North Carolina / Novant Health Thomasville Medical Center
CMS certification 340085 · Thomasville, NC · 3 entries in CMS's price-transparency list
Novant Health Thomasville Medical Center: charges and Medicare payments
Novant Health Thomasville Medical Center reported 153 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.51 times what it was paid — among the lower ratios in North Carolina, number 62 of 73 hospitals with at least 100 stays (state median 3.55×, national 4.15×). Its most frequent stay was DRG 193, Simple Pneumonia and Pleurisy with MCC: 34 stays at an average charge of $33,498, 44% below the national average. It also billed 350 outpatient services, charging 7.15 times what Medicare paid.
- 1Medicare inpatient stays 153
- 2Charge ÷ paid, inpatient 2.51×
- 3Rank in NC (highest ratio = 1) 62 of 73
- 4CMS price-transparency actions 3
Inpatient stays
For the 7 DRGs that can be compared with the national average, Novant Health Thomasville 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 |
|---|---|---|---|---|
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $33,498 | -44% | $12,320 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 32 | $48,827 | -46% | $16,618 |
| 291 Heart Failure and Shock with MCC | 29 | $27,198 | -52% | $12,083 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $33,413 | -53% | $14,629 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $21,196 | -59% | $10,968 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $19,648 | -51% | $8,738 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $18,833 | -50% | $8,621 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 136 | $10,712 | $2,099 |
| Comprehensive Observation Services | 50 | $17,595 | $2,495 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 45 | $12,543 | $1,243 |
| Level 1 Nerve Procedures | 38 | $6,753 | $1,723 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 24 | $9,618 | $1,102 |
| Level 4 Urology and Related Services | 16 | $13,606 | $3,178 |
| Level 3 Vascular Procedures | 15 | $14,312 | $2,751 |
| Level 5 Urology and Related Services | 15 | $21,012 | $4,716 |
| Level 2 Upper GI Procedures | 11 | $6,322 | $1,734 |
Against the North Carolina average
For Simple Pneumonia and Pleurisy with MCC (DRG 193), Novant Health Thomasville Medical Center charged $33,498 on average, 16% less than the North Carolina average of $39,905, and was paid $12,320 against a state average of $11,523. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Novant Health Thomasville Medical Center charged $48,827 on average, 14% less than the North Carolina average of $56,936, and was paid $16,618 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Novant Health Thomasville Medical Center charged $27,198 on average, 24% less than the North Carolina average of $35,799, and was paid $12,083 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), Novant Health Thomasville Medical Center charged $33,413 on average, 30% less than the North Carolina average of $47,554, and was paid $14,629 against a state average of $14,260. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,712 was 6% above the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,595 was 6% below the state average of $18,779. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $12,543 was 29% below the state average of $17,735. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,753 was 43% below the state average of $11,910.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Novant Health Thomasville Medical Center in Thomasville, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-29 (CMS case 2557)
- CAP Request — 2024-12-11 (CMS case 2557)
- Closure Notice — 2025-02-14 (CMS case 2557)
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.