UNC Health Nash
UNC HEALTH NASH in Rocky Mount, NC charges 4.7x the Medicare reimbursement rate across 76 analyzed procedures at this government-owned hospital.
Rocky Mount, NC 27804 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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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
4.65x
Charge / Medicare rate
Max markup
7.05x
Worst procedure
Procedures analyzed
76
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 | $28,203 | $14,101 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $78,866 | $39,433 | — | 7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $39,891 | $19,946 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $34,781 | $17,391 | — | 6.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,738 | $14,869 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $31,817 | $15,908 | — | 6.4x |
| DIABETES WITH CC | 638 | $31,296 | $15,648 | — | 6.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $33,472 | $16,736 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,997 | $8,999 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,120 | $17,060 | — | 5.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $18,599 | $9,300 | — | 5.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $32,269 | $16,135 | — | 5.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,393 | $14,197 | — | 5.7x |
| HYPERTENSION WITHOUT MCC | 305 | $24,799 | $12,400 | — | 5.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $26,243 | $13,122 | — | 5.7x |
| CHEST PAIN | 313 | $20,638 | $10,319 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,527 | $13,263 | — | 5.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $42,427 | $21,214 | — | 5.5x |
| SEIZURES WITHOUT MCC | 101 | $28,153 | $14,077 | — | 5.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $23,302 | $11,651 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $24,692 | $12,346 | — | 5.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $30,721 | $15,360 | — | 5.3x |
| SYNCOPE AND COLLAPSE | 312 | $29,047 | $14,524 | — | 5.2x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $18,028 | $9,014 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,922 | $11,961 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $88,005 | $44,002 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,868 | $10,934 | — | 4.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $35,597 | $17,799 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $35,395 | $17,697 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $39,843 | $19,922 | — | 4.7x |
| CELLULITIS WITHOUT MCC | 603 | $21,751 | $10,875 | — | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $61,586 | $30,793 | — | 4.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $24,563 | $12,281 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $40,842 | $20,421 | — | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $60,498 | $30,249 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $51,785 | $25,893 | — | 4.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $52,710 | $26,355 | — | 4.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,073 | $11,037 | — | 4.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,940 | $13,970 | — | 4.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $24,967 | $12,484 | — | 4.3x |
| DIABETES WITH MCC | 637 | $34,488 | $17,244 | — | 4.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $49,229 | $24,614 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,974 | $14,487 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $25,128 | $12,564 | — | 4.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $20,211 | $10,106 | — | 4.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $90,883 | $45,442 | — | 4.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $40,612 | $20,306 | — | 4.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $31,871 | $15,935 | — | 4.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $56,117 | $28,058 | — | 4.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $126,199 | $63,099 | — | 4.2x |
Showing 50 of 76 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