US Health Care Costs

Pneumonia, with major complications in North Carolina

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$36,881typical hospital bill
$10,733typical amount paid
$7,745–$32,122range paid across 72 hospitals

North Carolina hospitals billed Medicare a typical $36,881 for this stay in 2024, about 3.4 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
Novant Health Ballantyne Medical CenterCharlotte22$30,630$7,745
Wakemed, Cary HospitalCary69$47,516$8,983
Frye Regional Medical CenterHickory59$64,485$9,070
Rex HospitalRaleigh91$28,781$9,314
Duke Health Lake Norman HospitalMooresville32$57,740$9,347
Columbus Regional Healthcare SystemWhiteville15$37,402$9,494
Northern Regional HospitalMount Airy78$16,120$9,507
Haywood Regional Medical CenterClyde60$51,065$9,513
Novant Health Matthews Medical CenterMatthews37$36,557$9,538
Unc Health NashRocky Mount48$36,851$9,541
Iredell Memorial Hospital IncStatesville87$58,186$9,689
Firsthealth Moore Regional HospitalPinehurst92$46,730$9,692
Caldwell Memorial HospitalLenoir32$28,678$9,705
Pardee Hospital Henderson CountyHendersonville16$36,394$9,765
Johnston HealthSmithfield50$37,230$9,818
Atrium Health PinevilleCharlotte126$53,033$9,867
Novant Health Mint Hill Medical CenterCharlotte23$38,809$9,936
Unc Lenoir Health CareKinston47$19,957$9,987
High Point Regional Health SystemHigh Point43$35,204$9,997
AdventHealth HendersonvilleHendersonville47$30,532$10,034
Novant Health Brunswick Medical CenterSupply47$31,685$10,069
Wilkes Regional Medical CenterNorth Wilkesboro22$36,911$10,099
Caromont Regional Medical CenterGastonia41$50,885$10,103
Rutherford Regional Medical CenterRutherfordton23$50,386$10,274
Atrium Health UnionMonroe78$43,889$10,318
Novant Health Rowan Medical CenterSalisbury54$39,884$10,323
Novant Health Huntersville Medical CenterHuntersville58$31,977$10,411
Novant Health Forsyth Medical CenterWinston-Salem201$37,780$10,434
Lexington Memorial Hospital IncLexington18$24,689$10,491
Harris Regional HospitalSylva38$40,360$10,494
Maria Parham Medical CenterHenderson21$52,254$10,495
Scotland Memorial HospitalLaurinburg28$40,113$10,579
Atrium Health ClevelandShelby75$54,447$10,638
Central Carolina HospitalSanford21$50,657$10,640
Catawba Valley Medical CenterHickory53$33,963$10,724
Memorial Mission Hospital and Asheville Surgery CeAsheville158$43,138$10,732
Stanly Regional Medical CenterAlbemarle51$46,526$10,734
Novant Health Presbyterian Medical CenterCharlotte56$43,576$10,777
Wilson Medical CenterWilson32$47,222$10,782
Hugh Chatham Memorial HospitalElkin36$38,191$10,866
Duke Health Raleigh HospitalRaleigh22$34,357$10,889
Carolinas Medical Center-NortheastConcord123$50,068$10,902
Alamance Regional Medical CenterBurlington40$30,868$10,939
Granville Health SystemsOxford15$31,724$11,073
Randolph HospitalAsheboro43$61,138$11,085
Onslow Memorial HospitalJacksonville92$35,910$11,117
Unc Health Care WayneGoldsboro57$31,930$11,148
Carolina East Medical CenterNew Bern116$28,650$11,164
Cape Fear Valley Medical CenterFayetteville89$28,541$11,186
Cape Fear Valley Hoke HospitalRaeford11$24,765$11,204
Carteret General HospitalMorehead City44$19,400$11,206
Novant Health New Hanover Regional Medical CenterWilmington211$35,254$11,331
Blue Ridge Healthcare Hospitals, IncMorganton42$43,873$11,374
Sentara Albemarle Medical CenterElizabeth City49$33,465$11,548
Duke Regional HospitalDurham50$30,633$11,564
Wakemed, Raleigh CampusRaleigh119$40,349$11,728
The Moses H. Cone Memorial HospitalGreensboro162$31,651$11,753
Ecu Health North HospitalRoanoke Rapids16$30,428$11,763
Vidant Edgecombe HospitalTarboro15$30,168$11,838
Atrium Health University CityCharlotte26$56,075$11,866
Watauga Medical CenterBoone35$27,936$12,112
Atrium Health LincolnLincolnton61$40,552$12,203
Novant Health Thomasville Medical CenterThomasville34$33,498$12,320
Betsy Johnson Regional HospitalDunn37$27,523$12,478
Ecu Health Medical CenterGreenville64$29,972$12,766
The McDowell HospitalMarion37$34,255$12,936
Southeastern Regional Medical CenterLumberton58$32,771$14,438
Sampson Regional Medical CenterClinton30$21,798$15,214
Duke University HospitalDurham90$42,747$17,521
Carolinas Medical Center/Behav HealthCharlotte106$57,839$17,765
Unc HospitalsChapel Hill66$41,951$19,683
North Carolina Baptist HospitalWinston-Salem57$91,652$32,122

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.