North Carolina / Cape Fear Valley Medical Center
CMS certification 340028 · Fayetteville, NC · 4 entries in CMS's price-transparency list
Cape Fear Valley Medical Center: charges and Medicare payments
Cape Fear Valley Medical Center reported 4,296 Medicare inpatient stays across 114 DRGs in 2024. Across them it charged 3.27 times what it was paid — mid-range in North Carolina, number 44 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: 472 stays at an average charge of $54,622, 40% below the national average. It also billed 2,574 outpatient services, charging 6.78 times what Medicare paid.
- 1Medicare inpatient stays 4,296
- 2Charge ÷ paid, inpatient 3.27×
- 3Rank in NC (highest ratio = 1) 44 of 73
- 4CMS price-transparency actions 4
Inpatient stays
For the 114 DRGs that can be compared with the national average, Cape Fear Valley Medical Center charged more than the national average in 3 (3%). 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 | 472 | $54,622 | -40% | $16,076 |
| 291 Heart Failure and Shock with MCC | 325 | $29,360 | -48% | $11,043 |
| 189 Pulmonary Edema and Respiratory Failure | 130 | $32,382 | -44% | $11,325 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 120 | $35,952 | -40% | $11,459 |
| 177 Respiratory Infections and Inflammations with MCC | 101 | $43,401 | -39% | $14,333 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 93 | $38,823 | -47% | $13,420 |
| 193 Simple Pneumonia and Pleurisy with MCC | 89 | $28,541 | -52% | $11,186 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 88 | $111,897 | -51% | $40,868 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 79 | $38,356 | -31% | $9,352 |
| 682 Renal Failure with MCC | 78 | $42,015 | -36% | $12,845 |
| 683 Renal Failure with CC | 77 | $24,029 | -41% | $8,002 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 72 | $52,278 | -48% | $16,185 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 72 | $23,959 | -34% | $7,091 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 68 | $39,024 | -49% | $13,478 |
| 378 Gastrointestinal Hemorrhage with CC | 67 | $26,046 | -46% | $8,919 |
| 689 Kidney and Urinary Tract Infections with MCC | 65 | $30,847 | -40% | $10,065 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 65 | $31,474 | -36% | $9,198 |
| 885 Psychoses | 63 | $31,489 | -28% | $11,546 |
| 377 Gastrointestinal Hemorrhage with MCC | 61 | $45,087 | -47% | $14,497 |
| 811 Red Blood Cell Disorders with MCC | 54 | $28,800 | -58% | $12,268 |
| 481 Hip and Femur Procedures except Major Joint with CC | 53 | $57,418 | -43% | $16,881 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 51 | $21,616 | -46% | $7,549 |
| 312 Syncope and Collapse | 50 | $25,828 | -43% | $8,055 |
| 690 Kidney and Urinary Tract Infections without MCC | 48 | $22,400 | -41% | $7,365 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 47 | $22,251 | -40% | $7,357 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 44 | $75,035 | -45% | $22,197 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 44 | $89,476 | -22% | $15,780 |
| 603 Cellulitis without MCC | 42 | $18,958 | -49% | $8,122 |
| 637 Diabetes with MCC | 41 | $35,578 | -47% | $12,031 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $36,050 | -36% | $10,585 |
| 812 Red Blood Cell Disorders without MCC | 37 | $21,511 | -52% | $8,409 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 35 | $34,922 | -46% | $12,026 |
| 314 Other Circulatory System Diagnoses with MCC | 35 | $42,047 | -56% | $17,173 |
| 069 Transient Ischemia without Thrombolytic | 34 | $31,361 | -38% | $7,595 |
| 389 Gastrointestinal Obstruction with CC | 34 | $19,056 | -51% | $7,536 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 32 | $17,900 | -38% | $5,796 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 32 | $58,521 | -43% | $17,198 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 32 | $20,297 | -57% | $9,022 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 31 | $59,383 | -47% | $18,090 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $139,752 | -15% | $29,073 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 29 | $48,739 | -24% | $10,800 |
| 393 Other Digestive System Diagnoses with MCC | 29 | $34,550 | -55% | $13,812 |
| 394 Other Digestive System Diagnoses with CC | 29 | $20,970 | -55% | $8,646 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 29 | $118,328 | -45% | $35,522 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 28 | $37,085 | -27% | $8,473 |
| 305 Hypertension without MCC | 27 | $21,503 | -46% | $7,042 |
| 638 Diabetes with CC | 27 | $25,362 | -39% | $8,213 |
| 552 Medical Back Problems without MCC | 26 | $33,087 | -32% | $8,803 |
| 100 Seizures with MCC | 25 | $56,482 | -40% | $17,173 |
| 101 Seizures without MCC | 25 | $27,245 | -44% | $8,130 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 25 | $251,553 | +14% | $43,763 |
| 057 Degenerative Nervous System Disorders without MCC | 24 | $47,430 | -16% | $12,288 |
| 330 Major Small and Large Bowel Procedures with CC | 24 | $52,766 | -56% | $21,380 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 24 | $47,077 | -51% | $16,634 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 23 | $70,725 | -49% | $23,056 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 22 | $60,053 | -30% | $13,904 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $84,423 | -38% | $23,327 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 21 | $25,846 | -39% | $7,894 |
| 602 Cellulitis with MCC | 20 | $33,505 | -44% | $12,848 |
| 644 Endocrine Disorders with CC | 20 | $37,876 | -21% | $9,564 |
Showing the 60 most frequent of 114 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cape Fear Valley Medical Center charged $54,622 on average, 4% less than the North Carolina average of $56,936, and was paid $16,076 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Cape Fear Valley Medical Center charged $29,360 on average, 18% less than the North Carolina average of $35,799, and was paid $11,043 against a state average of $11,305. For Pulmonary Edema and Respiratory Failure (DRG 189), Cape Fear Valley Medical Center charged $32,382 on average, 21% less than the North Carolina average of $41,108, and was paid $11,325 against a state average of $11,347. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Cape Fear Valley Medical Center charged $35,952 on average, 10% less than the North Carolina average of $39,993, and was paid $11,459 against a state average of $12,134. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,003 was 7% above the state average of $18,779. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $979 was 61% below the state average of $2,536. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,837 was 10% below the state average of $24,380. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,650 was 2% above the state average of $9,423.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cape Fear Valley Medical Center in Fayetteville, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-18 (CMS case 3110)
- Closure Notice — 2025-03-13 (CMS case 3110)
- Warning Notice — 2026-04-13 (CMS case 7436)
- Closure Notice — 2026-07-06 (CMS case 7436)
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.