CAPE FEAR VALLEY MEDICAL CENTER
FAYETTEVILLE, NC 28302 · Acute Care Hospitals
114 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
114
With CMS pricing data
Avg Charge-to-Medicare Ratio
3.8x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to NC hospitals
Understanding Your Costs
When you receive a bill from CAPE FEAR VALLEY MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, CAPE FEAR VALLEY MEDICAL CENTER lists chargemaster rates that average 3.8x the corresponding Medicare reimbursement amount across 114 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NC has a chargemaster-to-Medicare ratio of 4.3x, with ratios across the state ranging from 1.2x to 8.8x. At 3.8x, this facility’s average ratio is below the state median. 78 hospitals in NC report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at CAPE FEAR VALLEY MEDICAL CENTER is Endovascular Cardiac Valve Replacement and Supplement Procedures without Major Complications (DRG 267). The listed chargemaster rate is $272,413, while Medicare reimburses $39,156 for the same procedure — a ratio of 7.0x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
CAPE FEAR VALLEY MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 1/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Endovascular Cardiac Valve Replacement and Supplement Procedures without Major Complications | 267 | $272,413 | $39,156 | 7.0x | 1th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Intraluminal Device without Major Complications | 322 | $94,338 | $13,964 | 6.8x | 0th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications | 247 | $94,694 | $14,138 | 6.7x | 0th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or Comorbidities or 4 or More Arteries O | 246 | $153,479 | $23,163 | 6.6x | 1th | Compare your bill |
| Disorders of the Biliary Tract with Complications | 445 | $55,610 | $8,639 | 6.4x | 1th | Compare your bill |
| Circulatory Disorders Except Ami, with Cardiac Catheterization without Major Complications | 287 | $43,551 | $7,788 | 5.6x | 0th | Compare your bill |
| Permanent Cardiac Pacemaker Implant with Complications | 243 | $94,520 | $17,027 | 5.5x | 1th | Compare your bill |
| Dysequilibrium | 149 | $31,368 | $5,745 | 5.5x | 0th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Complications | 281 | $33,622 | $6,519 | 5.2x | 0th | Compare your bill |
| Revision of Hip or Knee Replacement with Complications | 467 | $131,020 | $25,730 | 5.1x | 1th | Compare your bill |
| Transient Ischemia without Thrombolytic | 069 | $29,690 | $5,870 | 5.1x | 0th | Compare your bill |
| Other Musculoskeletal System and Connective Tissue Operating Room Procedures with Complications | 516 | $80,705 | $16,260 | 5.0x | 0th | Compare your bill |
| Pulmonary Embolism with Major Complications or Comorbidities or Acute Cor Pulmonale | 175 | $49,691 | $10,043 | 5.0x | 0th | Compare your bill |
| Permanent Cardiac Pacemaker Implant with Major Complications or Comorbidities | 242 | $136,160 | $28,152 | 4.8x | 1th | Compare your bill |
| Seizures without Major Complications | 101 | $29,766 | $6,285 | 4.7x | 0th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders without Complications | 310 | $18,386 | $3,888 | 4.7x | 0th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction without Complications | 066 | $24,279 | $5,162 | 4.7x | 0th | Compare your bill |
| Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major Complications or Comorbidities | 981 | $146,411 | $31,646 | 4.6x | 0th | Compare your bill |
| Chest Pain | 313 | $24,706 | $5,363 | 4.6x | 0th | Compare your bill |
| Other Vascular Procedures with Major Complications or Comorbidities | 252 | $105,697 | $22,957 | 4.6x | 0th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours | 065 | $33,068 | $7,280 | 4.5x | 0th | Compare your bill |
| Traumatic Stupor and Coma <1 Hour with Complications | 086 | $42,087 | $9,273 | 4.5x | 0th | Compare your bill |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications | 493 | $81,202 | $18,020 | 4.5x | 0th | Compare your bill |
| Respiratory Neoplasms with Major Complications or Comorbidities | 180 | $59,127 | $13,353 | 4.4x | 0th | Compare your bill |
| Nonspecific Cerebrovascular Disorders with Major Complications or Comorbidities | 070 | $55,202 | $12,596 | 4.4x | 0th | Compare your bill |
| Circulatory Disorders Except Ami, with Cardiac Catheterization with Major Complications or Comorbidities | 286 | $73,217 | $16,701 | 4.4x | 0th | Compare your bill |
| Hypertension without Major Complications | 305 | $23,983 | $5,515 | 4.3x | 0th | Compare your bill |
| Atherosclerosis without Major Complications | 303 | $22,695 | $5,244 | 4.3x | 0th | Compare your bill |
| Major Chest Procedures with Major Complications or Comorbidities | 163 | $163,856 | $38,180 | 4.3x | 0th | Compare your bill |
| Degenerative Nervous System Disorders without Major Complications | 057 | $39,216 | $9,291 | 4.2x | 0th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities | 308 | $39,295 | $9,417 | 4.2x | 0th | Compare your bill |
| Kidney and Urinary Tract Infections with Major Complications or Comorbidities | 689 | $33,661 | $8,270 | 4.1x | 0th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Complications | 309 | $22,488 | $5,577 | 4.0x | 0th | Compare your bill |
| Carotid Artery Stent Procedures with Complications | 035 | $72,256 | $17,915 | 4.0x | 0th | Compare your bill |
| Pulmonary Embolism without Major Complications | 176 | $25,808 | $6,424 | 4.0x | 0th | Compare your bill |
| Hypertension with Major Complications or Comorbidities | 304 | $33,804 | $8,448 | 4.0x | 0th | Compare your bill |
| Other Major Cardiovascular Procedures with Major Complications or Comorbidities | 270 | $159,219 | $39,863 | 4.0x | 0th | Compare your bill |
| Other Kidney and Urinary Tract Procedures with Major Complications or Comorbidities | 673 | $99,516 | $25,156 | 4.0x | 0th | Compare your bill |
| Poisoning and Toxic Effects of Drugs without Major Complications | 918 | $21,317 | $5,429 | 3.9x | 0th | Compare your bill |
| Disorders of Pancreas Except Malignancy with Complications | 439 | $26,276 | $6,711 | 3.9x | 0th | Compare your bill |
| Endocrine Disorders with Complications | 644 | $30,235 | $7,745 | 3.9x | 0th | Compare your bill |
| Gastrointestinal Obstruction with Major Complications or Comorbidities | 388 | $41,152 | $10,604 | 3.9x | 0th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $22,733 | $5,873 | 3.9x | 0th | Compare your bill |
| Degenerative Nervous System Disorders with Major Complications or Comorbidities | 056 | $57,945 | $15,116 | 3.8x | 0th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Major Complications or Comorbidities | 064 | $54,824 | $14,337 | 3.8x | 0th | Compare your bill |
| Medical Back Problems without Major Complications | 552 | $26,278 | $6,912 | 3.8x | 0th | Compare your bill |
| Diabetes with Complications | 638 | $25,636 | $6,777 | 3.8x | 0th | Compare your bill |
| Respiratory System Diagnosis with Ventilator Support up to 96 Hours | 208 | $77,773 | $20,761 | 3.8x | 0th | Compare your bill |
| Syncope and Collapse | 312 | $24,706 | $6,583 | 3.8x | 0th | Compare your bill |
| Seizures with Major Complications or Comorbidities | 100 | $55,346 | $14,818 | 3.7x | 0th | Compare your bill |
Showing 50 of 114 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NC hospitals
78 hospitals in NC report pricing data to CMS. This facility's average ratio of 3.8x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About CAPE FEAR VALLEY MEDICAL CENTER
How much does CAPE FEAR VALLEY MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, CAPE FEAR VALLEY MEDICAL CENTER's listed chargemaster rates average 3.8x the Medicare reimbursement amount across 114 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at CAPE FEAR VALLEY MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at CAPE FEAR VALLEY MEDICAL CENTER is Endovascular Cardiac Valve Replacement and Supplement Procedures without Major Complications (DRG 267), with a listed charge of $272,413 compared to Medicare reimbursement of $39,156 — a ratio of 7.0x. Source: CMS IPPS Provider Summary.
Is CAPE FEAR VALLEY MEDICAL CENTER expensive compared to other NC hospitals?
CAPE FEAR VALLEY MEDICAL CENTER's average chargemaster-to-Medicare ratio is 3.8x. Ratios vary significantly across NC hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for CAPE FEAR VALLEY MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from CAPE FEAR VALLEY MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does CAPE FEAR VALLEY MEDICAL CENTER in FAYETTEVILLE, NC accept Medicare?
CAPE FEAR VALLEY MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact CAPE FEAR VALLEY MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.