North Carolina / UNC Lenoir Health Care
CMS certification 340027 · Kinston, NC · 2 entries in CMS's price-transparency list
UNC Lenoir Health Care: charges and Medicare payments
UNC Lenoir Health Care reported 971 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 1.98 times what it was paid — among the lower ratios in North Carolina, number 69 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: 223 stays at an average charge of $25,696, 72% below the national average. It also billed 768 outpatient services, charging 4.33 times what Medicare paid.
- 1Medicare inpatient stays 971
- 2Charge ÷ paid, inpatient 1.98×
- 3Rank in NC (highest ratio = 1) 69 of 73
- 4CMS price-transparency actions 2
Inpatient stays
For the 29 DRGs that can be compared with the national average, UNC Lenoir Health Care 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 | 223 | $25,696 | -72% | $14,238 |
| 291 Heart Failure and Shock with MCC | 95 | $17,412 | -69% | $9,819 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $23,969 | -66% | $12,265 |
| 193 Simple Pneumonia and Pleurisy with MCC | 47 | $19,957 | -67% | $9,987 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $20,958 | -59% | $8,981 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 41 | $19,956 | -74% | $11,515 |
| 683 Renal Failure with CC | 39 | $14,127 | -65% | $7,139 |
| 682 Renal Failure with MCC | 35 | $21,765 | -67% | $10,875 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $17,890 | -69% | $9,464 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $21,337 | -56% | $8,194 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $19,651 | -67% | $9,815 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $24,775 | -66% | $11,853 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $54,585 | -76% | $34,263 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $14,888 | -60% | $6,356 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $13,468 | -63% | $6,115 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $17,032 | -58% | $6,652 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $24,002 | -57% | $8,137 |
| 312 Syncope and Collapse | 18 | $18,334 | -60% | $7,256 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $28,790 | -71% | $14,975 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $18,765 | -63% | $7,065 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 16 | $19,514 | -55% | $6,037 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $17,528 | -54% | $6,533 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $24,606 | -62% | $10,700 |
| 176 Pulmonary Embolism without MCC | 13 | $20,663 | -50% | $6,638 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $15,537 | -69% | $8,378 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $13,896 | -64% | $6,277 |
| 638 Diabetes with CC | 12 | $13,706 | -67% | $6,958 |
| 101 Seizures without MCC | 11 | $14,451 | -70% | $7,167 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $27,279 | -57% | $8,326 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 395 | $6,496 | $2,204 |
| Comprehensive Observation Services | 124 | $11,235 | $2,620 |
| Level 1 Endovascular Procedures | 45 | $16,355 | $3,124 |
| Level 3 Urology and Related Services | 43 | $8,054 | $1,950 |
| Level 5 Urology and Related Services | 28 | $14,381 | $4,953 |
| Level 3 Vascular Procedures | 23 | $15,798 | $2,946 |
| Level 1 Laparoscopy and Related Services | 22 | $16,958 | $5,323 |
| Level 4 Urology and Related Services | 21 | $11,151 | $3,210 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $5,016 | $1,490 |
| Level 2 Urology and Related Services | 19 | $7,071 | $654 |
| Level 3 Pacemaker and Similar Procedures | 16 | $19,376 | $10,213 |
| Level 4 Airway Endoscopy | 12 | $8,845 | $3,585 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UNC Lenoir Health Care charged $25,696 on average, 55% less than the North Carolina average of $56,936, and was paid $14,238 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), UNC Lenoir Health Care charged $17,412 on average, 51% less than the North Carolina average of $35,799, and was paid $9,819 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), UNC Lenoir Health Care charged $23,969 on average, 50% less than the North Carolina average of $47,554, and was paid $12,265 against a state average of $14,260. For Simple Pneumonia and Pleurisy with MCC (DRG 193), UNC Lenoir Health Care charged $19,957 on average, 50% less than the North Carolina average of $39,905, and was paid $9,987 against a state average of $11,523. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,496 was 36% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,235 was 40% below the state average of $18,779. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,355 was 33% below the state average of $24,380. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,054 was 27% below the state average of $11,021.
Price-transparency record
CMS's enforcement list records these actions for a hospital named UNC Lenoir Health Care in Kinston, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-11-05 (CMS case 2876)
- Closure Notice — 2025-01-24 (CMS case 2876)
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.