Novant Health Matthews Medical Center
NOVANT HEALTH MATTHEWS MEDICAL CENTER in Matthews, NC charges 5.5x the Medicare reimbursement rate on average across 51 analyzed procedures at this nonprofit facility.
Matthews, NC 28106 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.52x
Charge / Medicare rate
Max markup
8.49x
Worst procedure
Procedures analyzed
51
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $46,575 | $23,288 | — | 8.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,777 | $24,888 | — | 8.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $83,267 | $41,633 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,596 | $11,298 | — | 7.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $85,051 | $42,525 | — | 7.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $70,283 | $35,142 | — | 7.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $31,852 | $15,926 | — | 6.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $67,981 | $33,990 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $49,378 | $24,689 | — | 6.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $87,959 | $43,980 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,720 | $13,860 | — | 6.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $81,173 | $40,586 | — | 6.3x |
| RENAL FAILURE WITH CC | 683 | $32,234 | $16,117 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $31,861 | $15,930 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,884 | $18,942 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $66,885 | $33,442 | — | 6.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,787 | $13,893 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $47,012 | $23,506 | — | 6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,722 | $13,361 | — | 5.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $31,600 | $15,800 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,846 | $17,923 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $75,742 | $37,871 | — | 5.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $87,580 | $43,790 | — | 5.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,770 | $12,885 | — | 5.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $56,677 | $28,339 | — | 5.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,504 | $15,752 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,768 | $18,884 | — | 5.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,502 | $14,751 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $21,904 | $10,952 | — | 5.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,771 | $19,386 | — | 5.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $40,921 | $20,461 | — | 4.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,596 | $19,798 | — | 4.9x |
| DIABETES WITH CC | 638 | $26,171 | $13,086 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $58,133 | $29,067 | — | 4.9x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $26,983 | $13,492 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $85,753 | $42,876 | — | 4.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $46,200 | $23,100 | — | 4.8x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $28,586 | $14,293 | — | 4.5x |
| CELLULITIS WITHOUT MCC | 603 | $25,432 | $12,716 | — | 4.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $29,790 | $14,895 | — | 4.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $127,595 | $63,798 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $26,945 | $13,472 | — | 4.4x |
| HYPERTENSION WITHOUT MCC | 305 | $18,846 | $9,423 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $50,129 | $25,064 | — | 4.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $33,844 | $16,922 | — | 4.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $121,475 | $60,738 | — | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $75,777 | $37,888 | — | 4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $36,521 | $18,260 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $32,556 | $16,278 | — | 3.9x |
| RENAL FAILURE WITH MCC | 682 | $35,784 | $17,892 | — | 3.8x |
Showing 50 of 51 procedures
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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