Ecu Health North Hospital: charges and Medicare payments

Ecu Health North Hospital reported 569 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 2.52 times what it was paid — among the lower ratios in North Carolina, number 61 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: 148 stays at an average charge of $34,014, 62% below the national average. It also billed 535 outpatient services, charging 4.85 times what Medicare paid.

1Medicare inpatient stays 569
2Charge ÷ paid, inpatient 2.52×
3Rank in NC (highest ratio = 1) 61 of 73
4CMS price-transparency actions 0

Average charge per stay at Ecu Health North Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 21 DRGs that can be compared with the national average, Ecu Health North 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	148	$34,014	-62%	$14,855
291 Heart Failure and Shock with MCC	82	$21,975	-61%	$9,543
190 Chronic Obstructive Pulmonary Disease with MCC	27	$25,403	-50%	$8,331
683 Renal Failure with CC	27	$16,887	-59%	$6,964
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	26	$25,333	-55%	$7,714
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	26	$20,502	-58%	$8,383
682 Renal Failure with MCC	21	$24,205	-63%	$10,908
690 Kidney and Urinary Tract Infections without MCC	18	$16,185	-57%	$6,412
280 Acute Myocardial Infarction, Discharged Alive with MCC	17	$30,444	-60%	$11,737
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$21,034	-65%	$9,787
689 Kidney and Urinary Tract Infections with MCC	17	$25,641	-50%	$8,783
698 Other Kidney and Urinary Tract Diagnoses with MCC	17	$36,299	-51%	$12,326
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	16	$34,434	-66%	$14,632
177 Respiratory Infections and Inflammations with MCC	16	$34,771	-51%	$11,914
193 Simple Pneumonia and Pleurisy with MCC	16	$30,428	-49%	$11,763
309 Cardiac Arrhythmia and Conduction Disorders with CC	16	$22,722	-37%	$6,053
481 Hip and Femur Procedures except Major Joint with CC	15	$46,933	-53%	$15,065
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	13	$20,902	-44%	$6,233
470 Major Hip and Knee Joint Replacement or Reattachment of...	12	$35,193	-62%	$16,591
191 Chronic Obstructive Pulmonary Disease with CC	11	$16,169	-59%	$6,510
467 Revision of Hip or Knee Replacement with CC	11	$79,557	-50%	$27,335

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	188	$9,542	$2,144
Comprehensive Observation Services	55	$11,403	$2,516
Level 5 Musculoskeletal Procedures	49	$33,486	$12,249
Level 2 Excision/ Biopsy/ Incision and Drainage	33	$5,501	$1,511
Level 4 Musculoskeletal Procedures	30	$19,069	$6,490
Level 3 Musculoskeletal Procedures	28	$13,759	$3,017
Level 2 Musculoskeletal Procedures	25	$8,709	$1,450
Level 3 Vascular Procedures	24	$13,210	$2,971
Level 1 Endovascular Procedures	24	$19,715	$3,042
Level 2 Neurostimulator and Related Procedures	24	$29,312	$6,374
Level 3 Excision/ Biopsy/ Incision and Drainage	15	$9,921	$2,648
Level 4 Urology and Related Services	14	$16,668	$3,064
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	13	$19,940	$3,224
Level 1 Nerve Procedures	13	$10,070	$1,689

Against the North Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ecu Health North Hospital charged $34,014 on average, 40% less than the North Carolina average of $56,936, and was paid $14,855 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Ecu Health North Hospital charged $21,975 on average, 39% less than the North Carolina average of $35,799, and was paid $9,543 against a state average of $11,305. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Ecu Health North Hospital charged $25,403 on average, 26% less than the North Carolina average of $34,302, and was paid $8,331 against a state average of $9,699. For Renal Failure with CC (DRG 683), Ecu Health North Hospital charged $16,887 on average, 39% less than the North Carolina average of $27,821, and was paid $6,964 against a state average of $8,332. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,542 was 6% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,403 was 39% below the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $33,486 was 45% below the state average of $61,166. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,501 was 42% below the state average of $9,423.

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.