North Carolina / Novant Health Presbyterian Medical Center
CMS certification 340053 · Charlotte, NC · 3 entries in CMS's price-transparency list
Novant Health Presbyterian Medical Center: charges and Medicare payments
Novant Health Presbyterian Medical Center reported 3,025 Medicare inpatient stays across 107 DRGs in 2024. Across them it charged 4.92 times what it was paid — among the higher ratios in North Carolina, number 13 of 73 hospitals with at least 100 stays (state median 3.55×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 203 stays at an average charge of $83,494, 10% below the national average. It also billed 6,000 outpatient services, charging 6.25 times what Medicare paid.
- 1Medicare inpatient stays 3,025
- 2Charge ÷ paid, inpatient 4.92×
- 3Rank in NC (highest ratio = 1) 13 of 73
- 4CMS price-transparency actions 3
Inpatient stays
For the 107 DRGs that can be compared with the national average, Novant Health Presbyterian Medical Center charged more than the national average in 10 (9%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 203 | $83,494 | -10% | $14,612 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 132 | $69,309 | -23% | $15,033 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 114 | $102,767 | -34% | $23,700 |
| 291 Heart Failure and Shock with MCC | 109 | $37,942 | -33% | $10,123 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 76 | $156,178 | -29% | $35,188 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 72 | $70,464 | -29% | $14,747 |
| 467 Revision of Hip or Knee Replacement with CC | 65 | $140,670 | -11% | $24,850 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 64 | $36,395 | -35% | $8,471 |
| 193 Simple Pneumonia and Pleurisy with MCC | 56 | $43,576 | -27% | $10,777 |
| 682 Renal Failure with MCC | 53 | $53,023 | -20% | $12,230 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 49 | $171,431 | -19% | $29,672 |
| 481 Hip and Femur Procedures except Major Joint with CC | 47 | $91,496 | -9% | $16,067 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 46 | $306,158 | +9% | $52,446 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $47,359 | -8% | $9,677 |
| 177 Respiratory Infections and Inflammations with MCC | 43 | $49,806 | -29% | $12,885 |
| 683 Renal Failure with CC | 43 | $32,851 | -19% | $7,696 |
| 378 Gastrointestinal Hemorrhage with CC | 42 | $31,740 | -35% | $8,182 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 39 | $186,668 | -34% | $46,295 |
| 460 Spinal Fusion except Cervical without MCC | 39 | $178,455 | +5% | $27,181 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $30,386 | -18% | $6,957 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $30,592 | -19% | $7,366 |
| 312 Syncope and Collapse | 36 | $30,062 | -34% | $7,493 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $51,869 | -39% | $14,042 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $208,881 | -9% | $45,994 |
| 603 Cellulitis without MCC | 35 | $24,073 | -35% | $7,898 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $59,190 | -2% | $10,636 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $30,407 | -16% | $6,615 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $81,443 | -29% | $14,625 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $46,414 | -19% | $10,296 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 30 | $77,337 | -30% | $16,751 |
| 330 Major Small and Large Bowel Procedures with CC | 30 | $110,498 | -7% | $19,550 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 29 | $131,644 | -43% | $29,978 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 28 | $71,194 | -37% | $17,154 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $33,443 | -17% | $6,922 |
| 552 Medical Back Problems without MCC | 28 | $33,147 | -32% | $8,108 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 26 | $57,626 | -43% | $15,311 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 25 | $49,508 | -32% | $10,875 |
| 164 Major Chest Procedures with CC | 25 | $134,230 | +5% | $21,572 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $113,401 | -31% | $22,514 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 25 | $130,554 | +5% | $19,663 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $35,055 | -9% | $7,541 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $32,130 | -34% | $8,937 |
| 165 Major Chest Procedures without CC/MCC | 23 | $124,761 | +21% | $15,269 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $39,543 | -22% | $9,021 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 22 | $189,333 | -7% | $41,154 |
| 100 Seizures with MCC | 21 | $69,434 | -26% | $14,772 |
| 101 Seizures without MCC | 21 | $39,106 | -20% | $7,974 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $75,216 | -21% | $18,695 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 20 | $111,847 | -30% | $25,362 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $63,568 | -16% | $12,172 |
| 304 Hypertension with MCC | 20 | $47,247 | -17% | $9,445 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 20 | $84,185 | +24% | $15,044 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $55,662 | -13% | $8,932 |
| 812 Red Blood Cell Disorders without MCC | 19 | $34,530 | -22% | $7,834 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 18 | $259,967 | -6% | $40,414 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 18 | $221,582 | -18% | $38,657 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $33,011 | -42% | $9,806 |
| 444 Disorders of The Biliary Tract with MCC | 18 | $59,689 | -28% | $12,861 |
| 445 Disorders of The Biliary Tract with CC | 18 | $49,826 | -14% | $10,130 |
| 551 Medical Back Problems with MCC | 18 | $47,269 | -40% | $13,017 |
Showing the 60 most frequent of 107 DRGs.
Outpatient services
Against the North Carolina average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Novant Health Presbyterian Medical Center charged $83,494 on average, 18% more than the North Carolina average of $70,932, and was paid $14,612 against a state average of $15,577. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Novant Health Presbyterian Medical Center charged $69,309 on average, 22% more than the North Carolina average of $56,936, and was paid $15,033 against a state average of $16,444. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Novant Health Presbyterian Medical Center charged $102,767 on average, 21% less than the North Carolina average of $129,539, and was paid $23,700 against a state average of $25,878. For Heart Failure and Shock with MCC (DRG 291), Novant Health Presbyterian Medical Center charged $37,942 on average, 6% more than the North Carolina average of $35,799, and was paid $10,123 against a state average of $11,305. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,555 was 35% below the state average of $10,153. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,215 was 12% above the state average of $61,166. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $14,315 was 28% below the state average of $19,914. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $33,514 was 14% below the state average of $38,985.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Novant Health Presbyterian Medical Center in Charlotte, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 101)
- Closure Notice — 2021-10-27 (CMS case 101)
- Met Requirements — 2025-04-01 (CMS case 3480)
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.