North Carolina / Novant Health Matthews Medical Center
CMS certification 340171 · Matthews, NC · 3 entries in CMS's price-transparency list
Novant Health Matthews Medical Center: charges and Medicare payments
Novant Health Matthews Medical Center reported 1,498 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 4.58 times what it was paid — among the higher ratios in North Carolina, number 20 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: 179 stays at an average charge of $65,002, 28% below the national average. It also billed 1,439 outpatient services, charging 8.36 times what Medicare paid.
- 1Medicare inpatient stays 1,498
- 2Charge ÷ paid, inpatient 4.58×
- 3Rank in NC (highest ratio = 1) 20 of 73
- 4CMS price-transparency actions 3
Inpatient stays
For the 52 DRGs that can be compared with the national average, Novant Health Matthews Medical Center 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 | 179 | $65,002 | -28% | $13,759 |
| 291 Heart Failure and Shock with MCC | 151 | $32,280 | -43% | $9,351 |
| 177 Respiratory Infections and Inflammations with MCC | 58 | $46,251 | -34% | $12,089 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 58 | $27,715 | -31% | $6,150 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 48 | $41,261 | -27% | $9,017 |
| 690 Kidney and Urinary Tract Infections without MCC | 39 | $27,578 | -27% | $6,436 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $36,557 | -39% | $9,538 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 36 | $29,918 | -17% | $5,949 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 36 | $90,650 | -3% | $13,399 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $34,564 | -29% | $8,011 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 33 | $49,896 | -22% | $8,363 |
| 330 Major Small and Large Bowel Procedures with CC | 33 | $88,271 | -26% | $17,381 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $45,090 | -22% | $9,235 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $39,729 | -23% | $8,418 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $72,968 | -36% | $13,260 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $39,298 | -20% | $7,611 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $23,134 | -38% | $6,005 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $31,672 | -37% | $8,136 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 25 | $45,000 | -31% | $10,891 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $123,663 | -46% | $33,036 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $35,859 | -36% | $8,083 |
| 603 Cellulitis without MCC | 24 | $26,251 | -30% | $6,707 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $50,088 | -32% | $12,195 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 23 | $70,812 | -37% | $14,200 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $49,113 | -19% | $10,673 |
| 812 Red Blood Cell Disorders without MCC | 23 | $37,350 | -16% | $6,896 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $32,566 | -15% | $6,348 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $49,263 | -19% | $10,053 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 21 | $58,350 | -23% | $11,138 |
| 389 Gastrointestinal Obstruction with CC | 20 | $21,177 | -46% | $6,162 |
| 312 Syncope and Collapse | 19 | $35,370 | -22% | $6,622 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $114,290 | -30% | $22,295 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $79,170 | -21% | $14,643 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 18 | $72,338 | -22% | $15,130 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 15 | $68,942 | -20% | $11,962 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 15 | $50,656 | -25% | $10,353 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $37,492 | -17% | $8,148 |
| 202 Bronchitis and Asthma with CC/MCC | 14 | $30,305 | -34% | $7,254 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $49,357 | -2% | $6,869 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $58,377 | -32% | $11,868 |
| 682 Renal Failure with MCC | 14 | $30,903 | -53% | $10,339 |
| 683 Renal Failure with CC | 14 | $28,395 | -30% | $7,282 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $54,274 | -46% | $13,672 |
| 069 Transient Ischemia without Thrombolytic | 13 | $32,073 | -36% | $6,206 |
| 811 Red Blood Cell Disorders with MCC | 13 | $54,507 | -20% | $9,906 |
| 305 Hypertension without MCC | 12 | $28,042 | -30% | $5,860 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 12 | $27,276 | -43% | $7,650 |
| 637 Diabetes with MCC | 12 | $39,581 | -40% | $9,678 |
| 092 Other Disorders of Nervous System with CC | 11 | $32,347 | -37% | $6,863 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $31,918 | -19% | $6,549 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $25,043 | -34% | $6,011 |
| 552 Medical Back Problems without MCC | 11 | $31,991 | -35% | $7,278 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Novant Health Matthews Medical Center charged $65,002 on average, 14% more than the North Carolina average of $56,936, and was paid $13,759 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Novant Health Matthews Medical Center charged $32,280 on average, 10% less than the North Carolina average of $35,799, and was paid $9,351 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), Novant Health Matthews Medical Center charged $46,251 on average, 3% less than the North Carolina average of $47,554, and was paid $12,089 against a state average of $14,260. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Novant Health Matthews Medical Center charged $27,715 on average, 2% less than the North Carolina average of $28,251, and was paid $6,150 against a state average of $7,797. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,883 was 6% above the state average of $18,779. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,902 was 19% above the state average of $24,380. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $35,425 was 7% above the state average of $33,086. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,929 was 5% above the state average of $9,423.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Novant Health Matthews Medical Center in Matthews, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-08 (CMS case 2803)
- CAP Request — 2025-01-15 (CMS case 2803)
- Closure Notice — 2025-02-24 (CMS case 2803)
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.