CAROLINAS MEDICAL CENTER/BEHAV HEALTH
CHARLOTTE, NC 28203 · Acute Care Hospitals
220 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
220
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.9x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Government - Hospital District or Authority
Above 90th Percentile
1%
Compared to NC hospitals
Understanding Your Costs
When you receive a bill from CAROLINAS MEDICAL CENTER/BEHAV HEALTH, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, CAROLINAS MEDICAL CENTER/BEHAV HEALTH lists chargemaster rates that average 5.9x the corresponding Medicare reimbursement amount across 220 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 5.9x, this facility’s average ratio is above 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 CAROLINAS MEDICAL CENTER/BEHAV HEALTH is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $283,453, while Medicare reimburses $21,764 for the same procedure — a ratio of 13.0x (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.
3 of 220 procedures (1%) at this facility have listed rates above the 90th percentile compared to other NC hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
CAROLINAS MEDICAL CENTER/BEHAV HEALTH is a government - hospital district or authority acute care hospitals facility with a CMS quality rating of 3/5 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 | |
|---|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $283,453 | $21,764 | 13.0x | 1th | Compare your bill |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $216,581 | $20,141 | 10.8x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA | 469 | $202,668 | $19,928 | 10.2x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $120,218 | $11,888 | 10.1x | 1th | Compare your bill |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $118,943 | $12,231 | 9.7x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $147,373 | $15,259 | 9.7x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $128,527 | $13,323 | 9.7x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $110,427 | $11,491 | 9.6x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $91,779 | $10,001 | 9.2x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $91,885 | $10,079 | 9.1x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $127,251 | $14,132 | 9.0x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $44,406 | $5,068 | 8.8x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $226,266 | $26,933 | 8.4x | 1th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $211,456 | $25,296 | 8.4x | 1th | Compare your bill |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $275,716 | $33,014 | 8.3x | 1th | Compare your bill |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | 355 | $77,189 | $9,356 | 8.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $178,711 | $21,931 | 8.2x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $346,117 | $42,869 | 8.1x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $149,293 | $18,514 | 8.1x | 1th | Compare your bill |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $212,724 | $26,390 | 8.1x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $148,046 | $18,460 | 8.0x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $105,332 | $13,172 | 8.0x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $112,621 | $14,169 | 8.0x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $117,649 | $14,864 | 7.9x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $117,654 | $15,067 | 7.8x | 1th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $237,490 | $30,446 | 7.8x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $75,275 | $9,680 | 7.8x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $154,150 | $20,186 | 7.6x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $46,227 | $6,123 | 7.5x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $88,606 | $11,755 | 7.5x | 1th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $93,996 | $12,597 | 7.5x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $160,448 | $21,529 | 7.5x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $89,850 | $12,086 | 7.4x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $52,570 | $7,116 | 7.4x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $103,307 | $13,990 | 7.4x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $93,774 | $12,730 | 7.4x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $178,284 | $24,233 | 7.4x | 1th | Compare your bill |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $129,977 | $17,684 | 7.3x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $61,520 | $8,386 | 7.3x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $130,056 | $17,752 | 7.3x | 1th | Compare your bill |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | 614 | $121,977 | $16,879 | 7.2x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $155,708 | $21,730 | 7.2x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $71,177 | $9,948 | 7.2x | 1th | Compare your bill |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $88,767 | $12,471 | 7.1x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $133,831 | $18,810 | 7.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $61,172 | $8,602 | 7.1x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 457 | $297,539 | $41,899 | 7.1x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $128,956 | $18,165 | 7.1x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $125,005 | $17,735 | 7.0x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $78,903 | $11,202 | 7.0x | 1th | Compare your bill |
Showing 50 of 220 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 5.9x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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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 CAROLINAS MEDICAL CENTER/BEHAV HEALTH
How much does CAROLINAS MEDICAL CENTER/BEHAV HEALTH charge compared to Medicare?
According to CMS IPPS data, CAROLINAS MEDICAL CENTER/BEHAV HEALTH's listed chargemaster rates average 5.9x the Medicare reimbursement amount across 220 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 CAROLINAS MEDICAL CENTER/BEHAV HEALTH?
The procedure with the highest chargemaster-to-Medicare ratio at CAROLINAS MEDICAL CENTER/BEHAV HEALTH is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $283,453 compared to Medicare reimbursement of $21,764 — a ratio of 13.0x. Source: CMS IPPS Provider Summary.
Is CAROLINAS MEDICAL CENTER/BEHAV HEALTH expensive compared to other NC hospitals?
CAROLINAS MEDICAL CENTER/BEHAV HEALTH's average chargemaster-to-Medicare ratio is 5.9x. 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 CAROLINAS MEDICAL CENTER/BEHAV HEALTH 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 CAROLINAS MEDICAL CENTER/BEHAV HEALTH 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 CAROLINAS MEDICAL CENTER/BEHAV HEALTH in CHARLOTTE, NC accept Medicare?
CAROLINAS MEDICAL CENTER/BEHAV HEALTH is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact CAROLINAS MEDICAL CENTER/BEHAV HEALTH directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.