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WATAUGA MEDICAL CENTER

BOONE, NC 28607 · Acute Care Hospitals

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

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

29

With CMS pricing data

Avg Charge-to-Medicare Ratio

3.2x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Government - Local

Above 90th Percentile

0%

Compared to NC hospitals

Understanding Your Costs

When you receive a bill from WATAUGA MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, WATAUGA MEDICAL CENTER lists chargemaster rates that average 3.2x the corresponding Medicare reimbursement amount across 29 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 3.2x, 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 WATAUGA MEDICAL CENTER is Diabetes with Complications (DRG 638). The listed chargemaster rate is $33,363, while Medicare reimburses $6,282 for the same procedure — a ratio of 5.3x (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.

WATAUGA MEDICAL CENTER is a government - local 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
Diabetes with Complications638$33,363$6,2825.3x
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Acute Myocardial Infarction, Discharged Alive without Complications282$24,627$5,3234.6x
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Acute Myocardial Infarction, Discharged Alive with Complications281$26,507$6,0734.4x
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Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications392$22,946$5,5424.1x
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Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications247$60,574$14,9474.0x
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Major Joint or Limb Reattachment Procedures of Upper Extremities483$77,671$19,6154.0x
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Circulatory Disorders Except Ami, with Cardiac Catheterization without Major Complications287$31,328$8,0973.9x
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Cardiac Arrhythmia and Conduction Disorders without Complications310$12,332$3,3923.6x
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Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without Major Complications470$54,158$15,1163.6x
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Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications522$58,851$16,6703.5x
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Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications641$18,252$5,6153.3x
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Simple Pneumonia and Pleurisy with Major Complications or Comorbidities193$31,503$9,8923.2x
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Hip and Femur Procedures Except Major Joint with Complications481$53,929$17,0743.2x
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Transient Ischemia without Thrombolytic069$17,634$5,6433.1x
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Cardiac Arrhythmia and Conduction Disorders with Complications309$16,024$5,4892.9x
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Kidney and Urinary Tract Infections without Major Complications690$17,245$5,9082.9x
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Pulmonary Edema and Respiratory Failure189$25,469$8,8322.9x
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Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours065$21,216$7,3972.9x
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Hip and Femur Procedures Except Major Joint with Major Complications or Comorbidities480$69,851$24,6272.8x
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Chronic Obstructive Pulmonary Disease with Major Complications or Comorbidities190$22,209$7,8332.8x
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Gastrointestinal Hemorrhage with Complications378$20,441$7,3042.8x
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Heart Failure and Shock with Major Complications or Comorbidities291$26,482$9,6652.7x
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Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities871$42,681$16,5272.6x
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Pulmonary Embolism with Major Complications or Comorbidities or Acute Cor Pulmonale175$26,870$10,4622.6x
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Kidney and Urinary Tract Infections with Major Complications or Comorbidities689$21,957$8,6032.5x
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Acute Myocardial Infarction, Discharged Alive with Major Complications or Comorbidities280$31,396$12,4282.5x
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Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities308$23,245$9,3662.5x
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Infectious and Parasitic Diseases with Operating Room Procedures with Major Complications or Comorbidities853$100,615$42,8872.4x
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Respiratory Infections and Inflammations with Major Complications or Comorbidities177$31,584$14,2602.2x
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Showing 29 of 29 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
3.2x

78 hospitals in NC report pricing data to CMS. This facility's average ratio of 3.2x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

Compare Your Bill

Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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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 WATAUGA MEDICAL CENTER

How much does WATAUGA MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, WATAUGA MEDICAL CENTER's listed chargemaster rates average 3.2x the Medicare reimbursement amount across 29 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 WATAUGA MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at WATAUGA MEDICAL CENTER is Diabetes with Complications (DRG 638), with a listed charge of $33,363 compared to Medicare reimbursement of $6,282 — a ratio of 5.3x. Source: CMS IPPS Provider Summary.

Is WATAUGA MEDICAL CENTER expensive compared to other NC hospitals?

WATAUGA MEDICAL CENTER's average chargemaster-to-Medicare ratio is 3.2x. 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 WATAUGA MEDICAL CENTER 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 WATAUGA MEDICAL CENTER 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 WATAUGA MEDICAL CENTER in BOONE, NC accept Medicare?

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

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