Novant Health Huntersville Medical Center
Novant Health Huntersville Medical Center in Huntersville, NC charges 5.5x the Medicare reimbursement rate across 49 analyzed procedures, reflecting pricing patterns common among nonprofit private hospitals.
Huntersville, NC 28078 · Acute Care Hospitals · CMS Rating: 4/5
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.
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Pricing grade
D
High
Avg markup vs Medicare
5.48x
Charge / Medicare rate
Max markup
8.51x
Worst procedure
Procedures analyzed
49
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 |
|---|---|---|---|---|---|
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $32,888 | $16,444 | — | 8.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,279 | $20,639 | — | 7.8x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $57,753 | $28,877 | — | 7.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $91,514 | $45,757 | — | 7.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $79,687 | $39,843 | — | 7.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $98,728 | $49,364 | — | 7.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $113,583 | $56,791 | — | 7.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,811 | $24,906 | — | 6.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,272 | $16,136 | — | 6.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $52,804 | $26,402 | — | 6.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,941 | $17,470 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,162 | $10,081 | — | 6.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $67,793 | $33,897 | — | 6.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $93,158 | $46,579 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,903 | $18,951 | — | 6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $77,990 | $38,995 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $52,859 | $26,430 | — | 5.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $47,512 | $23,756 | — | 5.7x |
| CHEST PAIN | 313 | $24,791 | $12,395 | — | 5.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $31,236 | $15,618 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,888 | $11,944 | — | 5.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $158,696 | $79,348 | — | 5.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $38,070 | $19,035 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,415 | $14,207 | — | 5.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $176,030 | $88,015 | — | 5.4x |
| SYNCOPE AND COLLAPSE | 312 | $28,386 | $14,193 | — | 5.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $29,512 | $14,756 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,687 | $13,343 | — | 5.3x |
| DIABETES WITH CC | 638 | $28,100 | $14,050 | — | 5.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $33,522 | $16,761 | — | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $92,385 | $46,192 | — | 4.9x |
| CELLULITIS WITHOUT MCC | 603 | $25,100 | $12,550 | — | 4.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $66,476 | $33,238 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,409 | $15,205 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $36,789 | $18,394 | — | 4.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,794 | $18,897 | — | 4.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,587 | $13,793 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $24,337 | $12,168 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $53,665 | $26,833 | — | 4.5x |
| RENAL FAILURE WITH CC | 683 | $25,558 | $12,779 | — | 4.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,985 | $17,993 | — | 4.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $80,398 | $40,199 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $47,408 | $23,704 | — | 4.1x |
| RENAL FAILURE WITH MCC | 682 | $41,057 | $20,528 | — | 4.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $32,059 | $16,030 | — | 4.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $23,756 | $11,878 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $29,857 | $14,928 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $29,596 | $14,798 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $41,791 | $20,896 | — | 3.7x |
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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