US Health Care Costs

Pneumonia, with complications in North Carolina

MS-DRG 194: Simple pneumonia and pleurisy with cc

$28,172typical hospital bill
$7,237typical amount paid
$5,552–$14,360range paid across 48 hospitals

North Carolina hospitals billed Medicare a typical $28,172 for this stay in 2024, about 3.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Wakemed, Cary HospitalCary49$33,089$5,552
Rex HospitalRaleigh72$20,512$6,043
Frye Regional Medical CenterHickory13$47,280$6,085
Unc Lenoir Health CareKinston12$13,896$6,277
Iredell Memorial Hospital IncStatesville54$29,630$6,283
Pardee Hospital Henderson CountyHendersonville22$19,839$6,290
Novant Health Brunswick Medical CenterSupply30$27,963$6,308
Novant Health Matthews Medical CenterMatthews22$32,566$6,349
Haywood Regional Medical CenterClyde15$30,520$6,447
Unc Health NashRocky Mount31$27,649$6,519
Firsthealth Moore Regional HospitalPinehurst68$36,876$6,655
Johnston HealthSmithfield47$28,730$6,676
Atrium Health PinevilleCharlotte73$34,672$6,733
Novant Health Huntersville Medical CenterHuntersville21$28,382$6,814
Caromont Regional Medical CenterGastonia47$32,393$6,862
Atrium Health ClevelandShelby38$37,351$6,877
Atrium Health UnionMonroe50$36,619$6,879
Stanly Regional Medical CenterAlbemarle18$27,309$6,897
Carteret General HospitalMorehead City38$16,794$6,979
Novant Health Rowan Medical CenterSalisbury14$32,883$7,008
Unc Health Care WayneGoldsboro46$21,587$7,048
Carolina East Medical CenterNew Bern28$21,810$7,105
Wilkes Regional Medical CenterNorth Wilkesboro23$29,354$7,151
Novant Health Forsyth Medical CenterWinston-Salem53$26,896$7,174
Novant Health New Hanover Regional Medical CenterWilmington60$26,412$7,301
High Point Regional Health SystemHigh Point30$27,199$7,329
Alamance Regional Medical CenterBurlington11$20,402$7,368
Memorial Mission Hospital and Asheville Surgery CeAsheville21$35,383$7,389
Onslow Memorial HospitalJacksonville33$23,792$7,529
Novant Health Presbyterian Medical CenterCharlotte24$35,055$7,541
Atrium Health LincolnLincolnton35$34,841$7,731
Cape Fear Valley Medical CenterFayetteville17$22,810$7,758
Watauga Medical CenterBoone19$17,257$7,797
Carolinas Medical Center-NortheastConcord71$36,047$7,826
Catawba Valley Medical CenterHickory11$24,746$7,828
Vidant Roanoke Chowan HospitalAhoskie16$18,851$7,891
Randolph HospitalAsheboro11$55,574$7,959
Duke Regional HospitalDurham36$21,550$8,052
Blue Ridge Healthcare Hospitals, IncMorganton15$38,418$8,123
Wakemed, Raleigh CampusRaleigh100$27,611$8,336
The Moses H. Cone Memorial HospitalGreensboro53$20,539$8,631
Ecu Health Medical CenterGreenville73$23,450$8,899
Atrium Health University CityCharlotte23$37,873$9,241
Southeastern Regional Medical CenterLumberton21$21,510$10,555
Duke University HospitalDurham59$34,829$11,659
Unc HospitalsChapel Hill45$24,187$12,661
Carolinas Medical Center/Behav HealthCharlotte65$43,645$12,976
North Carolina Baptist HospitalWinston-Salem53$32,278$14,360

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.