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CAROLINAS MEDICAL CENTER-NORTHEAST

CONCORD, NC 28025 · Acute Care Hospitals

125 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

125

With CMS pricing data

Avg Charge-to-Medicare Ratio

6.2x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Government - Hospital District or Authority

Above 90th Percentile

0%

Compared to NC hospitals

Understanding Your Costs

When you receive a bill from CAROLINAS MEDICAL CENTER-NORTHEAST, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, CAROLINAS MEDICAL CENTER-NORTHEAST lists chargemaster rates that average 6.2x the corresponding Medicare reimbursement amount across 125 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 6.2x, 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-NORTHEAST is Coronary Bypass without Cardiac Catheterization without Major Complications (DRG 236). The listed chargemaster rate is $212,297, while Medicare reimburses $20,271 for the same procedure — a ratio of 10.5x (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.

CAROLINAS MEDICAL CENTER-NORTHEAST 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
Coronary Bypass without Cardiac Catheterization without Major Complications236$212,297$20,27110.5x
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Intracranial Hemorrhage or Cerebral Infarction without Complications066$35,353$3,6329.7x
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Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications247$112,242$11,5329.7x
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Extracranial Procedures without Complications039$66,259$7,1039.3x
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Major Small and Large Bowel Procedures without Complications331$88,566$9,5279.3x
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Revision of Hip or Knee Replacement without Complications468$153,475$16,9119.1x
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Circulatory Disorders Except Ami, with Cardiac Catheterization without Major Complications287$63,147$7,0908.9x
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Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or Comorbidities or 4 or More Arteries O246$170,099$19,1148.9x
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Acute Myocardial Infarction, Discharged Alive with Complications281$50,918$5,7558.8x
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Seizures without Major Complications101$49,111$5,5718.8x
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Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without Major Complications470$108,491$12,8898.4x
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Cardiac Arrhythmia and Conduction Disorders without Complications310$25,663$3,0688.4x
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Medical Back Problems without Major Complications552$48,171$5,9968.0x
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Extracranial Procedures with Complications038$79,277$10,0687.9x
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Other Major Cardiovascular Procedures with Complications271$171,330$22,3047.7x
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Signs and Symptoms without Major Complications948$40,179$5,2417.7x
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Laparoscopic Cholecystectomy without C.D.E. with Complications418$80,845$10,5987.6x
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Transient Ischemia without Thrombolytic069$39,587$5,2987.5x
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Poisoning and Toxic Effects of Drugs with Major Complications or Comorbidities917$82,111$11,0187.5x
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Nonspecific Cerebrovascular Disorders with Complications071$50,004$6,7187.4x
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Chest Pain313$35,236$4,7707.4x
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Hypertension without Major Complications305$33,179$4,4897.4x
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Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours065$46,376$6,2917.4x
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Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications522$98,859$13,6467.2x
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Degenerative Nervous System Disorders without Major Complications057$63,363$8,7597.2x
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Complications of Treatment with Complications920$45,682$6,3457.2x
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Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without Major Complications563$38,471$5,4107.1x
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Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications269$206,656$29,1757.1x
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Spinal Fusion Except Cervical without Major Complications460$167,836$24,0237.0x
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Psychoses885$54,800$7,8637.0x
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Dysequilibrium149$34,770$5,0146.9x
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Syncope and Collapse312$39,975$5,7666.9x
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Interstitial Lung Disease with Major Complications or Comorbidities196$70,560$10,2026.9x
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Peripheral Vascular Disorders with Complications300$46,382$6,7436.9x
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Hip and Femur Procedures Except Major Joint with Complications481$96,609$14,1546.8x
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Revision of Hip or Knee Replacement with Complications467$154,072$22,9876.7x
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Diabetes with Complications638$35,795$5,3466.7x
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Kidney and Urinary Tract Infections with Major Complications or Comorbidities689$49,177$7,3356.7x
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Seizures with Major Complications or Comorbidities100$93,848$14,1256.6x
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Hypertension with Major Complications or Comorbidities304$52,965$8,1356.5x
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Fractures of Hip and Pelvis without Major Complications536$32,041$4,9426.5x
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Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications641$32,548$5,0306.5x
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Other Vascular Procedures with Complications253$112,990$17,5486.4x
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Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications872$39,059$6,0966.4x
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Major Small and Large Bowel Procedures with Complications330$96,079$15,2106.3x
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Combined Anterior and Posterior Spinal Fusion without Complications455$229,091$36,2946.3x
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Organic Disturbances and Intellectual Disability884$57,880$9,1686.3x
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Circulatory Disorders Except Ami, with Cardiac Catheterization with Major Complications or Comorbidities286$89,910$14,2706.3x
1th
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Kidney and Ureter Procedures for Non-Neoplasm with Complications660$51,782$8,2516.3x
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Renal Failure with Complications683$36,117$5,7576.3x
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Showing 50 of 125 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

1.2x
Median: 4.3x
8.8x
6.2x

78 hospitals in NC report pricing data to CMS. This facility's average ratio of 6.2x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

Compare Your Bill

Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About CAROLINAS MEDICAL CENTER-NORTHEAST

How much does CAROLINAS MEDICAL CENTER-NORTHEAST charge compared to Medicare?

According to CMS IPPS data, CAROLINAS MEDICAL CENTER-NORTHEAST's listed chargemaster rates average 6.2x the Medicare reimbursement amount across 125 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-NORTHEAST?

The procedure with the highest chargemaster-to-Medicare ratio at CAROLINAS MEDICAL CENTER-NORTHEAST is Coronary Bypass without Cardiac Catheterization without Major Complications (DRG 236), with a listed charge of $212,297 compared to Medicare reimbursement of $20,271 — a ratio of 10.5x. Source: CMS IPPS Provider Summary.

Is CAROLINAS MEDICAL CENTER-NORTHEAST expensive compared to other NC hospitals?

CAROLINAS MEDICAL CENTER-NORTHEAST's average chargemaster-to-Medicare ratio is 6.2x. 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-NORTHEAST 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-NORTHEAST 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-NORTHEAST in CONCORD, NC accept Medicare?

CAROLINAS MEDICAL CENTER-NORTHEAST is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact CAROLINAS MEDICAL CENTER-NORTHEAST directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.