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Novant Health Presbyterian Medical Center

Novant Health Presbyterian Medical Center in Charlotte, NC charges 5.5x the Medicare reimbursement rate across 101 analyzed procedures, representing a significant markup for this nonprofit hospital.

Charlotte, NC 28233 · Acute Care Hospitals · CMS Rating: 4/5

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.

101 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.9x2.2x15.0x
5.5x
Medicare markup ratio
NC lowestNovant Health Presbyte...NC highest
5.5x
Avg markup ratio
5.5x
Median markup
101
Procedures
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Pricing grade

D

High

Avg markup vs Medicare

5.53x

Charge / Medicare rate

Max markup

9.58x

Worst procedure

Procedures analyzed

101

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
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$124,249$62,1259.6x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$31,468$15,7348.4x
RED BLOOD CELL DISORDERS WITHOUT MCC812$49,113$24,5568.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC027$140,844$70,4228.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$39,110$19,5557.6x
MAJOR CHEST PROCEDURES WITH CC164$145,301$72,6517.5x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$125,937$62,9697.2x
CERVICAL SPINAL FUSION WITH CC472$131,703$65,8517.1x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$173,853$86,9277x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$42,368$21,1847x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$50,372$25,1867x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$135,324$67,6626.9x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$110,870$55,4356.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$98,814$49,4076.8x
CAROTID ARTERY STENT PROCEDURES WITH CC035$89,349$44,6746.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$89,915$44,9586.7x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$102,126$51,0636.6x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$92,766$46,3836.6x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$212,533$106,2676.5x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$175,644$87,8226.5x
DISORDERS OF THE BILIARY TRACT WITH CC445$49,045$24,5236.5x
RED BLOOD CELL DISORDERS WITH MCC811$61,989$30,9946.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$196,428$98,2146.4x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$80,752$40,3766.4x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$130,298$65,1496.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$52,688$26,3446.3x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$52,721$26,3606.2x
SEIZURES WITH MCC100$79,329$39,6656.2x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$179,047$89,5246.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$82,612$41,3066.2x
DISORDERS OF THE BILIARY TRACT WITH MCC444$67,878$33,9396.1x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$203,805$101,9026.1x
PULMONARY EMBOLISM WITHOUT MCC176$31,387$15,6936x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$256,847$128,4246x
SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE457$239,337$119,6696x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$37,978$18,9896x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$41,793$20,8966x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$41,771$20,8855.9x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$76,524$38,2625.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$47,948$23,9745.8x
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC478$92,131$46,0665.8x
SEIZURES WITHOUT MCC101$36,575$18,2885.7x
CHEST PAIN313$29,113$14,5575.7x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$64,470$32,2355.7x
HYPERTENSION WITH MCC304$44,767$22,3845.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$78,345$39,1735.6x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$110,008$55,0045.5x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$27,704$13,8525.5x
EXTRACRANIAL PROCEDURES WITH CC038$60,324$30,1625.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$119,170$59,5855.5x

Showing 50 of 101 procedures

How NOVANT HEALTH PRESBYTERIAN 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 →

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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