North Carolina / Hugh Chatham Memorial Hospital
CMS certification 340097 · Elkin, NC · 2 entries in CMS's price-transparency list
Hugh Chatham Memorial Hospital: charges and Medicare payments
Hugh Chatham Memorial Hospital reported 181 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 3.33 times what it was paid — mid-range in North Carolina, number 41 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: 46 stays at an average charge of $49,058, 46% below the national average. It also billed 772 outpatient services, charging 5.56 times what Medicare paid.
- 1Medicare inpatient stays 181
- 2Charge ÷ paid, inpatient 3.33×
- 3Rank in NC (highest ratio = 1) 41 of 73
- 4CMS price-transparency actions 2
Inpatient stays
For the 7 DRGs that can be compared with the national average, Hugh Chatham Memorial 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 | 46 | $49,058 | -46% | $14,921 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $38,191 | -36% | $10,866 |
| 291 Heart Failure and Shock with MCC | 34 | $33,455 | -41% | $10,052 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $38,693 | -24% | $9,064 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $33,219 | -53% | $12,563 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $19,768 | -51% | $6,910 |
| 389 Gastrointestinal Obstruction with CC | 11 | $22,213 | -43% | $6,969 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 130 | $10,805 | $2,000 |
| Comprehensive Observation Services | 118 | $14,098 | $2,346 |
| Level 2 Upper GI Procedures | 107 | $7,008 | $1,656 |
| Level 5 Musculoskeletal Procedures | 65 | $40,119 | $11,439 |
| Level 2 Urology and Related Services | 65 | $1,064 | $595 |
| Level 2 Musculoskeletal Procedures | 62 | $7,545 | $1,399 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 40 | $3,778 | $1,411 |
| Level 3 Musculoskeletal Procedures | 39 | $11,308 | $2,817 |
| Level 3 Urology and Related Services | 37 | $4,809 | $1,773 |
| Level 5 Urology and Related Services | 24 | $19,249 | $4,503 |
| Level 4 Musculoskeletal Procedures | 23 | $34,805 | $5,739 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 20 | $21,628 | $3,011 |
| Level 4 Urology and Related Services | 18 | $12,356 | $2,949 |
| Level 1 Laparoscopy and Related Services | 13 | $32,283 | $5,021 |
| Level 3 Vascular Procedures | 11 | $17,812 | $2,774 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hugh Chatham Memorial Hospital charged $49,058 on average, 14% less than the North Carolina average of $56,936, and was paid $14,921 against a state average of $16,444. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hugh Chatham Memorial Hospital charged $38,191 on average, 4% less than the North Carolina average of $39,905, and was paid $10,866 against a state average of $11,523. For Heart Failure and Shock with MCC (DRG 291), Hugh Chatham Memorial Hospital charged $33,455 on average, 7% less than the North Carolina average of $35,799, and was paid $10,052 against a state average of $11,305. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Hugh Chatham Memorial Hospital charged $38,693 on average, 13% more than the North Carolina average of $34,302, and was paid $9,064 against a state average of $9,699. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,805 was 6% above the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,098 was 25% below the state average of $18,779. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,008 was 38% below the state average of $11,289. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $40,119 was 34% below the state average of $61,166.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hugh Chatham Memorial Hospital in Elkin, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2023-11-17 (CMS case 1181)
- Closure Notice — 2024-03-28 (CMS case 1181)
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.