North Carolina / Vidant Roanoke Chowan Hospital
CMS certification 340099 · Ahoskie, NC
Vidant Roanoke Chowan Hospital: charges and Medicare payments
Vidant Roanoke Chowan Hospital reported 376 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 2.35 times what it was paid — among the lower ratios in North Carolina, number 64 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: 101 stays at an average charge of $30,902, 66% below the national average. It also billed 291 outpatient services, charging 4.04 times what Medicare paid.
- 1Medicare inpatient stays 376
- 2Charge ÷ paid, inpatient 2.35×
- 3Rank in NC (highest ratio = 1) 64 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Vidant Roanoke Chowan 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 | 101 | $30,902 | -66% | $15,336 |
| 291 Heart Failure and Shock with MCC | 49 | $21,770 | -61% | $10,315 |
| 683 Renal Failure with CC | 27 | $22,868 | -44% | $7,662 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $20,841 | -57% | $8,288 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $20,320 | -60% | $9,475 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $29,508 | -42% | $9,434 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $18,851 | -51% | $7,891 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $33,978 | -44% | $10,662 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $20,630 | -58% | $8,622 |
| 812 Red Blood Cell Disorders without MCC | 15 | $19,049 | -57% | $7,741 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $26,805 | -52% | $9,496 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $26,998 | -62% | $12,882 |
| 638 Diabetes with CC | 12 | $18,476 | -56% | $7,683 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $16,946 | -54% | $6,811 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $24,342 | -67% | $12,428 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $46,279 | -54% | $15,920 |
| 682 Renal Failure with MCC | 11 | $42,503 | -36% | $12,020 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 131 | $12,398 | $2,551 |
| Level 4 Musculoskeletal Procedures | 67 | $17,401 | $6,668 |
| Level 5 Musculoskeletal Procedures | 29 | $34,389 | $12,249 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $9,041 | $2,531 |
| Level 3 Musculoskeletal Procedures | 17 | $8,331 | $3,017 |
| Level 3 Vascular Procedures | 16 | $11,489 | $2,971 |
| Level 3 Urology and Related Services | 13 | $1,977 | $1,898 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Vidant Roanoke Chowan Hospital charged $30,902 on average, 46% less than the North Carolina average of $56,936, and was paid $15,336 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Vidant Roanoke Chowan Hospital charged $21,770 on average, 39% less than the North Carolina average of $35,799, and was paid $10,315 against a state average of $11,305. For Renal Failure with CC (DRG 683), Vidant Roanoke Chowan Hospital charged $22,868 on average, 18% less than the North Carolina average of $27,821, and was paid $7,662 against a state average of $8,332. For Gastrointestinal Hemorrhage with CC (DRG 378), Vidant Roanoke Chowan Hospital charged $20,841 on average, 39% less than the North Carolina average of $34,434, and was paid $8,288 against a state average of $8,946. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,398 was 34% below the state average of $18,779. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $17,401 was 55% below the state average of $38,985. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $34,389 was 44% below the state average of $61,166. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $9,041 was 49% below the state average of $17,735.
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.