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WAKEMED, RALEIGH CAMPUS

RALEIGH, NC 27610 · Acute Care Hospitals

147 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

147

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.4x

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 WAKEMED, RALEIGH CAMPUS, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, WAKEMED, RALEIGH CAMPUS lists chargemaster rates that average 5.4x the corresponding Medicare reimbursement amount across 147 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 5.4x, this facility’s average ratio is above 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 WAKEMED, RALEIGH CAMPUS is DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC (DRG 057). The listed chargemaster rate is $69,645, while Medicare reimburses $7,252 for the same procedure — a ratio of 9.6x (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.

WAKEMED, RALEIGH CAMPUS is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$69,645$7,2529.6x
1th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$42,078$5,0138.4x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$106,384$12,8678.3x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$101,594$12,9887.8x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$77,772$10,0297.8x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$265,700$34,6887.7x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC027$120,305$15,9347.5x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$106,536$14,1707.5x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$87,324$11,6307.5x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$60,775$8,2167.4x
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DISORDERS OF THE BILIARY TRACT WITH CC445$61,409$8,4047.3x
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SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$177,581$24,9687.1x
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MAJOR CHEST PROCEDURES WITH CC164$120,648$17,3717.0x
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HYPERTENSION WITH MCC304$56,830$8,2116.9x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$143,834$20,8416.9x
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MEDICAL BACK PROBLEMS WITH MCC551$88,034$12,7766.9x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$34,520$5,0176.9x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$261,449$38,2546.8x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$76,664$11,2746.8x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$77,689$11,4466.8x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC273$190,365$28,1056.8x
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CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$96,851$14,4526.7x
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OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC229$163,428$24,5626.7x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$233,848$35,3396.6x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$252,546$38,5996.5x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$117,278$17,9266.5x
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TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$64,411$9,8576.5x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC494$83,315$12,7586.5x
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CAROTID ARTERY STENT PROCEDURES WITH CC035$112,817$17,2806.5x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$95,812$14,7596.5x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$155,483$24,0156.5x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$197,849$30,7096.4x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$105,382$16,5296.4x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$222,678$34,9336.4x
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SYNCOPE AND COLLAPSE312$41,579$6,5696.3x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$246,581$39,0296.3x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$241,548$38,3146.3x
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MAJOR CHEST TRAUMA WITH CC184$50,949$8,1536.3x
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POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC857$93,886$15,0156.3x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$151,467$24,5656.2x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$329,199$53,7336.1x
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ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$79,100$13,0096.1x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$46,584$7,7036.0x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$45,249$7,4896.0x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$85,631$14,1866.0x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$113,290$18,7976.0x
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GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC379$29,854$5,0265.9x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC239$235,844$39,6985.9x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$93,125$15,7085.9x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$53,771$9,1275.9x
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Showing 50 of 147 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

1.2x
Median: 4.3x
8.8x
5.4x

78 hospitals in NC report pricing data to CMS. This facility's average ratio of 5.4x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About WAKEMED, RALEIGH CAMPUS

How much does WAKEMED, RALEIGH CAMPUS charge compared to Medicare?

According to CMS IPPS data, WAKEMED, RALEIGH CAMPUS's listed chargemaster rates average 5.4x the Medicare reimbursement amount across 147 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 WAKEMED, RALEIGH CAMPUS?

The procedure with the highest chargemaster-to-Medicare ratio at WAKEMED, RALEIGH CAMPUS is DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC (DRG 057), with a listed charge of $69,645 compared to Medicare reimbursement of $7,252 — a ratio of 9.6x. Source: CMS IPPS Provider Summary.

Is WAKEMED, RALEIGH CAMPUS expensive compared to other NC hospitals?

WAKEMED, RALEIGH CAMPUS's average chargemaster-to-Medicare ratio is 5.4x. 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 WAKEMED, RALEIGH CAMPUS 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 WAKEMED, RALEIGH CAMPUS 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 WAKEMED, RALEIGH CAMPUS in RALEIGH, NC accept Medicare?

WAKEMED, RALEIGH CAMPUS is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact WAKEMED, RALEIGH CAMPUS directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.