North Carolina / UNC Health Nash
CMS certification 340147 · Rocky Mount, NC
UNC Health Nash: charges and Medicare payments
UNC Health Nash reported 2,056 Medicare inpatient stays across 64 DRGs in 2024. Across them it charged 3.48 times what it was paid — mid-range in North Carolina, number 39 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: 220 stays at an average charge of $46,477, 49% below the national average. It also billed 1,853 outpatient services, charging 6.17 times what Medicare paid.
- 1Medicare inpatient stays 2,056
- 2Charge ÷ paid, inpatient 3.48×
- 3Rank in NC (highest ratio = 1) 39 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 64 DRGs that can be compared with the national average, UNC Health Nash 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 | 220 | $46,477 | -49% | $13,792 |
| 291 Heart Failure and Shock with MCC | 174 | $27,771 | -51% | $9,387 |
| 885 Psychoses | 70 | $27,463 | -38% | $10,452 |
| 378 Gastrointestinal Hemorrhage with CC | 69 | $22,828 | -53% | $7,738 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 69 | $24,583 | -34% | $6,025 |
| 689 Kidney and Urinary Tract Infections with MCC | 61 | $26,721 | -48% | $8,489 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $25,787 | -57% | $9,412 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $35,704 | -49% | $11,779 |
| 193 Simple Pneumonia and Pleurisy with MCC | 48 | $36,851 | -38% | $9,541 |
| 690 Kidney and Urinary Tract Infections without MCC | 48 | $23,379 | -38% | $6,431 |
| 377 Gastrointestinal Hemorrhage with MCC | 45 | $43,690 | -49% | $12,363 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 45 | $41,594 | -55% | $13,556 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $32,548 | -34% | $9,146 |
| 312 Syncope and Collapse | 43 | $24,333 | -47% | $6,674 |
| 683 Renal Failure with CC | 42 | $24,126 | -41% | $6,866 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 39 | $33,380 | -40% | $7,540 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 38 | $23,282 | -36% | $5,874 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 36 | $30,520 | -58% | $11,421 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $25,645 | -36% | $6,227 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $25,745 | -49% | $8,291 |
| 194 Simple Pneumonia and Pleurisy with CC | 31 | $27,649 | -28% | $6,519 |
| 069 Transient Ischemia without Thrombolytic | 29 | $27,260 | -46% | $6,440 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $58,971 | -47% | $15,953 |
| 638 Diabetes with CC | 28 | $21,464 | -48% | $6,663 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $137,338 | -40% | $38,066 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $41,883 | -27% | $9,219 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $59,030 | -41% | $14,623 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $28,937 | -36% | $7,359 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $56,155 | -44% | $14,511 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 23 | $40,390 | -37% | $8,468 |
| 305 Hypertension without MCC | 23 | $17,932 | -55% | $5,995 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $24,754 | -48% | $7,574 |
| 389 Gastrointestinal Obstruction with CC | 22 | $24,501 | -37% | $6,237 |
| 682 Renal Failure with MCC | 22 | $38,497 | -42% | $10,694 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $48,669 | -14% | $13,953 |
| 394 Other Digestive System Diagnoses with CC | 21 | $27,094 | -42% | $7,326 |
| 603 Cellulitis without MCC | 21 | $24,699 | -34% | $7,154 |
| 811 Red Blood Cell Disorders with MCC | 21 | $32,505 | -52% | $10,251 |
| 313 Chest Pain | 20 | $18,523 | -54% | $5,829 |
| 812 Red Blood Cell Disorders without MCC | 20 | $24,232 | -45% | $6,966 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $39,315 | -48% | $13,069 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $57,871 | -39% | $14,306 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $78,045 | -32% | $15,134 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $34,590 | -43% | $9,498 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 16 | $18,857 | -49% | $6,600 |
| 101 Seizures without MCC | 14 | $28,367 | -42% | $7,209 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $31,646 | -51% | $9,829 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $75,967 | -44% | $19,110 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $75,006 | -37% | $18,306 |
| 467 Revision of Hip or Knee Replacement with CC | 13 | $92,160 | -42% | $24,324 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $72,014 | -48% | $19,969 |
| 659 Kidney and Ureter Procedures for Non-Neoplasm with MCC | 13 | $57,346 | -52% | $17,584 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $32,205 | -43% | $9,352 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $27,839 | -34% | $5,710 |
| 176 Pulmonary Embolism without MCC | 12 | $20,429 | -51% | $6,428 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 12 | $37,991 | -52% | $11,730 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $22,836 | -51% | $7,378 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $31,318 | -38% | $6,857 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $137,266 | -36% | $34,066 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 11 | $32,755 | -31% | $7,735 |
Showing the 60 most frequent of 64 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UNC Health Nash charged $46,477 on average, 18% less than the North Carolina average of $56,936, and was paid $13,792 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), UNC Health Nash charged $27,771 on average, 22% less than the North Carolina average of $35,799, and was paid $9,387 against a state average of $11,305. For Psychoses (DRG 885), UNC Health Nash charged $27,463 on average, 23% less than the North Carolina average of $35,803, and was paid $10,452 against a state average of $12,625. For Gastrointestinal Hemorrhage with CC (DRG 378), UNC Health Nash charged $22,828 on average, 34% less than the North Carolina average of $34,434, and was paid $7,738 against a state average of $8,946. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,231 was 9% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,882 was 15% below the state average of $18,779. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,342 was 22% below the state average of $9,423. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,969 was 36% 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.