North Carolina / Vidant Edgecombe Hospital
CMS certification 340107 · Tarboro, NC
Vidant Edgecombe Hospital: charges and Medicare payments
Vidant Edgecombe Hospital reported 346 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.49 times what it was paid — among the lower ratios in North Carolina, number 63 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: 112 stays at an average charge of $38,981, 57% below the national average. It also billed 229 outpatient services, charging 6.34 times what Medicare paid.
- 1Medicare inpatient stays 346
- 2Charge ÷ paid, inpatient 2.49×
- 3Rank in NC (highest ratio = 1) 63 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Vidant Edgecombe 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 | 112 | $38,981 | -57% | $16,012 |
| 291 Heart Failure and Shock with MCC | 46 | $30,300 | -46% | $11,269 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $33,901 | -52% | $14,363 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $34,100 | -39% | $10,492 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $28,347 | -44% | $10,234 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $32,645 | -56% | $13,649 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $33,881 | -66% | $15,184 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $22,739 | -62% | $11,373 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $30,168 | -50% | $11,838 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $19,076 | -63% | $10,653 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $22,846 | -40% | $8,008 |
| 683 Renal Failure with CC | 14 | $21,701 | -47% | $8,535 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $27,427 | -44% | $9,535 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 55 | $19,390 | $2,347 |
| Level 5 Musculoskeletal Procedures | 32 | $45,887 | $11,439 |
| Level 4 Musculoskeletal Procedures | 25 | $31,702 | $6,027 |
| Level 1 Nerve Procedures | 25 | $9,287 | $1,627 |
| Level 2 Musculoskeletal Procedures | 23 | $11,469 | $1,399 |
| Level 5 Urology and Related Services | 23 | $21,613 | $4,503 |
| Level 3 Urology and Related Services | 17 | $10,363 | $1,773 |
| Level 4 Urology and Related Services | 15 | $12,585 | $3,034 |
| Level 3 Vascular Procedures | 14 | $12,657 | $2,774 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Vidant Edgecombe Hospital charged $38,981 on average, 32% less than the North Carolina average of $56,936, and was paid $16,012 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Vidant Edgecombe Hospital charged $30,300 on average, 15% less than the North Carolina average of $35,799, and was paid $11,269 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), Vidant Edgecombe Hospital charged $33,901 on average, 29% less than the North Carolina average of $47,554, and was paid $14,363 against a state average of $14,260. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Vidant Edgecombe Hospital charged $34,100 on average, 13% less than the North Carolina average of $39,101, and was paid $10,492 against a state average of $9,276. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,390 was 3% above the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,887 was 25% below the state average of $61,166. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $31,702 was 19% below the state average of $38,985. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,287 was 22% below the state average of $11,910.
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.