UNC HOSPITALS
CHAPEL HILL, NC 27514 · Acute Care Hospitals
169 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
169
With CMS pricing data
Avg Charge-to-Medicare Ratio
3.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Government - State
Above 90th Percentile
1%
Compared to NC hospitals
Understanding Your Costs
When you receive a bill from UNC HOSPITALS, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, UNC HOSPITALS lists chargemaster rates that average 3.5x the corresponding Medicare reimbursement amount across 169 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NC has a chargemaster-to-Medicare ratio of 4.3x, with ratios across the state ranging from 1.2x to 8.8x. At 3.5x, this facility’s average ratio is below the state median. 78 hospitals in NC report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at UNC HOSPITALS is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $223,208, while Medicare reimburses $26,137 for the same procedure — a ratio of 8.5x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
1 of 169 procedures (1%) at this facility have listed rates above the 90th percentile compared to other NC hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
UNC HOSPITALS is a government - state acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $223,208 | $26,137 | 8.5x | 0th | Compare your bill |
| SEIZURES WITH MCC | 100 | $106,712 | $17,338 | 6.2x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $227,580 | $42,022 | 5.4x | 0th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $71,865 | $13,633 | 5.3x | 0th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $82,211 | $15,673 | 5.3x | 0th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $77,005 | $15,349 | 5.0x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $64,784 | $13,106 | 4.9x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $99,934 | $20,463 | 4.9x | 1th | Compare your bill |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $86,990 | $18,248 | 4.8x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $54,519 | $11,569 | 4.7x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $38,769 | $8,288 | 4.7x | 0th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $73,789 | $15,755 | 4.7x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $95,167 | $20,605 | 4.6x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $42,889 | $9,281 | 4.6x | 0th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $45,129 | $9,790 | 4.6x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $42,518 | $9,348 | 4.5x | 1th | Compare your bill |
| HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | 001 | $1,527,723 | $344,102 | 4.4x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $79,441 | $17,973 | 4.4x | 0th | Compare your bill |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $72,951 | $16,768 | 4.3x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $77,838 | $17,978 | 4.3x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $43,562 | $10,059 | 4.3x | 1th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $49,072 | $11,355 | 4.3x | 1th | Compare your bill |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $282,299 | $65,997 | 4.3x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $99,107 | $23,194 | 4.3x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $33,095 | $7,746 | 4.3x | 0th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $35,483 | $8,424 | 4.2x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $32,231 | $7,669 | 4.2x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,536 | $9,200 | 4.2x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $35,689 | $8,527 | 4.2x | 1th | Compare your bill |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $81,980 | $19,614 | 4.2x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $35,327 | $8,477 | 4.2x | 0th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $52,829 | $12,720 | 4.2x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,280 | $5,636 | 4.1x | 1th | Compare your bill |
| COAGULATION DISORDERS | 813 | $179,761 | $43,734 | 4.1x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $43,348 | $10,732 | 4.0x | 0th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $76,392 | $18,944 | 4.0x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $66,026 | $16,632 | 4.0x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $66,739 | $16,922 | 3.9x | 0th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $63,498 | $16,180 | 3.9x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $46,872 | $11,947 | 3.9x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $64,212 | $16,480 | 3.9x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,787 | $12,029 | 3.9x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $28,023 | $7,197 | 3.9x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,004 | $9,306 | 3.9x | 0th | Compare your bill |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $102,013 | $26,527 | 3.9x | 1th | Compare your bill |
| PLEURAL EFFUSION WITH MCC | 186 | $54,253 | $14,110 | 3.9x | 0th | Compare your bill |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $611,114 | $159,431 | 3.8x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $56,090 | $14,652 | 3.8x | 0th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,444 | $7,680 | 3.8x | 0th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $74,879 | $19,715 | 3.8x | 1th | Compare your bill |
Showing 50 of 169 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NC hospitals
78 hospitals in NC report pricing data to CMS. This facility's average ratio of 3.5x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About UNC HOSPITALS
How much does UNC HOSPITALS charge compared to Medicare?
According to CMS IPPS data, UNC HOSPITALS's listed chargemaster rates average 3.5x the Medicare reimbursement amount across 169 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at UNC HOSPITALS?
The procedure with the highest chargemaster-to-Medicare ratio at UNC HOSPITALS is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $223,208 compared to Medicare reimbursement of $26,137 — a ratio of 8.5x. Source: CMS IPPS Provider Summary.
Is UNC HOSPITALS expensive compared to other NC hospitals?
UNC HOSPITALS's average chargemaster-to-Medicare ratio is 3.5x. Ratios vary significantly across NC hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for UNC HOSPITALS come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from UNC HOSPITALS is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does UNC HOSPITALS in CHAPEL HILL, NC accept Medicare?
UNC HOSPITALS is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact UNC HOSPITALS directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.