North Carolina / North Carolina Baptist Hospital
CMS certification 340047 · Winston-Salem, NC · 1 entry in CMS's price-transparency list
North Carolina Baptist Hospital: charges and Medicare payments
North Carolina Baptist Hospital reported 4,987 Medicare inpatient stays across 166 DRGs in 2024. Across them it charged 3.28 times what it was paid — mid-range in North Carolina, number 43 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: 296 stays at an average charge of $68,633, 24% below the national average. It also billed 6,236 outpatient services, charging 10.83 times what Medicare paid.
- 1Medicare inpatient stays 4,987
- 2Charge ÷ paid, inpatient 3.28×
- 3Rank in NC (highest ratio = 1) 43 of 73
- 4CMS price-transparency actions 1
Inpatient stays
For the 166 DRGs that can be compared with the national average, North Carolina Baptist Hospital charged more than the national average in 37 (22%). 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 | 296 | $68,633 | -24% | $27,789 |
| 291 Heart Failure and Shock with MCC | 207 | $39,937 | -29% | $19,560 |
| 690 Kidney and Urinary Tract Infections without MCC | 85 | $29,368 | -22% | $13,917 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 84 | $57,593 | -24% | $23,477 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 76 | $25,231 | -30% | $11,858 |
| 177 Respiratory Infections and Inflammations with MCC | 75 | $62,667 | -11% | $25,201 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 75 | $58,511 | -20% | $24,380 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 72 | $40,201 | -28% | $14,429 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 71 | $58,638 | -3% | $23,945 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 70 | $39,541 | -17% | $15,668 |
| 330 Major Small and Large Bowel Procedures with CC | 69 | $116,451 | -2% | $33,260 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 69 | $29,883 | -26% | $13,037 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 64 | $224,307 | +1% | $45,550 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 62 | $154,625 | -1% | $32,328 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $27,578 | -26% | $12,076 |
| 683 Renal Failure with CC | 58 | $25,348 | -38% | $14,062 |
| 193 Simple Pneumonia and Pleurisy with MCC | 57 | $91,652 | +53% | $32,122 |
| 481 Hip and Femur Procedures except Major Joint with CC | 57 | $121,767 | +21% | $26,751 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 56 | $158,505 | -32% | $47,168 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 54 | $70,985 | -29% | $25,984 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 54 | $42,367 | -25% | $19,090 |
| 194 Simple Pneumonia and Pleurisy with CC | 53 | $32,278 | -16% | $14,360 |
| 189 Pulmonary Edema and Respiratory Failure | 49 | $57,757 | 0% | $22,028 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 48 | $31,818 | -37% | $13,700 |
| 689 Kidney and Urinary Tract Infections with MCC | 48 | $33,524 | -35% | $16,926 |
| 312 Syncope and Collapse | 47 | $34,096 | -25% | $14,008 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 46 | $195,831 | -14% | $57,077 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 45 | $91,797 | -20% | $21,208 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 43 | $200,063 | -5% | $47,298 |
| 603 Cellulitis without MCC | 43 | $22,719 | -39% | $13,944 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $34,228 | -30% | $15,326 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 42 | $24,076 | -16% | $9,289 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 41 | $263,907 | -7% | $60,423 |
| 552 Medical Back Problems without MCC | 41 | $36,859 | -25% | $14,135 |
| 682 Renal Failure with MCC | 38 | $45,462 | -31% | $21,218 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 36 | $123,862 | -11% | $25,148 |
| 378 Gastrointestinal Hemorrhage with CC | 36 | $52,184 | +7% | $16,837 |
| 377 Gastrointestinal Hemorrhage with MCC | 35 | $73,308 | -14% | $24,695 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $41,349 | -32% | $18,597 |
| 314 Other Circulatory System Diagnoses with MCC | 34 | $74,142 | -22% | $29,966 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 34 | $80,009 | +18% | $23,153 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 33 | $51,475 | -19% | $15,799 |
| 812 Red Blood Cell Disorders without MCC | 32 | $31,269 | -30% | $14,683 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 31 | $268,947 | -3% | $58,372 |
| 329 Major Small and Large Bowel Procedures with MCC | 31 | $163,954 | -24% | $52,565 |
| 394 Other Digestive System Diagnoses with CC | 31 | $28,197 | -40% | $13,744 |
| 652 Kidney Transplant | 31 | $276,758 | -18% | $57,512 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 31 | $210,924 | -2% | $57,326 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 30 | $60,827 | -17% | $20,027 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $37,594 | -26% | $17,636 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $120,758 | -26% | $33,742 |
| 445 Disorders of The Biliary Tract with CC | 30 | $70,949 | +22% | $17,987 |
| 982 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 30 | $107,985 | -8% | $30,205 |
| 101 Seizures without MCC | 29 | $28,240 | -42% | $14,557 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 28 | $272,806 | -3% | $66,985 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 28 | $98,041 | -28% | $35,853 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 28 | $360,111 | -10% | $86,352 |
| 638 Diabetes with CC | 28 | $31,462 | -25% | $13,342 |
| 176 Pulmonary Embolism without MCC | 27 | $30,576 | -26% | $12,948 |
| 253 Other Vascular Procedures with CC | 27 | $133,890 | +2% | $30,116 |
Showing the 60 most frequent of 166 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), North Carolina Baptist Hospital charged $68,633 on average, 21% more than the North Carolina average of $56,936, and was paid $27,789 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), North Carolina Baptist Hospital charged $39,937 on average, 12% more than the North Carolina average of $35,799, and was paid $19,560 against a state average of $11,305. For Kidney and Urinary Tract Infections without MCC (DRG 690), North Carolina Baptist Hospital charged $29,368 on average, 10% more than the North Carolina average of $26,784, and was paid $13,917 against a state average of $7,680. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), North Carolina Baptist Hospital charged $57,593 on average, 18% more than the North Carolina average of $48,606, and was paid $23,477 against a state average of $13,726. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,013 was 9% below the state average of $18,779. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $23,717 was 134% above the state average of $10,153. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,932 was 41% above the state average of $11,289. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,751 was 25% above the state average of $9,423.
Price-transparency record
CMS's enforcement list records these actions for a hospital named North Carolina Baptist Hospital in Winston-Salem, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-03-18 (CMS case 3319)
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.