Carolinas Medical Center-northeast
Carolinas Medical Center-Northeast in Concord, NC charges 6.2x the Medicare reimbursement rate across 125 analyzed procedures, reflecting this government-owned hospital's pricing structure.
Concord, NC 28025 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
No credit card required. Results in 60 seconds.
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
D
High
Avg markup vs Medicare
6.18x
Charge / Medicare rate
Max markup
10.47x
Worst procedure
Procedures analyzed
125
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 |
|---|---|---|---|---|---|
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $212,297 | $106,148 | — | 10.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $35,353 | $17,677 | — | 9.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $112,242 | $56,121 | — | 9.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $66,259 | $33,129 | — | 9.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $88,566 | $44,283 | — | 9.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $153,475 | $76,738 | — | 9.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,147 | $31,574 | — | 8.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $170,099 | $85,049 | — | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $50,918 | $25,459 | — | 8.9x |
| SEIZURES WITHOUT MCC | 101 | $49,111 | $24,556 | — | 8.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $108,491 | $54,245 | — | 8.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,663 | $12,831 | — | 8.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $48,171 | $24,086 | — | 8x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $79,277 | $39,639 | — | 7.9x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $171,330 | $85,665 | — | 7.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $40,179 | $20,090 | — | 7.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $80,845 | $40,423 | — | 7.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $39,587 | $19,794 | — | 7.5x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $82,111 | $41,056 | — | 7.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $50,004 | $25,002 | — | 7.4x |
| CHEST PAIN | 313 | $35,236 | $17,618 | — | 7.4x |
| HYPERTENSION WITHOUT MCC | 305 | $33,179 | $16,589 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $46,376 | $23,188 | — | 7.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $98,859 | $49,430 | — | 7.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $63,363 | $31,681 | — | 7.2x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $45,682 | $22,841 | — | 7.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $38,471 | $19,236 | — | 7.1x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $206,656 | $103,328 | — | 7.1x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $167,836 | $83,918 | — | 7x |
| PSYCHOSES | 885 | $54,800 | $27,400 | — | 7x |
| DYSEQUILIBRIUM | 149 | $34,770 | $17,385 | — | 6.9x |
| SYNCOPE AND COLLAPSE | 312 | $39,975 | $19,988 | — | 6.9x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $70,560 | $35,280 | — | 6.9x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $46,382 | $23,191 | — | 6.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $96,609 | $48,305 | — | 6.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $154,072 | $77,036 | — | 6.7x |
| DIABETES WITH CC | 638 | $35,795 | $17,897 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $49,177 | $24,589 | — | 6.7x |
| SEIZURES WITH MCC | 100 | $93,848 | $46,924 | — | 6.6x |
| HYPERTENSION WITH MCC | 304 | $52,965 | $26,482 | — | 6.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $32,041 | $16,021 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,548 | $16,274 | — | 6.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $112,990 | $56,495 | — | 6.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,059 | $19,529 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $96,079 | $48,040 | — | 6.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $229,091 | $114,545 | — | 6.3x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $57,880 | $28,940 | — | 6.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $89,910 | $44,955 | — | 6.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $51,782 | $25,891 | — | 6.3x |
| RENAL FAILURE WITH CC | 683 | $36,117 | $18,059 | — | 6.3x |
Showing 50 of 125 procedures
Got a bill from CAROLINAS MEDICAL CENTER-NORTHEAST?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — government hospital billing
How do government hospital billing rates compare to Medicare benchmarks?
Why do government hospitals charge above Medicare rates if they're publicly owned?
What should I expect when reviewing a government hospital bill?
Are there potential billing differences between government hospitals and other facility types?
Related pricing data
Got a bill from Carolinas Medical Center-northeast?
Free guides to help you take action
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