North Carolina / Granville Health Systems
CMS certification 340127 · Oxford, NC
Granville Health Systems: charges and Medicare payments
Granville Health Systems reported 83 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 2.82 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 31 stays at an average charge of $40,843, 55% below the national average. It also billed 356 outpatient services, charging 8.11 times what Medicare paid.
- 1Medicare inpatient stays 83
- 2Charge ÷ paid, inpatient 2.82×
- 3Rank in NC (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Granville Health Systems 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 | 31 | $40,843 | -55% | $15,977 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $31,724 | -47% | $11,073 |
| 291 Heart Failure and Shock with MCC | 14 | $33,706 | -40% | $11,025 |
| 951 Other Factors Influencing Health Status | 12 | $25,543 | 0% | $6,408 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $37,578 | -47% | $13,309 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 135 | $12,102 | $2,029 |
| Comprehensive Observation Services | 75 | $21,770 | $2,469 |
| Level 3 Urology and Related Services | 52 | $14,265 | $1,809 |
| Level 2 Upper GI Procedures | 30 | $12,251 | $1,671 |
| Level 4 Urology and Related Services | 24 | $20,651 | $3,040 |
| Level 5 Urology and Related Services | 24 | $25,020 | $4,512 |
| Level 5 Musculoskeletal Procedures | 16 | $55,703 | $11,856 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Granville Health Systems charged $40,843 on average, 28% less than the North Carolina average of $56,936, and was paid $15,977 against a state average of $16,444. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Granville Health Systems charged $31,724 on average, 21% less than the North Carolina average of $39,905, and was paid $11,073 against a state average of $11,523. For Heart Failure and Shock with MCC (DRG 291), Granville Health Systems charged $33,706 on average, 6% less than the North Carolina average of $35,799, and was paid $11,025 against a state average of $11,305. For Other Factors Influencing Health Status (DRG 951), Granville Health Systems charged $25,543 on average, 53% more than the North Carolina average of $16,698, and was paid $6,408 against a state average of $5,749. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,102 was 19% above the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,770 was 16% above the state average of $18,779. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,265 was 29% above the state average of $11,021. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,251 was 9% above the state average of $11,289.
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.