North Carolina / UNC Health Wayne
CMS certification 340010 · Goldsboro, NC
UNC Health Wayne: charges and Medicare payments
UNC Health Wayne reported 1,556 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 2.66 times what it was paid — among the lower ratios in North Carolina, number 58 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: 170 stays at an average charge of $40,391, 55% below the national average. It also billed 1,566 outpatient services, charging 4.57 times what Medicare paid.
- 1Medicare inpatient stays 1,556
- 2Charge ÷ paid, inpatient 2.66×
- 3Rank in NC (highest ratio = 1) 58 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 51 DRGs that can be compared with the national average, UNC Health Wayne 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 | 170 | $40,391 | -55% | $16,324 |
| 291 Heart Failure and Shock with MCC | 121 | $28,917 | -49% | $10,807 |
| 177 Respiratory Infections and Inflammations with MCC | 74 | $42,266 | -40% | $15,062 |
| 193 Simple Pneumonia and Pleurisy with MCC | 57 | $31,930 | -47% | $11,148 |
| 690 Kidney and Urinary Tract Infections without MCC | 54 | $19,060 | -50% | $7,270 |
| 689 Kidney and Urinary Tract Infections with MCC | 52 | $26,742 | -48% | $10,135 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 46 | $21,660 | -61% | $8,442 |
| 194 Simple Pneumonia and Pleurisy with CC | 46 | $21,587 | -44% | $7,048 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 40 | $32,800 | -57% | $13,394 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 40 | $37,167 | -42% | $9,205 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 40 | $35,996 | -51% | $13,658 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $21,699 | -64% | $10,888 |
| 312 Syncope and Collapse | 33 | $24,481 | -46% | $7,347 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $22,581 | -44% | $6,742 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 31 | $17,139 | -53% | $6,407 |
| 481 Hip and Femur Procedures except Major Joint with CC | 31 | $47,869 | -52% | $17,103 |
| 389 Gastrointestinal Obstruction with CC | 29 | $20,916 | -46% | $7,257 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $22,278 | -40% | $6,874 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $29,844 | -39% | $8,283 |
| 682 Renal Failure with MCC | 27 | $28,059 | -57% | $12,315 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $23,751 | -59% | $10,157 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 26 | $29,363 | -42% | $7,667 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $26,226 | -54% | $9,919 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 24 | $45,002 | -60% | $17,904 |
| 683 Renal Failure with CC | 24 | $24,224 | -40% | $7,984 |
| 069 Transient Ischemia without Thrombolytic | 22 | $23,133 | -54% | $6,894 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $18,808 | -63% | $9,066 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $28,457 | -53% | $10,518 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $24,948 | -49% | $8,517 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $34,592 | -59% | $14,919 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $26,587 | -41% | $8,192 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $66,981 | -42% | $19,174 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $49,398 | -52% | $19,244 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $66,326 | -51% | $24,336 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $75,060 | -67% | $40,838 |
| 313 Chest Pain | 17 | $21,887 | -45% | $7,699 |
| 638 Diabetes with CC | 17 | $22,151 | -47% | $7,590 |
| 176 Pulmonary Embolism without MCC | 16 | $26,839 | -35% | $7,418 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $79,948 | -51% | $25,832 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $39,524 | -58% | $17,477 |
| 603 Cellulitis without MCC | 14 | $19,168 | -49% | $8,310 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 13 | $117,087 | -60% | $56,429 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 13 | $19,751 | -31% | $5,675 |
| 812 Red Blood Cell Disorders without MCC | 13 | $23,490 | -47% | $7,658 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $141,183 | -56% | $63,921 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $21,800 | -45% | $7,222 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 12 | $92,953 | -57% | $35,696 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 11 | $27,932 | -36% | $6,281 |
| 305 Hypertension without MCC | 11 | $22,441 | -44% | $6,520 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $28,407 | -58% | $12,009 |
| 637 Diabetes with MCC | 11 | $21,868 | -67% | $12,045 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UNC Health Wayne charged $40,391 on average, 29% less than the North Carolina average of $56,936, and was paid $16,324 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), UNC Health Wayne charged $28,917 on average, 19% less than the North Carolina average of $35,799, and was paid $10,807 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), UNC Health Wayne charged $42,266 on average, 11% less than the North Carolina average of $47,554, and was paid $15,062 against a state average of $14,260. For Simple Pneumonia and Pleurisy with MCC (DRG 193), UNC Health Wayne charged $31,930 on average, 20% less than the North Carolina average of $39,905, and was paid $11,148 against a state average of $11,523. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,115 was 10% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,026 was 31% below the state average of $18,779. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,313 was 21% below the state average of $24,380. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,368 was 22% below the state average of $9,423.
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.