North Carolina / Carteret General Hospital
CMS certification 340142 · Morehead City, NC
Carteret General Hospital: charges and Medicare payments
Carteret General Hospital reported 1,321 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 1.94 times what it was paid — among the lower ratios in North Carolina, number 70 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: 144 stays at an average charge of $30,373, 66% below the national average. It also billed 1,025 outpatient services, charging 4.11 times what Medicare paid.
- 1Medicare inpatient stays 1,321
- 2Charge ÷ paid, inpatient 1.94×
- 3Rank in NC (highest ratio = 1) 70 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 44 DRGs that can be compared with the national average, Carteret General 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 | 144 | $30,373 | -66% | $16,683 |
| 291 Heart Failure and Shock with MCC | 118 | $18,448 | -67% | $10,899 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 85 | $40,126 | -57% | $15,896 |
| 177 Respiratory Infections and Inflammations with MCC | 71 | $22,705 | -68% | $14,183 |
| 690 Kidney and Urinary Tract Infections without MCC | 51 | $16,820 | -56% | $6,850 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $19,400 | -68% | $11,206 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $17,998 | -65% | $9,948 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $30,973 | -69% | $17,529 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $19,548 | -60% | $8,734 |
| 194 Simple Pneumonia and Pleurisy with CC | 38 | $16,794 | -56% | $6,979 |
| 683 Renal Failure with CC | 36 | $16,662 | -59% | $7,616 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $17,767 | -56% | $6,658 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 31 | $13,706 | -62% | $6,320 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $14,128 | -62% | $6,627 |
| 682 Renal Failure with MCC | 29 | $24,495 | -63% | $12,692 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $18,144 | -63% | $8,348 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $16,184 | -68% | $9,411 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $22,117 | -61% | $10,198 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $22,937 | -70% | $13,570 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $15,230 | -73% | $8,627 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $14,489 | -75% | $10,785 |
| 178 Respiratory Infections and Inflammations with CC | 22 | $20,643 | -54% | $8,815 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $18,723 | -69% | $11,146 |
| 951 Other Factors Influencing Health Status | 21 | $9,364 | -63% | $4,937 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 19 | $9,505 | -67% | $4,722 |
| 389 Gastrointestinal Obstruction with CC | 18 | $19,973 | -49% | $6,767 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $21,126 | -71% | $13,968 |
| 312 Syncope and Collapse | 15 | $18,768 | -59% | $7,330 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 15 | $26,513 | -66% | $13,442 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 15 | $49,465 | -61% | $23,175 |
| 638 Diabetes with CC | 15 | $20,538 | -51% | $7,673 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $24,337 | -63% | $11,907 |
| 603 Cellulitis without MCC | 14 | $16,553 | -56% | $7,502 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $36,154 | -65% | $17,834 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $21,946 | -57% | $7,766 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $31,351 | -63% | $15,140 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $38,702 | -72% | $24,861 |
| 552 Medical Back Problems without MCC | 12 | $13,576 | -72% | $8,190 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $48,664 | -79% | $40,076 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $22,447 | -78% | $16,890 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $25,631 | -60% | $9,216 |
| 292 Heart Failure and Shock with CC | 11 | $12,677 | -67% | $7,243 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 11 | $22,054 | -54% | $8,816 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $10,371 | -72% | $6,740 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Carteret General Hospital charged $30,373 on average, 47% less than the North Carolina average of $56,936, and was paid $16,683 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Carteret General Hospital charged $18,448 on average, 48% less than the North Carolina average of $35,799, and was paid $10,899 against a state average of $11,305. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Carteret General Hospital charged $40,126 on average, 43% less than the North Carolina average of $70,932, and was paid $15,896 against a state average of $15,577. For Respiratory Infections and Inflammations with MCC (DRG 177), Carteret General Hospital charged $22,705 on average, 52% less than the North Carolina average of $47,554, and was paid $14,183 against a state average of $14,260. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,095 was 57% below the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,817 was 37% below the state average of $61,166. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,491 was 31% below the state average of $9,423. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $23,700 was 39% 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.