NORTH CAROLINA BAPTIST HOSPITAL
WINSTON-SALEM, NC 27157 · Acute Care Hospitals
172 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
172
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.0x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
1%
Compared to NC hospitals
Understanding Your Costs
When you receive a bill from NORTH CAROLINA BAPTIST HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, NORTH CAROLINA BAPTIST HOSPITAL lists chargemaster rates that average 5.0x the corresponding Medicare reimbursement amount across 172 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 5.0x, 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 NORTH CAROLINA BAPTIST HOSPITAL is KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC (DRG 651). The listed chargemaster rate is $287,341, while Medicare reimburses $22,123 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.
1 of 172 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).
NORTH CAROLINA BAPTIST HOSPITAL is a voluntary non-profit - private 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 WITH HEMODIALYSIS WITHOUT MCC | 651 | $287,341 | $22,123 | 13.0x | 0th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $246,319 | $19,142 | 12.9x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $211,307 | $21,609 | 9.8x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $278,923 | $33,671 | 8.3x | 0th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $91,293 | $11,531 | 7.9x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $74,638 | $9,525 | 7.8x | 1th | Compare your bill |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $157,590 | $20,558 | 7.7x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $111,762 | $14,746 | 7.6x | 1th | Compare your bill |
| TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | 012 | $217,813 | $29,096 | 7.5x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $134,220 | $18,141 | 7.4x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $231,598 | $31,390 | 7.4x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $227,084 | $30,829 | 7.4x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $308,150 | $41,802 | 7.4x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $154,498 | $21,055 | 7.3x | 1th | Compare your bill |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $154,621 | $21,306 | 7.3x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $88,513 | $12,218 | 7.2x | 1th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $186,364 | $25,959 | 7.2x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $114,834 | $16,018 | 7.2x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $131,801 | $18,400 | 7.2x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $83,651 | $11,680 | 7.2x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $133,821 | $19,144 | 7.0x | 1th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $95,884 | $13,926 | 6.9x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $201,417 | $29,228 | 6.9x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $133,334 | $19,580 | 6.8x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $95,555 | $14,065 | 6.8x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $48,457 | $7,248 | 6.7x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $150,348 | $22,550 | 6.7x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $130,676 | $19,849 | 6.6x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | 958 | $232,856 | $35,631 | 6.5x | 1th | Compare your bill |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $157,220 | $24,163 | 6.5x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $158,071 | $24,421 | 6.5x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $258,930 | $41,044 | 6.3x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $56,362 | $8,937 | 6.3x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $107,114 | $17,212 | 6.2x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $129,158 | $20,813 | 6.2x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $176,847 | $28,758 | 6.2x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $67,477 | $10,994 | 6.1x | 1th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $192,995 | $31,778 | 6.1x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $194,702 | $32,680 | 6.0x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $161,172 | $27,243 | 5.9x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $283,509 | $48,253 | 5.9x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $101,737 | $17,361 | 5.9x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | 357 | $109,416 | $18,806 | 5.8x | 1th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $202,538 | $34,923 | 5.8x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $462,278 | $79,915 | 5.8x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $83,165 | $14,650 | 5.7x | 0th | Compare your bill |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | 614 | $131,665 | $23,224 | 5.7x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $216,185 | $38,179 | 5.7x | 1th | Compare your bill |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $94,669 | $16,802 | 5.6x | 0th | Compare your bill |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $48,470 | $8,639 | 5.6x | 1th | Compare your bill |
Showing 50 of 172 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 5.0x places it at the lower-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 NORTH CAROLINA BAPTIST HOSPITAL
How much does NORTH CAROLINA BAPTIST HOSPITAL charge compared to Medicare?
According to CMS IPPS data, NORTH CAROLINA BAPTIST HOSPITAL's listed chargemaster rates average 5.0x the Medicare reimbursement amount across 172 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 NORTH CAROLINA BAPTIST HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at NORTH CAROLINA BAPTIST HOSPITAL is KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC (DRG 651), with a listed charge of $287,341 compared to Medicare reimbursement of $22,123 — a ratio of 13.0x. Source: CMS IPPS Provider Summary.
Is NORTH CAROLINA BAPTIST HOSPITAL expensive compared to other NC hospitals?
NORTH CAROLINA BAPTIST HOSPITAL's average chargemaster-to-Medicare ratio is 5.0x. 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 NORTH CAROLINA BAPTIST HOSPITAL 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 NORTH CAROLINA BAPTIST HOSPITAL 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 NORTH CAROLINA BAPTIST HOSPITAL in WINSTON-SALEM, NC accept Medicare?
NORTH CAROLINA BAPTIST HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact NORTH CAROLINA BAPTIST HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.