North Carolina / Ecu Health Medical Center
CMS certification 340040 · Greenville, NC · 5 entries in CMS's price-transparency list
Ecu Health Medical Center: charges and Medicare payments
Ecu Health Medical Center reported 8,313 Medicare inpatient stays across 211 DRGs in 2024. Across them it charged 2.89 times what it was paid — among the lower ratios in North Carolina, number 55 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: 585 stays at an average charge of $54,036, 40% below the national average. It also billed 6,662 outpatient services, charging 5.54 times what Medicare paid.
- 1Medicare inpatient stays 8,313
- 2Charge ÷ paid, inpatient 2.89×
- 3Rank in NC (highest ratio = 1) 55 of 73
- 4CMS price-transparency actions 5
Inpatient stays
For the 211 DRGs that can be compared with the national average, Ecu Health Medical Center charged more than the national average in 2 (1%). 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 | 585 | $54,036 | -40% | $19,310 |
| 291 Heart Failure and Shock with MCC | 471 | $32,435 | -42% | $13,392 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 166 | $79,743 | -49% | $26,019 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 162 | $60,283 | -40% | $19,907 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 125 | $34,389 | -43% | $13,561 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 124 | $37,233 | -49% | $16,754 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 123 | $21,577 | -40% | $8,371 |
| 177 Respiratory Infections and Inflammations with MCC | 114 | $44,877 | -36% | $16,806 |
| 378 Gastrointestinal Hemorrhage with CC | 110 | $26,561 | -45% | $10,358 |
| 689 Kidney and Urinary Tract Infections with MCC | 110 | $31,338 | -39% | $12,334 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 107 | $38,579 | -31% | $10,872 |
| 481 Hip and Femur Procedures except Major Joint with CC | 107 | $62,946 | -38% | $19,430 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 102 | $51,930 | -32% | $15,918 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 92 | $26,968 | -45% | $11,131 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 90 | $144,877 | -35% | $39,667 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 90 | $27,808 | -25% | $8,789 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 90 | $121,828 | -47% | $46,243 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 86 | $29,512 | -42% | $11,364 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 84 | $24,316 | -39% | $8,971 |
| 552 Medical Back Problems without MCC | 78 | $29,008 | -41% | $10,386 |
| 690 Kidney and Urinary Tract Infections without MCC | 76 | $21,992 | -42% | $8,582 |
| 312 Syncope and Collapse | 74 | $29,364 | -36% | $9,673 |
| 377 Gastrointestinal Hemorrhage with MCC | 74 | $52,350 | -39% | $17,672 |
| 194 Simple Pneumonia and Pleurisy with CC | 73 | $23,450 | -39% | $8,899 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 72 | $34,434 | -39% | $13,229 |
| 638 Diabetes with CC | 71 | $24,342 | -42% | $10,110 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 68 | $58,190 | -48% | $21,675 |
| 603 Cellulitis without MCC | 68 | $25,032 | -33% | $10,257 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 68 | $28,235 | -41% | $10,590 |
| 189 Pulmonary Edema and Respiratory Failure | 67 | $37,999 | -34% | $12,823 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 65 | $72,182 | -37% | $16,354 |
| 193 Simple Pneumonia and Pleurisy with MCC | 64 | $29,972 | -50% | $12,766 |
| 683 Renal Failure with CC | 64 | $23,301 | -43% | $9,545 |
| 330 Major Small and Large Bowel Procedures with CC | 62 | $68,774 | -42% | $24,026 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 61 | $38,522 | -37% | $14,473 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 61 | $56,177 | -40% | $16,618 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 60 | $43,717 | -32% | $10,813 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 58 | $34,597 | -53% | $13,211 |
| 682 Renal Failure with MCC | 58 | $33,438 | -49% | $14,609 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 56 | $37,931 | -25% | $9,648 |
| 637 Diabetes with MCC | 56 | $38,016 | -43% | $14,187 |
| 314 Other Circulatory System Diagnoses with MCC | 51 | $63,193 | -33% | $23,095 |
| 652 Kidney Transplant | 51 | $164,915 | -51% | $31,928 |
| 305 Hypertension without MCC | 50 | $23,574 | -41% | $8,327 |
| 812 Red Blood Cell Disorders without MCC | 49 | $26,698 | -40% | $9,876 |
| 178 Respiratory Infections and Inflammations with CC | 48 | $24,916 | -45% | $10,231 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 46 | $21,247 | -46% | $9,147 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 46 | $76,977 | -43% | $24,866 |
| 057 Degenerative Nervous System Disorders without MCC | 44 | $40,867 | -28% | $14,697 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 44 | $123,871 | -43% | $47,604 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 43 | $139,938 | -50% | $48,783 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 43 | $50,033 | -23% | $15,444 |
| 252 Other Vascular Procedures with MCC | 43 | $79,225 | -54% | $30,756 |
| 100 Seizures with MCC | 42 | $77,981 | -17% | $20,682 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 42 | $72,217 | -39% | $21,928 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 40 | $130,406 | -44% | $40,875 |
| 164 Major Chest Procedures with CC | 40 | $60,442 | -53% | $23,231 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 40 | $68,818 | -33% | $19,166 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 40 | $191,164 | -41% | $69,722 |
| 253 Other Vascular Procedures with CC | 39 | $75,948 | -42% | $26,379 |
Showing the 60 most frequent of 211 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ecu Health Medical Center charged $54,036 on average, 5% less than the North Carolina average of $56,936, and was paid $19,310 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Ecu Health Medical Center charged $32,435 on average, 9% less than the North Carolina average of $35,799, and was paid $13,392 against a state average of $11,305. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Ecu Health Medical Center charged $79,743 on average, 38% less than the North Carolina average of $129,539, and was paid $26,019 against a state average of $25,878. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Ecu Health Medical Center charged $60,283 on average, 5% less than the North Carolina average of $63,323, and was paid $19,907 against a state average of $17,440. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,158 was 9% below the state average of $18,779. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,149 was 13% below the state average of $24,380. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,023 was 1% below the state average of $10,153. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,039 was 30% below the state average of $61,166.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ecu Health Medical Center in Greenville, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-12-28 (CMS case 1088)
- Closure Notice — 2023-04-25 (CMS case 1088)
- Met Requirements — 2025-03-13 (CMS case 3264)
- Warning Notice — 2026-04-17 (CMS case 7493)
- Closure Notice — 2026-07-21 (CMS case 7493)
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.