UNC Lenoir Health Care
UNC Lenoir Health Care in Kinston, NC charges 2.6x the Medicare reimbursement rate on average across 26 analyzed procedures at this nonprofit-private hospital.
Kinston, NC 28501 · 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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Pricing grade
B
Good
Avg markup vs Medicare
2.59x
Charge / Medicare rate
Max markup
3.94x
Worst procedure
Procedures analyzed
26
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $19,333 | $9,666 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $21,066 | $10,533 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $20,870 | $10,435 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $15,530 | $7,765 | — | 3.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $14,502 | $7,251 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $13,969 | $6,985 | — | 3x |
| SYNCOPE AND COLLAPSE | 312 | $16,349 | $8,175 | — | 2.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $16,422 | $8,211 | — | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $13,800 | $6,900 | — | 2.8x |
| RENAL FAILURE WITH CC | 683 | $15,723 | $7,861 | — | 2.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $22,896 | $11,448 | — | 2.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $19,244 | $9,622 | — | 2.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $17,630 | $8,815 | — | 2.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $10,993 | $5,496 | — | 2.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $17,791 | $8,895 | — | 2.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $19,805 | $9,902 | — | 2.4x |
| SEIZURES WITHOUT MCC | 101 | $13,105 | $6,553 | — | 2.3x |
| DIABETES WITH MCC | 637 | $20,784 | $10,392 | — | 2.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $27,846 | $13,923 | — | 2.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $18,639 | $9,319 | — | 2.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $26,584 | $13,292 | — | 2.2x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $14,148 | $7,074 | — | 2.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $17,263 | $8,631 | — | 2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $20,568 | $10,284 | — | 2x |
| RENAL FAILURE WITH MCC | 682 | $18,949 | $9,475 | — | 2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $58,219 | $29,109 | — | 1.9x |
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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