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Novant Health New Hanover Regional Medical Center

Novant Health New Hanover Regional Medical Center in Wilmington, NC charges 4.2x the Medicare reimbursement rate across 224 analyzed procedures at this government-owned facility.

Wilmington, NC 28402 · Acute Care Hospitals · CMS Rating: 2/5

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

224 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.7x15.0x
4.3x
Medicare markup ratio
NC lowestNovant Health New Hano...NC highest
4.3x
Avg markup ratio
4.1x
Median markup
224
Procedures
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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

C

Average

Avg markup vs Medicare

4.25x

Charge / Medicare rate

Max markup

8.91x

Worst procedure

Procedures analyzed

224

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC621$90,261$45,1318.9x
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC328$88,754$44,3778.2x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$53,493$26,7477.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$30,146$15,0737.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$89,444$44,7226.8x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC440$22,402$11,2016.5x
GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC379$23,002$11,5016.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$81,284$40,6426.2x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$31,024$15,5126.1x
DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC446$30,204$15,1026.1x
DISORDERS OF THE BILIARY TRACT WITH CC445$41,243$20,6226.1x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC027$101,384$50,6926x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$44,587$22,2945.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC250$109,395$54,6975.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$34,405$17,2025.8x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$29,148$14,5745.8x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$18,140$9,0705.7x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$47,870$23,9355.7x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$60,682$30,3415.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$41,572$20,7865.5x
PSYCHOSES885$43,663$21,8315.4x
BRONCHITIS AND ASTHMA WITH CC/MCC202$31,393$15,6975.4x
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC205$74,059$37,0305.4x
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC283$77,322$38,6615.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$36,432$18,2165.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$45,236$22,6185.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$59,228$29,6145.2x
OTHER HEART ASSIST SYSTEM IMPLANT215$423,146$211,5735.2x
DIABETES WITH CC638$27,846$13,9235.2x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$118,578$59,2895.2x
CERVICAL SPINAL FUSION WITHOUT CC/MCC473$97,244$48,6225.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$113,064$56,5325.1x
EXTRACRANIAL PROCEDURES WITH CC038$60,581$30,2915.1x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$152,696$76,3485.1x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$27,320$13,6605.1x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$89,706$44,8535.1x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$204,461$102,2305x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$182,629$91,3145x
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$67,639$33,8205x
SYNCOPE AND COLLAPSE312$28,913$14,4565x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$142,207$71,1035x
SIGNS AND SYMPTOMS WITH MCC947$46,373$23,1875x
PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC337$50,974$25,4875x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$102,945$51,4725x
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$73,500$36,7504.9x
COAGULATION DISORDERS813$51,820$25,9104.9x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$205,823$102,9114.9x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$58,859$29,4294.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$35,927$17,9644.8x
CAROTID ARTERY STENT PROCEDURES WITH CC035$82,463$41,2314.8x

Showing 50 of 224 procedures

How NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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