North Carolina / Wakemed
CMS certification 340069 · Raleigh, NC
Wakemed: charges and Medicare payments
Wakemed reported 5,569 Medicare inpatient stays across 159 DRGs in 2024. Across them it charged 4.51 times what it was paid — among the higher ratios in North Carolina, number 21 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: 385 stays at an average charge of $57,444, 36% below the national average. It also billed 3,572 outpatient services, charging 9 times what Medicare paid.
- 1Medicare inpatient stays 5,569
- 2Charge ÷ paid, inpatient 4.51×
- 3Rank in NC (highest ratio = 1) 21 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 159 DRGs that can be compared with the national average, Wakemed charged more than the national average in 24 (15%). 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 | 385 | $57,444 | -36% | $16,935 |
| 291 Heart Failure and Shock with MCC | 286 | $34,619 | -39% | $11,522 |
| 690 Kidney and Urinary Tract Infections without MCC | 154 | $25,701 | -32% | $8,139 |
| 177 Respiratory Infections and Inflammations with MCC | 119 | $42,405 | -40% | $14,283 |
| 193 Simple Pneumonia and Pleurisy with MCC | 119 | $40,349 | -32% | $11,728 |
| 689 Kidney and Urinary Tract Infections with MCC | 106 | $37,813 | -26% | $10,756 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 104 | $46,461 | -17% | $9,855 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 102 | $177,114 | +13% | $25,988 |
| 194 Simple Pneumonia and Pleurisy with CC | 100 | $27,611 | -28% | $8,336 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 100 | $38,415 | -22% | $10,449 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 99 | $30,661 | -24% | $8,165 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 98 | $28,791 | -22% | $7,908 |
| 378 Gastrointestinal Hemorrhage with CC | 94 | $41,299 | -15% | $9,430 |
| 603 Cellulitis without MCC | 93 | $25,817 | -31% | $8,688 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 85 | $259,413 | +17% | $37,779 |
| 481 Hip and Femur Procedures except Major Joint with CC | 80 | $98,782 | -2% | $17,558 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 80 | $40,261 | -33% | $12,143 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 77 | $43,176 | -41% | $14,120 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 75 | $100,795 | -12% | $15,794 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 70 | $45,652 | -19% | $11,197 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 69 | $40,686 | -20% | $10,713 |
| 683 Renal Failure with CC | 61 | $29,747 | -27% | $8,997 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 59 | $185,144 | -19% | $42,659 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 58 | $84,541 | -17% | $17,970 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 55 | $45,594 | -29% | $11,409 |
| 812 Red Blood Cell Disorders without MCC | 54 | $33,036 | -26% | $8,896 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 53 | $72,382 | -36% | $17,648 |
| 178 Respiratory Infections and Inflammations with CC | 52 | $31,891 | -30% | $9,415 |
| 189 Pulmonary Edema and Respiratory Failure | 51 | $56,544 | -2% | $11,419 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 49 | $78,364 | -22% | $17,643 |
| 312 Syncope and Collapse | 43 | $37,957 | -17% | $8,690 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 42 | $155,444 | -26% | $34,586 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 39 | $31,218 | -14% | $7,705 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 38 | $32,236 | -19% | $7,870 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 38 | $197,116 | -27% | $42,550 |
| 811 Red Blood Cell Disorders with MCC | 36 | $55,138 | -19% | $12,985 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 35 | $208,465 | -10% | $38,944 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 35 | $307,277 | +10% | $54,985 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 35 | $57,287 | -23% | $13,780 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 34 | $278,228 | +1% | $49,407 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 32 | $97,133 | +10% | $15,242 |
| 176 Pulmonary Embolism without MCC | 32 | $31,810 | -23% | $8,247 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $134,382 | -18% | $23,746 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 31 | $70,113 | +3% | $12,376 |
| 552 Medical Back Problems without MCC | 31 | $47,728 | -2% | $9,564 |
| 638 Diabetes with CC | 31 | $31,103 | -25% | $8,996 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 30 | $37,422 | -12% | $7,055 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 30 | $74,192 | +1% | $12,593 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $73,942 | -13% | $16,518 |
| 389 Gastrointestinal Obstruction with CC | 30 | $30,764 | -21% | $8,368 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $37,542 | -38% | $11,722 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 30 | $74,181 | -5% | $13,706 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 30 | $27,110 | -43% | $9,519 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 29 | $126,619 | +14% | $20,169 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $45,405 | -40% | $13,813 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 29 | $51,668 | -23% | $12,651 |
| 460 Spinal Fusion except Cervical without MCC | 28 | $185,416 | +9% | $28,938 |
| 682 Renal Failure with MCC | 28 | $45,831 | -30% | $13,108 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 27 | $46,072 | -19% | $10,237 |
| 390 Gastrointestinal Obstruction without CC/MCC | 26 | $24,738 | -11% | $6,373 |
Showing the 60 most frequent of 159 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wakemed charged $57,444 on average, 1% more than the North Carolina average of $56,936, and was paid $16,935 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Wakemed charged $34,619 on average, 3% less than the North Carolina average of $35,799, and was paid $11,522 against a state average of $11,305. For Kidney and Urinary Tract Infections without MCC (DRG 690), Wakemed charged $25,701 on average, 4% less than the North Carolina average of $26,784, and was paid $8,139 against a state average of $7,680. For Respiratory Infections and Inflammations with MCC (DRG 177), Wakemed charged $42,405 on average, 11% less than the North Carolina average of $47,554, and was paid $14,283 against a state average of $14,260. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,418 was 19% above the state average of $18,779. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,488 was 4% below the state average of $24,380. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $165,825 was 14% above the state average of $145,631. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $69,572 was 14% above 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.