North Carolina / Maria Parham Medical Center
CMS certification 340132 · Henderson, NC · 2 entries in CMS's price-transparency list
Maria Parham Medical Center: charges and Medicare payments
Maria Parham Medical Center reported 350 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 4.94 times what it was paid — among the higher ratios in North Carolina, number 11 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: 104 stays at an average charge of $67,956, 25% below the national average. It also billed 444 outpatient services, charging 11.6 times what Medicare paid.
- 1Medicare inpatient stays 350
- 2Charge ÷ paid, inpatient 4.94×
- 3Rank in NC (highest ratio = 1) 11 of 73
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, Maria Parham Medical Center charged more than the national average in 3 (23%). 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 | 104 | $67,956 | -25% | $14,536 |
| 885 Psychoses | 38 | $42,459 | -4% | $10,622 |
| 291 Heart Failure and Shock with MCC | 37 | $44,563 | -21% | $9,919 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 30 | $49,707 | +1% | $8,411 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $36,135 | -37% | $9,772 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $52,254 | -13% | $10,495 |
| 683 Renal Failure with CC | 17 | $27,696 | -32% | $7,464 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $239,108 | +4% | $36,477 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $41,287 | -26% | $8,370 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $52,806 | +42% | $6,828 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $52,340 | -31% | $12,131 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $48,685 | -5% | $9,287 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $44,665 | -8% | $8,227 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 153 | $17,314 | $2,007 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 57 | $13,316 | $1,411 |
| Comprehensive Observation Services | 43 | $28,455 | $2,327 |
| Level 2 Upper GI Procedures | 42 | $18,100 | $1,630 |
| Level 3 Vascular Procedures | 25 | $27,076 | $2,774 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 18 | $27,317 | $3,011 |
| Level 5 Musculoskeletal Procedures | 15 | $91,015 | $10,785 |
| Level 1 Laparoscopy and Related Services | 15 | $41,102 | $5,021 |
| Level 1 Endovascular Procedures | 14 | $31,496 | $2,840 |
| Level 3 Urology and Related Services | 13 | $19,684 | $1,772 |
| Level 4 Urology and Related Services | 13 | $28,006 | $3,034 |
| Level 5 Urology and Related Services | 13 | $35,955 | $4,503 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $19,005 | $2,267 |
| Level 3 Airway Endoscopy | 11 | $10,387 | $1,477 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Maria Parham Medical Center charged $67,956 on average, 19% more than the North Carolina average of $56,936, and was paid $14,536 against a state average of $16,444. For Psychoses (DRG 885), Maria Parham Medical Center charged $42,459 on average, 19% more than the North Carolina average of $35,803, and was paid $10,622 against a state average of $12,625. For Heart Failure and Shock with MCC (DRG 291), Maria Parham Medical Center charged $44,563 on average, 24% more than the North Carolina average of $35,799, and was paid $9,919 against a state average of $11,305. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Maria Parham Medical Center charged $49,707 on average, 49% more than the North Carolina average of $33,328, and was paid $8,411 against a state average of $9,375. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,314 was 71% above the state average of $10,153. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,316 was 41% above the state average of $9,423. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,455 was 52% above the state average of $18,779. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,100 was 60% above the state average of $11,289.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Maria Parham Medical Center in Henderson, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-18 (CMS case 3924)
- Met Requirements — 2025-06-23 (CMS case 5277)
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.