Central Carolina Hospital
Central Carolina Hospital in Sanford, NC charges 7.1x the Medicare reimbursement rate across 17 analyzed procedures, according to our analysis of this nonprofit-private facility's pricing data.
Sanford, NC 27330 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
7.1x
Charge / Medicare rate
Max markup
8.57x
Worst procedure
Procedures analyzed
17
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 |
|---|---|---|---|---|---|
| RENAL FAILURE WITH CC | 683 | $50,358 | $25,179 | — | 8.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $42,088 | $21,044 | — | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $42,723 | $21,362 | — | 8.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $45,759 | $22,880 | — | 8.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $50,134 | $25,067 | — | 8.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $42,174 | $21,087 | — | 7.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $50,216 | $25,108 | — | 7.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $45,944 | $22,972 | — | 7.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $35,600 | $17,800 | — | 7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $52,772 | $26,386 | — | 6.9x |
| CHEST PAIN | 313 | $29,699 | $14,849 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,444 | $21,722 | — | 6.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $55,161 | $27,581 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $52,449 | $26,224 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $71,709 | $35,855 | — | 5.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $63,163 | $31,581 | — | 5.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $50,969 | $25,484 | — | 5x |
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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