North Carolina / Lake Norman Regional Medical Center

CMS certification 340129 · Mooresville, NC · 1 entry in CMS's price-transparency list

Lake Norman Regional Medical Center: charges and Medicare payments

Lake Norman Regional Medical Center reported 357 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 5.88 times what it was paid — among the higher ratios in North Carolina, number 2 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: 69 stays at an average charge of $68,782, 24% below the national average. It also billed 1,444 outpatient services, charging 11.01 times what Medicare paid.

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  1. 1Medicare inpatient stays 357
  2. 2Charge ÷ paid, inpatient 5.88×
  3. 3Rank in NC (highest ratio = 1) 2 of 73
  4. 4CMS price-transparency actions 1
DRG 871$68,782DRG 291$40,148DRG 193$57,740DRG 280$61,743DRG 460$184,273DRG 177$53,674DRG 378$40,406DRG 522$142,374DRG 689$32,238DRG 690$35,883
Average charge per stay at Lake Norman Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 19 DRGs that can be compared with the national average, Lake Norman Regional Medical Center charged more than the national average in 4 (21%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC69$68,782-24%$13,053
291 Heart Failure and Shock with MCC41$40,148-29%$8,769
193 Simple Pneumonia and Pleurisy with MCC32$57,740-3%$9,347
280 Acute Myocardial Infarction, Discharged Alive with MCC22$61,743-19%$11,091
460 Spinal Fusion except Cervical without MCC21$184,273+8%$26,191
177 Respiratory Infections and Inflammations with MCC16$53,674-24%$10,894
378 Gastrointestinal Hemorrhage with CC14$40,406-17%$7,192
522 Hip Replacement with Principal Diagnosis of Hip Fracture...13$142,374+39%$14,674
689 Kidney and Urinary Tract Infections with MCC13$32,238-37%$8,075
690 Kidney and Urinary Tract Infections without MCC13$35,883-5%$6,029
189 Pulmonary Edema and Respiratory Failure12$44,191-23%$9,003
481 Hip and Femur Procedures except Major Joint with CC12$83,968-17%$14,431
682 Renal Failure with MCC12$36,136-45%$10,225
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC12$39,878-19%$7,422
064 Intracranial Hemorrhage or Cerebral Infarction with MCC11$69,255-31%$12,715
190 Chronic Obstructive Pulmonary Disease with MCC11$51,836+2%$7,695
470 Major Hip and Knee Joint Replacement or Reattachment of...11$134,693+45%$13,299
603 Cellulitis without MCC11$25,696-31%$6,420
683 Renal Failure with CC11$38,820-5%$6,733

Outpatient services

Against the North Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lake Norman Regional Medical Center charged $68,782 on average, 21% more than the North Carolina average of $56,936, and was paid $13,053 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Lake Norman Regional Medical Center charged $40,148 on average, 12% more than the North Carolina average of $35,799, and was paid $8,769 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lake Norman Regional Medical Center charged $57,740 on average, 45% more than the North Carolina average of $39,905, and was paid $9,347 against a state average of $11,523. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Lake Norman Regional Medical Center charged $61,743 on average, 27% more than the North Carolina average of $48,606, and was paid $11,091 against a state average of $13,726. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,279 was 48% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,971 was 17% above the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $117,096 was 91% above the state average of $61,166. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $32,662 was 71% above the state average of $19,065.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Lake Norman Regional Medical Center in Mooresville, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.