North Carolina / Johnston Health
CMS certification 340090 · Smithfield, NC
Johnston Health: charges and Medicare payments
Johnston Health reported 1,822 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 4.1 times what it was paid — mid-range in North Carolina, number 26 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: 226 stays at an average charge of $58,650, 35% below the national average. It also billed 1,609 outpatient services, charging 6.76 times what Medicare paid.
- 1Medicare inpatient stays 1,822
- 2Charge ÷ paid, inpatient 4.1×
- 3Rank in NC (highest ratio = 1) 26 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 57 DRGs that can be compared with the national average, Johnston Health 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 | 226 | $58,650 | -35% | $14,345 |
| 291 Heart Failure and Shock with MCC | 150 | $38,651 | -31% | $9,700 |
| 177 Respiratory Infections and Inflammations with MCC | 68 | $49,454 | -30% | $12,215 |
| 690 Kidney and Urinary Tract Infections without MCC | 61 | $26,676 | -29% | $6,617 |
| 689 Kidney and Urinary Tract Infections with MCC | 53 | $31,959 | -38% | $8,336 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $37,230 | -38% | $9,818 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 49 | $38,218 | -22% | $7,962 |
| 194 Simple Pneumonia and Pleurisy with CC | 47 | $28,730 | -25% | $6,676 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 47 | $32,091 | -20% | $6,428 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $38,973 | -35% | $9,680 |
| 638 Diabetes with CC | 44 | $28,047 | -33% | $7,241 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 43 | $29,998 | -19% | $6,383 |
| 178 Respiratory Infections and Inflammations with CC | 41 | $31,753 | -30% | $7,523 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 40 | $38,353 | -31% | $7,992 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 38 | $23,538 | -35% | $6,057 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 36 | $36,233 | -28% | $8,403 |
| 603 Cellulitis without MCC | 36 | $25,519 | -32% | $6,886 |
| 683 Renal Failure with CC | 35 | $22,550 | -45% | $7,344 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 32 | $39,755 | -38% | $8,603 |
| 682 Renal Failure with MCC | 31 | $44,774 | -32% | $10,563 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $54,346 | -6% | $9,383 |
| 312 Syncope and Collapse | 30 | $26,149 | -43% | $6,874 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $36,893 | -50% | $11,683 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $35,114 | -38% | $9,687 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $68,206 | -40% | $13,873 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $32,465 | -33% | $8,045 |
| 811 Red Blood Cell Disorders with MCC | 26 | $54,872 | -20% | $11,603 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 23 | $33,548 | -15% | $6,889 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $71,065 | -29% | $14,892 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $44,245 | -42% | $12,100 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $63,722 | -38% | $15,588 |
| 812 Red Blood Cell Disorders without MCC | 20 | $35,260 | -21% | $7,507 |
| 292 Heart Failure and Shock with CC | 18 | $27,931 | -28% | $6,604 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $78,500 | -52% | $21,302 |
| 101 Seizures without MCC | 17 | $27,654 | -43% | $7,206 |
| 389 Gastrointestinal Obstruction with CC | 17 | $26,985 | -31% | $7,163 |
| 637 Diabetes with MCC | 17 | $37,231 | -44% | $10,063 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $43,611 | -33% | $12,573 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $87,002 | -27% | $20,416 |
| 394 Other Digestive System Diagnoses with CC | 16 | $30,519 | -35% | $7,357 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 14 | $25,728 | -39% | $5,784 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $58,921 | -48% | $15,894 |
| 069 Transient Ischemia without Thrombolytic | 13 | $37,765 | -25% | $7,340 |
| 390 Gastrointestinal Obstruction without CC/MCC | 13 | $21,422 | -23% | $4,904 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $30,770 | -35% | $7,713 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $226,547 | -30% | $51,902 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $33,528 | -41% | $10,206 |
| 092 Other Disorders of Nervous System with CC | 12 | $29,393 | -43% | $7,951 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $31,163 | -32% | $7,490 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $59,064 | -31% | $13,371 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $24,389 | -35% | $5,873 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $99,260 | -57% | $37,442 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $50,253 | -50% | $13,032 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $37,082 | -27% | $7,255 |
| 315 Other Circulatory System Diagnoses with CC | 11 | $29,644 | -38% | $8,093 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $33,928 | -44% | $9,729 |
| 602 Cellulitis with MCC | 11 | $34,995 | -42% | $10,047 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Johnston Health charged $58,650 on average, 3% more than the North Carolina average of $56,936, and was paid $14,345 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Johnston Health charged $38,651 on average, 8% more than the North Carolina average of $35,799, and was paid $9,700 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), Johnston Health charged $49,454 on average, 4% more than the North Carolina average of $47,554, and was paid $12,215 against a state average of $14,260. For Kidney and Urinary Tract Infections without MCC (DRG 690), Johnston Health charged $26,676 on average, 0% less than the North Carolina average of $26,784, and was paid $6,617 against a state average of $7,680. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,742 was 4% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,980 was 12% above the state average of $18,779. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,392 was 29% below the state average of $24,380. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,568 was 9% 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.