States / North Carolina

NC · 84 hospitals · #31 of 51 by charge gap

Hospital prices in North Carolina

78 North Carolina hospitals reported 149,256 Medicare inpatient stays in 2024. The median hospital charged 3.55 times what it was paid — below the national median of 4.15×, number 31 of 51. The widest gap was at Frye Regional Medical Center (8.53×), the narrowest at Wilmington Treatment Center (0.88×). CMS's price-transparency list records 330 enforcement actions involving 128 North Carolina hospitals.

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  1. 1Median charge ÷ paid 3.55×
  2. 2Hospitals reporting 84
  3. 3Medicare inpatient stays 149,256
  4. 4Price-transparency actions 330
Frye Regional Medical Center8.53×Lake Norman Regional Medical...5.88×Atrium Health Pineville5.65×Wilson Medical Center5.37×Randolph Hospital5.22×Wakemed5.18×Atrium Health Cleveland5.14×Firsthealth Moore Regional...5.05×Central Carolina Hospital5.01×Memorial Mission Hospital and...4.96×Maria Parham Medical Center4.94×Atrium Health Union4.93×Novant Health Presbyterian...4.92×Atrium Health Cabarrus4.88×Caromont Regional Medical...4.85×
Inpatient charge-to-payment ratio, the 15 North Carolina hospitals with the widest gap (100+ Medicare stays), bars to scale. Source: CMS DY2024.

Most common stays in North Carolina

DRGStaysNC avg chargeUS avg chargeNC avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with...14,182$56,936$90,297$16,444
291 Heart Failure and Shock with MCC9,559$35,799$56,380$11,305
193 Simple Pneumonia and Pleurisy with MCC4,202$39,905$59,757$11,523
177 Respiratory Infections and Inflammations with MCC4,177$47,554$70,592$14,260
690 Kidney and Urinary Tract Infections without MCC2,949$26,784$37,821$7,680
689 Kidney and Urinary Tract Infections with MCC2,685$33,503$51,326$10,237
378 Gastrointestinal Hemorrhage with CC2,485$34,434$48,550$8,946
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...2,478$28,251$40,165$7,797
872 Septicemia or Severe Sepsis without MV >96 Hours without...2,370$33,328$49,049$9,375
065 Intracranial Hemorrhage or Cerebral Infarction with CC...2,361$39,101$55,724$9,276

Every hospital

HospitalStaysRatioActions
Novant Health New Hanover Regional Medical Center
Wilmington
9,6823.63×–
Duke University Hospital
Durham
9,3003.07×4
Memorial Mission Hospital and Asheville Surgery Ce
Asheville
9,1344.96×–
Ecu Health Medical Center
Greenville
8,3132.89×5
Carolinas Medical Center/Behav Health
Charlotte
6,5854.28×–
Rex Hospital
Raleigh
6,5653.54×–
Novant Health Forsyth Medical Center
Winston-Salem
6,2723.87×1
Wakemed
Raleigh
5,5694.51×–
North Carolina Baptist Hospital
Winston-Salem
4,9873.28×1
Cone Health
Greensboro
4,9522.93×–
UNC Hospitals
Chapel Hill
4,7082.54×–
Cape Fear Valley Medical Center
Fayetteville
4,2963.27×4
Firsthealth Moore Regional Hospital
Pinehurst
4,2865.05×5
Atrium Health Pineville
Charlotte
4,2655.65×3
Atrium Health Cabarrus
Concord
4,1954.88×1
Caromont Regional Medical Center
Gastonia
3,6274.85×3
Carolina East Medical Center
New Bern
3,3713.08×3
Novant Health Presbyterian Medical Center
Charlotte
3,0254.92×3
Wakemed
Cary
2,5205.18×–
UNC Health Nash
Rocky Mount
2,0563.48×–
Duke Regional Hospital
Durham
2,0132.93×2
Atrium Health Union
Monroe
1,8974.93×–
Johnston Health
Smithfield
1,8224.1×–
Atrium Health Cleveland
Shelby
1,7625.14×1
Margaret R Pardee Memorial Hospital
Hendersonville
1,7523.38×–
UNC Health Wayne
Goldsboro
1,5562.66×–
Novant Health Huntersville Medical Center
Huntersville
1,5104.19×3
Novant Health Matthews Medical Center
Matthews
1,4984.58×3
Frye Regional Medical Center
Hickory
1,3788.53×6
Sentara Albemarle Medical Center
Elizabeth City
1,3612.74×4
High Point Regional Hospital
High Point
1,3483.62×–
Carteret General Hospital
Morehead City
1,3211.94×–
Novant Health Brunswick Medical Center
Supply
1,0663.79×–
Alamance Regional Medical Center
Burlington
1,0162.89×4
Southeastern Regional Medical Center
Lumberton
1,0082.06×–
Iredell Memorial Hospital Inc
Statesville
9764.62×–
UNC Lenoir Health Care
Kinston
9711.98×2
Novant Health Rowan Medical Center
Salisbury
9403.99×4
UNC Health Blue Ridge
Morganton
9223.99×–
Catawba Valley Medical Center
Hickory
8723.24×3
Onslow Memorial Hospital
Jacksonville
8513.02×1
Haywood Regional Medical Center
Clyde
8464.6×3
Adventhealth Hendersonville
Hendersonville
7092.91×3
Atrium Health Lincoln
Lincolnton
7023.6×1
Wilson Medical Center
Wilson
6395.37×3
Watauga Medical Center
Boone
5922.55×–
Ecu Health North Hospital
Roanoke Rapids
5692.52×–
Duke Health Raleigh Hospital
Raleigh
5303.58×2
Betsy Johnson Regional Hospital
Dunn
5242.32×–
Atrium Health University City
Charlotte
4974.38×4
Wilkes Regional Medical Center
North Wilkesboro
4873.33×1
Northern Regional Hospital
Mount Airy
4721.66×2
Atrium Health Stanly
Albemarle
4524.33×1
Scotland Memorial Hospital
Laurinburg
4413.55×–
Rutherford Regional Medical Center
Rutherfordton
4304.73×–
Wilmington Treatment Center
Wilmington
4260.88×–
Caldwell Memorial Hospital
Lenoir
3792.98×1
Vidant Roanoke Chowan Hospital
Ahoskie
3762.35×–
Lake Norman Regional Medical Center
Mooresville
3575.88×1
Maria Parham Medical Center
Henderson
3504.94×2
Vidant Edgecombe Hospital
Tarboro
3462.49×–
Columbus Regional Healthcare System
Whiteville
3453.21×2
Harris Regional Hospital
Sylva
3224.68×2
Central Carolina Hospital
Sanford
3185.01×5
Randolph Hospital
Asheboro
3105.22×–
Vidant Duplin Hospital
Kenansville
3082.02×–
Lexington Memorial Hospital Inc
Lexington
3042.79×–
Novant Health Ballantyne Medical Center
Charlotte
2793.85×2
Novant Health Mint Hill Medical Center
Charlotte
2793.77×1
Sampson Regional Medical Center
Clinton
2051.47×3
Mission Hospital Mcdowell
Marion
1902.29×4
Hugh Chatham Memorial Hospital
Elkin
1813.33×2
Novant Health Thomasville Medical Center
Thomasville
1532.51×3
Cape Fear Valley Hoke Hospital
Raeford
911.79×2
North Carolina Specialty Hospital
Durham
873.74×–
Granville Health Systems
Oxford
832.82×–
UNC Rockingham
Eden
741.88×–
Person Memorial Hospital
Roxboro
553.68×2
Atrium Health Anson
Wadesboro
0–1
Carolinas Rehabilitation
Charlotte
0–2
Davie Medical Center
Bermuda Run
0–2
Highsmith Rainey Memorial Hospital
Fayetteville
0––
Kindred Hospital Greensboro
Greensboro
0–5
Novant Health Medical Park Hospital
Winston-Salem
0–1

Price-transparency enforcement in North Carolina

106 closure notices, 98 warning notices, 85 “met requirements” findings, 39 corrective-action-plan requests, 1 civil-penalty notice, 1 administrative closure — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.

Sources: CMS Medicare Inpatient 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.