North Carolina / Onslow Memorial Hospital
CMS certification 340042 · Jacksonville, NC · 1 entry in CMS's price-transparency list
Onslow Memorial Hospital: charges and Medicare payments
Onslow Memorial Hospital reported 851 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 3.02 times what it was paid — among the lower ratios in North Carolina, number 49 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: 130 stays at an average charge of $41,574, 54% below the national average. It also billed 1,708 outpatient services, charging 5.38 times what Medicare paid.
- 1Medicare inpatient stays 851
- 2Charge ÷ paid, inpatient 3.02×
- 3Rank in NC (highest ratio = 1) 49 of 73
- 4CMS price-transparency actions 1
Inpatient stays
For the 28 DRGs that can be compared with the national average, Onslow Memorial Hospital 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 | 130 | $41,574 | -54% | $15,227 |
| 193 Simple Pneumonia and Pleurisy with MCC | 92 | $35,910 | -40% | $11,117 |
| 291 Heart Failure and Shock with MCC | 89 | $29,607 | -47% | $11,120 |
| 189 Pulmonary Edema and Respiratory Failure | 55 | $35,390 | -39% | $10,590 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $39,458 | -44% | $13,347 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $39,794 | -19% | $9,767 |
| 683 Renal Failure with CC | 35 | $27,714 | -32% | $7,991 |
| 194 Simple Pneumonia and Pleurisy with CC | 33 | $23,792 | -38% | $7,529 |
| 682 Renal Failure with MCC | 33 | $41,083 | -38% | $14,475 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $19,337 | -48% | $7,347 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $29,860 | -21% | $7,418 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $30,287 | -41% | $10,352 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $23,062 | -54% | $9,400 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 17 | $153,544 | -48% | $53,915 |
| 312 Syncope and Collapse | 17 | $26,942 | -41% | $7,869 |
| 603 Cellulitis without MCC | 17 | $21,451 | -42% | $8,068 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $76,979 | -43% | $20,891 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $36,199 | -35% | $11,047 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $26,963 | -33% | $7,322 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $56,915 | -43% | $15,380 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 14 | $21,751 | -45% | $7,785 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $27,249 | -52% | $9,946 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $17,757 | -51% | $7,910 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $31,171 | -36% | $8,642 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $13,391 | -53% | $5,850 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $41,025 | -57% | $16,172 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $66,104 | -35% | $16,319 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $26,326 | -64% | $12,931 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 1,008 | $7,724 | $2,119 |
| Comprehensive Observation Services | 272 | $15,360 | $2,509 |
| Level 2 Intraocular Procedures | 65 | $12,520 | $3,696 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 61 | $7,384 | $1,511 |
| Level 5 Musculoskeletal Procedures | 50 | $53,864 | $11,612 |
| Level 3 Vascular Procedures | 45 | $17,354 | $2,918 |
| Level 4 Musculoskeletal Procedures | 39 | $32,945 | $6,668 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 33 | $8,992 | $2,488 |
| Level 1 Laparoscopy and Related Services | 33 | $27,619 | $5,248 |
| Level 1 Nerve Procedures | 25 | $11,050 | $1,800 |
| Level 2 Musculoskeletal Procedures | 15 | $8,253 | $1,498 |
| Level 5 Neurostimulator and Related Procedures | 15 | $100,352 | $28,856 |
| Level 3 Musculoskeletal Procedures | 13 | $15,658 | $2,785 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $19,412 | $2,796 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 11 | $21,912 | $3,553 |
| Level 3 Lower GI Procedures | 11 | $13,212 | $2,617 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Onslow Memorial Hospital charged $41,574 on average, 27% less than the North Carolina average of $56,936, and was paid $15,227 against a state average of $16,444. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Onslow Memorial Hospital charged $35,910 on average, 10% less than the North Carolina average of $39,905, and was paid $11,117 against a state average of $11,523. For Heart Failure and Shock with MCC (DRG 291), Onslow Memorial Hospital charged $29,607 on average, 17% less than the North Carolina average of $35,799, and was paid $11,120 against a state average of $11,305. For Pulmonary Edema and Respiratory Failure (DRG 189), Onslow Memorial Hospital charged $35,390 on average, 14% less than the North Carolina average of $41,108, and was paid $10,590 against a state average of $11,347. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,724 was 24% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,360 was 18% below the state average of $18,779. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $12,520 was 37% below the state average of $19,914. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,384 was 22% below the state average of $9,423.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Onslow Memorial Hospital in Jacksonville, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-07 (CMS case 6198)
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.