Rex Hospital
REX HOSPITAL in Raleigh, NC charges 4.2x the Medicare reimbursement rate on average across 171 procedures analyzed, reflecting the pricing structure at this government-owned facility.
Raleigh, NC 27607 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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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
4.17x
Charge / Medicare rate
Max markup
7.58x
Worst procedure
Procedures analyzed
171
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $29,079 | $14,539 | — | 7.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $25,889 | $12,945 | — | 7.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $113,243 | $56,622 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $17,724 | $8,862 | — | 6.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $70,046 | $35,023 | — | 6x |
| HYPERTENSION WITHOUT MCC | 305 | $25,846 | $12,923 | — | 6x |
| OTITIS MEDIA AND URI WITHOUT MCC | 153 | $22,969 | $11,485 | — | 6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,148 | $17,074 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $66,886 | $33,443 | — | 5.8x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $64,384 | $32,192 | — | 5.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $109,553 | $54,776 | — | 5.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,204 | $12,602 | — | 5.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $26,691 | $13,345 | — | 5.7x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $60,131 | $30,065 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $65,271 | $32,635 | — | 5.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $34,652 | $17,326 | — | 5.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $131,827 | $65,914 | — | 5.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $41,528 | $20,764 | — | 5.4x |
| SEIZURES WITHOUT MCC | 101 | $28,352 | $14,176 | — | 5.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $24,685 | $12,343 | — | 5.3x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $43,286 | $21,643 | — | 5.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $17,632 | $8,816 | — | 5.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,664 | $19,332 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,381 | $6,691 | — | 5.1x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $27,769 | $13,885 | — | 5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $21,890 | $10,945 | — | 5x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $68,587 | $34,294 | — | 5x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $55,970 | $27,985 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $16,334 | $8,167 | — | 4.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $65,974 | $32,987 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,734 | $13,867 | — | 4.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $54,084 | $27,042 | — | 4.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $121,091 | $60,545 | — | 4.9x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $26,169 | $13,085 | — | 4.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $73,493 | $36,747 | — | 4.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,292 | $10,646 | — | 4.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $32,730 | $16,365 | — | 4.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $30,391 | $15,195 | — | 4.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $41,859 | $20,929 | — | 4.7x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 987 | $107,426 | $53,713 | — | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $48,096 | $24,048 | — | 4.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $85,497 | $42,748 | — | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $20,931 | $10,466 | — | 4.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $20,876 | $10,438 | — | 4.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $21,255 | $10,627 | — | 4.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $88,962 | $44,481 | — | 4.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $47,423 | $23,712 | — | 4.6x |
| O.R. PROCEDURES FOR OBESITY WITH CC | 620 | $42,089 | $21,045 | — | 4.6x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $38,054 | $19,027 | — | 4.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $29,934 | $14,967 | — | 4.6x |
Showing 50 of 171 procedures
How REX HOSPITAL 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.
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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