North Carolina / Randolph Hospital
CMS certification 340123 · Asheboro, NC
Randolph Hospital: charges and Medicare payments
Randolph Hospital reported 310 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 5.22 times what it was paid — among the higher ratios in North Carolina, number 5 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: 99 stays at an average charge of $69,698, 23% below the national average. It also billed 367 outpatient services, charging 9.72 times what Medicare paid.
- 1Medicare inpatient stays 310
- 2Charge ÷ paid, inpatient 5.22×
- 3Rank in NC (highest ratio = 1) 5 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 11 DRGs that can be compared with the national average, Randolph Hospital charged more than the national average in 6 (55%). 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 | 99 | $69,698 | -23% | $15,033 |
| 291 Heart Failure and Shock with MCC | 61 | $65,365 | +16% | $10,851 |
| 193 Simple Pneumonia and Pleurisy with MCC | 43 | $61,138 | +2% | $11,085 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $63,492 | -10% | $13,167 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $79,496 | +5% | $12,918 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $42,215 | +12% | $7,853 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $72,870 | -1% | $13,424 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $36,899 | -28% | $9,874 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $55,574 | +45% | $7,959 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $66,823 | +18% | $10,490 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $54,063 | -10% | $11,138 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 163 | $24,615 | $2,426 |
| Level 1 Intraocular Procedures | 88 | $14,831 | $2,033 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 22 | $12,670 | $1,402 |
| Level 5 Musculoskeletal Procedures | 18 | $54,345 | $11,791 |
| Level 1 Laparoscopy and Related Services | 18 | $32,695 | $4,961 |
| Level 4 Musculoskeletal Procedures | 15 | $38,246 | $5,889 |
| Level 3 Vascular Procedures | 15 | $23,093 | $2,755 |
| Level 4 Urology and Related Services | 15 | $22,062 | $2,795 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $24,030 | $3,104 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Randolph Hospital charged $69,698 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 Heart Failure and Shock with MCC (DRG 291), Randolph Hospital charged $65,365 on average, 83% more than the North Carolina average of $35,799, and was paid $10,851 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Randolph Hospital charged $61,138 on average, 53% more than the North Carolina average of $39,905, and was paid $11,085 against a state average of $11,523. For Respiratory Infections and Inflammations with MCC (DRG 177), Randolph Hospital charged $63,492 on average, 34% more than the North Carolina average of $47,554, and was paid $13,167 against a state average of $14,260. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,615 was 31% above the state average of $18,779. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,831 was 46% above the state average of $10,153. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,670 was 34% above the state average of $9,423. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $54,345 was 11% below the state average of $61,166.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.