22,240 on average, 38% less than the North Carolina average of $35,803, and was paid $10,253 against a state average of $12,625. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Hendersonville charged $25,574 on average, 29% less than the North Carolina average of $35,799, and was paid $9,672 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth Hendersonville charged $30,532 on average, 23% less than the North Carolina average of $39,905, and was paid $10,034 against a state average of $11,523. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $942 was 63% below the state average of $2,536. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $10,663 was 3% below the state average of $11,021. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $78,122 was 28% above the state average of $61,166. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,698 was 29% below the state average of $9,423.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Adventhealth Hendersonville in Hendersonville, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.