UNC LENOIR HEALTH CARE
KINSTON, NC 28501 · Acute Care Hospitals
26 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
26
With CMS pricing data
Avg Charge-to-Medicare Ratio
2.6x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to NC hospitals
Understanding Your Costs
When you receive a bill from UNC LENOIR HEALTH CARE, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, UNC LENOIR HEALTH CARE lists chargemaster rates that average 2.6x the corresponding Medicare reimbursement amount across 26 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 2.6x, 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 LENOIR HEALTH CARE is Transient Ischemia without Thrombolytic (DRG 069). The listed chargemaster rate is $19,333, while Medicare reimburses $4,904 for the same procedure — a ratio of 3.9x (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.
UNC LENOIR HEALTH CARE is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 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 | |
|---|---|---|---|---|---|---|
| Transient Ischemia without Thrombolytic | 069 | $19,333 | $4,904 | 3.9x | 0th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours | 065 | $21,066 | $5,930 | 3.5x | 0th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications | 872 | $20,870 | $6,342 | 3.3x | 0th | Compare your bill |
| Kidney and Urinary Tract Infections without Major Complications | 690 | $15,530 | $4,910 | 3.2x | 0th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications | 392 | $14,502 | $4,765 | 3.0x | 0th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $13,969 | $4,659 | 3.0x | 0th | Compare your bill |
| Syncope and Collapse | 312 | $16,349 | $5,581 | 2.9x | 0th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Complications | 281 | $16,422 | $5,685 | 2.9x | 0th | Compare your bill |
| Simple Pneumonia and Pleurisy with Complications | 194 | $13,800 | $4,963 | 2.8x | 0th | Compare your bill |
| Renal Failure with Complications | 683 | $15,723 | $5,794 | 2.7x | 0th | Compare your bill |
| Simple Pneumonia and Pleurisy with Major Complications or Comorbidities | 193 | $22,896 | $8,695 | 2.6x | 0th | Compare your bill |
| Respiratory Infections and Inflammations with Complications | 178 | $19,244 | $7,377 | 2.6x | 0th | Compare your bill |
| Chronic Obstructive Pulmonary Disease with Major Complications or Comorbidities | 190 | $17,630 | $7,043 | 2.5x | 0th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Complications | 309 | $10,993 | $4,511 | 2.4x | 0th | Compare your bill |
| Kidney and Urinary Tract Infections with Major Complications or Comorbidities | 689 | $17,791 | $7,318 | 2.4x | 0th | Compare your bill |
| Pulmonary Edema and Respiratory Failure | 189 | $19,805 | $8,179 | 2.4x | 0th | Compare your bill |
| Seizures without Major Complications | 101 | $13,105 | $5,737 | 2.3x | 0th | Compare your bill |
| Diabetes with Major Complications or Comorbidities | 637 | $20,784 | $9,164 | 2.3x | 0th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities | 871 | $27,846 | $12,777 | 2.2x | 0th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with Major Complications or Comorbidities | 640 | $18,639 | $8,557 | 2.2x | 0th | Compare your bill |
| Respiratory Infections and Inflammations with Major Complications or Comorbidities | 177 | $26,584 | $12,357 | 2.1x | 0th | Compare your bill |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications | 442 | $14,148 | $6,893 | 2.0x | 0th | Compare your bill |
| Heart Failure and Shock with Major Complications or Comorbidities | 291 | $17,263 | $8,459 | 2.0x | 0th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Major Complications or Comorbidities | 280 | $20,568 | $10,359 | 2.0x | 0th | Compare your bill |
| Renal Failure with Major Complications or Comorbidities | 682 | $18,949 | $9,667 | 2.0x | 0th | Compare your bill |
| Infectious and Parasitic Diseases with Operating Room Procedures with Major Complications or Comorbidities | 853 | $58,219 | $30,650 | 1.9x | 0th | Compare your bill |
Showing 26 of 26 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 2.6x places it at the lower end 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 LENOIR HEALTH CARE
How much does UNC LENOIR HEALTH CARE charge compared to Medicare?
According to CMS IPPS data, UNC LENOIR HEALTH CARE's listed chargemaster rates average 2.6x the Medicare reimbursement amount across 26 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 LENOIR HEALTH CARE?
The procedure with the highest chargemaster-to-Medicare ratio at UNC LENOIR HEALTH CARE is Transient Ischemia without Thrombolytic (DRG 069), with a listed charge of $19,333 compared to Medicare reimbursement of $4,904 — a ratio of 3.9x. Source: CMS IPPS Provider Summary.
Is UNC LENOIR HEALTH CARE expensive compared to other NC hospitals?
UNC LENOIR HEALTH CARE's average chargemaster-to-Medicare ratio is 2.6x. 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 LENOIR HEALTH CARE 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 LENOIR HEALTH CARE 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 LENOIR HEALTH CARE in KINSTON, NC accept Medicare?
UNC LENOIR HEALTH CARE is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact UNC LENOIR HEALTH CARE directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.