Carolina East Medical Center
Carolina East Medical Center in New Bern, NC charges 3.6x the Medicare reimbursement rate across 99 analyzed procedures, representing typical pricing for a government-owned hospital.
New Bern, NC 28560 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
3.63x
Charge / Medicare rate
Max markup
6.49x
Worst procedure
Procedures analyzed
99
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $23,145 | $11,572 | — | 6.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $35,571 | $17,786 | — | 5.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $74,228 | $37,114 | — | 5.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $65,273 | $32,636 | — | 5.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $38,556 | $19,278 | — | 5.4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $216,824 | $108,412 | — | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $73,828 | $36,914 | — | 5.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $43,732 | $21,866 | — | 5.2x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $65,970 | $32,985 | — | 5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $32,231 | $16,115 | — | 5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $25,274 | $12,637 | — | 4.9x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $124,495 | $62,247 | — | 4.9x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $68,011 | $34,005 | — | 4.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,527 | $11,764 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,602 | $6,801 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,687 | $10,843 | — | 4.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $30,961 | $15,481 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,846 | $11,923 | — | 4.6x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $54,226 | $27,113 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,610 | $11,805 | — | 4.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $74,363 | $37,182 | — | 4.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $91,447 | $45,724 | — | 4.4x |
| SYNCOPE AND COLLAPSE | 312 | $26,841 | $13,420 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $29,695 | $14,847 | — | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $51,777 | $25,888 | — | 4.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $58,649 | $29,324 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $29,339 | $14,670 | — | 4.2x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $50,559 | $25,279 | — | 4.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $111,075 | $55,537 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $27,702 | $13,851 | — | 4.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $50,882 | $25,441 | — | 4x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $132,035 | $66,018 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,127 | $10,064 | — | 4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $60,867 | $30,434 | — | 4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $60,401 | $30,201 | — | 4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $24,017 | $12,009 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $43,702 | $21,851 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $20,656 | $10,328 | — | 3.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $35,913 | $17,957 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,946 | $14,473 | — | 3.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $22,233 | $11,116 | — | 3.7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $70,977 | $35,489 | — | 3.7x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $73,198 | $36,599 | — | 3.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $155,379 | $77,689 | — | 3.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $35,508 | $17,754 | — | 3.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $130,079 | $65,040 | — | 3.6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $110,574 | $55,287 | — | 3.5x |
| RENAL FAILURE WITH CC | 683 | $21,703 | $10,852 | — | 3.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,054 | $13,027 | — | 3.5x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $63,485 | $31,743 | — | 3.4x |
Showing 50 of 99 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use