North Carolina / Betsy Johnson Regional Hospital
CMS certification 340071 · Dunn, NC
Betsy Johnson Regional Hospital: charges and Medicare payments
Betsy Johnson Regional Hospital reported 524 Medicare inpatient stays across 20 DRGs in 2024. Across them it charged 2.32 times what it was paid — among the lower ratios in North Carolina, number 65 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: 125 stays at an average charge of $42,589, 53% below the national average. It also billed 595 outpatient services, charging 6.75 times what Medicare paid.
- 1Medicare inpatient stays 524
- 2Charge ÷ paid, inpatient 2.32×
- 3Rank in NC (highest ratio = 1) 65 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 20 DRGs that can be compared with the national average, Betsy Johnson Regional Hospital 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 | 125 | $42,589 | -53% | $18,027 |
| 291 Heart Failure and Shock with MCC | 57 | $20,849 | -63% | $12,868 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $30,418 | -57% | $15,747 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $27,523 | -54% | $12,478 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $29,330 | -49% | $12,793 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $26,018 | -49% | $11,010 |
| 682 Renal Failure with MCC | 27 | $33,050 | -50% | $13,770 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $28,516 | -25% | $9,313 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $60,683 | -39% | $20,826 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $51,958 | -31% | $15,854 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $24,935 | -33% | $9,585 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $36,138 | -40% | $12,667 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $23,385 | -52% | $11,210 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $21,892 | -45% | $8,765 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $52,450 | -48% | $19,848 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $35,401 | -36% | $11,268 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $18,754 | -48% | $8,300 |
| 603 Cellulitis without MCC | 11 | $15,250 | -59% | $8,853 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $20,979 | -71% | $13,763 |
| 811 Red Blood Cell Disorders with MCC | 11 | $26,526 | -61% | $13,356 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 274 | $4,924 | $2,005 |
| Comprehensive Observation Services | 187 | $23,046 | $2,352 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 39 | $7,529 | $1,411 |
| Level 4 Musculoskeletal Procedures | 15 | $27,831 | $6,226 |
| Level 1 Laparoscopy and Related Services | 15 | $14,360 | $5,021 |
| Level 3 Intraocular Procedures | 15 | $20,252 | $4,307 |
| Level 3 Vascular Procedures | 14 | $23,453 | $2,774 |
| Level 3 Musculoskeletal Procedures | 13 | $15,439 | $2,817 |
| Level 2 Musculoskeletal Procedures | 12 | $8,540 | $1,399 |
| Level 5 Musculoskeletal Procedures | 11 | $49,269 | $11,439 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Betsy Johnson Regional Hospital charged $42,589 on average, 25% less than the North Carolina average of $56,936, and was paid $18,027 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Betsy Johnson Regional Hospital charged $20,849 on average, 42% less than the North Carolina average of $35,799, and was paid $12,868 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), Betsy Johnson Regional Hospital charged $30,418 on average, 36% less than the North Carolina average of $47,554, and was paid $15,747 against a state average of $14,260. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Betsy Johnson Regional Hospital charged $27,523 on average, 31% less than the North Carolina average of $39,905, and was paid $12,478 against a state average of $11,523. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,924 was 52% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,046 was 23% above the state average of $18,779. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,529 was 20% below the state average of $9,423. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $27,831 was 29% below the state average of $38,985.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.