North Carolina / Novant Health Huntersville Medical Center

CMS certification 340183 · Huntersville, NC · 3 entries in CMS's price-transparency list

Novant Health Huntersville Medical Center: charges and Medicare payments

Novant Health Huntersville Medical Center reported 1,510 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 4.19 times what it was paid — mid-range in North Carolina, number 25 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: 123 stays at an average charge of $57,871, 36% below the national average. It also billed 1,513 outpatient services, charging 8 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,510
  2. 2Charge ÷ paid, inpatient 4.19×
  3. 3Rank in NC (highest ratio = 1) 25 of 73
  4. 4CMS price-transparency actions 3
DRG 871$57,871DRG 291$38,730DRG 193$31,977DRG 689$32,842DRG 177$48,992DRG 690$27,836DRG 641$23,168DRG 378$33,936DRG 189$42,657DRG 392$32,098
Average charge per stay at Novant Health Huntersville Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 54 DRGs that can be compared with the national average, Novant Health Huntersville Medical Center charged more than the national average in 2 (4%). 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 MCC123$57,871-36%$14,923
291 Heart Failure and Shock with MCC121$38,730-31%$9,744
193 Simple Pneumonia and Pleurisy with MCC58$31,977-46%$10,411
689 Kidney and Urinary Tract Infections with MCC55$32,842-36%$9,283
177 Respiratory Infections and Inflammations with MCC51$48,992-31%$12,621
690 Kidney and Urinary Tract Infections without MCC51$27,836-26%$6,839
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...50$23,168-37%$6,547
378 Gastrointestinal Hemorrhage with CC48$33,936-30%$8,277
189 Pulmonary Edema and Respiratory Failure43$42,657-26%$10,481
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...37$32,098-20%$6,694
308 Cardiac Arrhythmia and Conduction Disorders with MCC36$38,111-33%$11,183
312 Syncope and Collapse36$31,320-31%$6,911
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC36$32,420-34%$8,694
309 Cardiac Arrhythmia and Conduction Disorders with CC33$26,028-28%$7,492
683 Renal Failure with CC32$24,954-39%$7,656
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...31$31,515-43%$8,063
190 Chronic Obstructive Pulmonary Disease with MCC28$35,127-31%$9,036
481 Hip and Femur Procedures except Major Joint with CC27$70,205-30%$15,601
330 Major Small and Large Bowel Procedures with CC26$93,571-21%$17,094
698 Other Kidney and Urinary Tract Diagnoses with MCC26$42,766-42%$11,805
812 Red Blood Cell Disorders without MCC26$31,748-28%$7,516
331 Major Small and Large Bowel Procedures without CC/MCC25$79,953-7%$13,751
322 Percutaneous Cardiovascular Procedures with Intraluminal...24$72,615-37%$13,648
470 Major Hip and Knee Joint Replacement or Reattachment of...24$93,2540%$14,128
603 Cellulitis without MCC23$26,603-29%$7,341
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...23$38,731-36%$10,324
280 Acute Myocardial Infarction, Discharged Alive with MCC22$46,660-38%$11,154
194 Simple Pneumonia and Pleurisy with CC21$28,382-26%$6,814
682 Renal Failure with MCC21$36,923-44%$10,841
377 Gastrointestinal Hemorrhage with MCC20$60,530-29%$13,771
853 Infectious and Parasitic Diseases with O.R. Procedures with...19$105,086-54%$32,915
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale18$41,970-36%$10,812
178 Respiratory Infections and Inflammations with CC18$29,332-35%$8,051
287 Circulatory Disorders except AMI, with Cardiac...16$47,278-26%$9,026
389 Gastrointestinal Obstruction with CC16$31,857-18%$6,445
522 Hip Replacement with Principal Diagnosis of Hip Fracture...16$96,533-6%$15,690
202 Bronchitis and Asthma with CC/MCC15$31,247-32%$7,922
176 Pulmonary Embolism without MCC14$29,486-29%$6,756
281 Acute Myocardial Infarction, Discharged Alive with CC14$43,936-13%$8,096
286 Circulatory Disorders except AMI, with Cardiac...14$80,452-28%$17,556
552 Medical Back Problems without MCC14$23,727-51%$7,307
069 Transient Ischemia without Thrombolytic13$36,341-28%$6,648
101 Seizures without MCC13$34,551-29%$7,141
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC13$27,420-5%$5,241
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...13$44,448-27%$10,374
811 Red Blood Cell Disorders with MCC13$43,922-36%$11,091
948 Signs and Symptoms without MCC13$25,889-32%$6,369
329 Major Small and Large Bowel Procedures with MCC12$107,755-50%$31,807
468 Revision of Hip or Knee Replacement without CC/MCC12$130,768+6%$19,482
483 Major Joint or Limb Reattachment Procedures of Upper...12$130,622+3%$18,460
638 Diabetes with CC12$30,384-27%$7,278
191 Chronic Obstructive Pulmonary Disease with CC11$24,071-39%$7,028
444 Disorders of The Biliary Tract with MCC11$50,124-40%$12,160
536 Fractures of Hip and Pelvis without MCC11$26,128-31%$6,608

Outpatient services

Against the North Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Novant Health Huntersville Medical Center charged $57,871 on average, 2% more than the North Carolina average of $56,936, and was paid $14,923 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Novant Health Huntersville Medical Center charged $38,730 on average, 8% more than the North Carolina average of $35,799, and was paid $9,744 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Novant Health Huntersville Medical Center charged $31,977 on average, 20% less than the North Carolina average of $39,905, and was paid $10,411 against a state average of $11,523. For Kidney and Urinary Tract Infections with MCC (DRG 689), Novant Health Huntersville Medical Center charged $32,842 on average, 2% less than the North Carolina average of $33,503, and was paid $9,283 against a state average of $10,237. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,744 was 0% below the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,093 was 36% above the state average of $61,166. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,854 was 30% below the state average of $11,289. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $17,813 was 7% below the state average of $19,065.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Novant Health Huntersville Medical Center in Huntersville, 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.