Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay) in North Carolina: what insurers pay
Posted commercial rates at 52 North Carolina hospitals, each next to its own Medicare base rate.
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MS-DRG 194
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Unc Health Blue Ridge Morganton | $5,071 | 0.9× | 1 | 2026-04-01 |
| Frye Regional Medical Center Hickory | $6,012 | 1.1× | 4 | 2026-07-08 |
| Ecu Health North Hospital Roanoke Rapids | $6,198 | 1.1× | 1 | 2026-04-01 |
| Maria Parham Medical Center Henderson | $6,673 | 1.2× | 3 | 2026-07-30 |
| Sampson Regional Medical Center Clinton | $6,707 | 1.2× | 3 | 2026-05-07 |
| Rutherford Regional Medical Center Rutherfordton | $6,931 | 1.3× | 3 | 2026-07-10 |
| Unc Rockingham Eden | $7,139 | 1.3× | 5 | 2026-04-01 |
| Caldwell Memorial Hospital Lenoir | $7,178 | 1.3× | 6 | 2026-04-01 |
| UNC Health Johnston Smithfield | $7,245 | 1.3× | 5 | 2026-04-01 |
| Person Memorial Hospital Roxboro | $7,333 | 1.3× | 3 | 2026-07-10 |
| Wilson Medical Center Wilson | $7,340 | 1.3× | 3 | 2026-07-10 |
| Ecu Health Bertie Hospital Windsor | $7,560 | 1.4× | 2 | 2026-04-01 |
| Harris Regional Hospital Sylva | $7,956 | 1.4× | 3 | 2026-07-10 |
| Angel Medical Center Franklin | $8,313 | 1.5× | 2 | 2026-09-01 |
| Blue Ridge Regional Hospital Spruce Pine | $8,378 | 1.5× | 2 | 2026-09-01 |
| The Outer Banks Hospital, Inc Nags Head | $8,386 | 1.5× | 2 | 2026-04-01 |
| Swain County Hospital Bryson City | $8,570 | 1.6× | 4 | 2026-07-30 |
| North Carolina Specialty Hospital Durham | $8,802 | 1.5× | 2 | 2026-02-25 |
| Chatham Hospital Inc Siler City | $8,849 | 1.6× | 1 | 2026-04-01 |
| Transylvania Regional Hospital, Inc Brevard | $9,010 | 1.6× | 2 | 2026-09-01 |
| Lake Norman Regional Medical Center Mooresville | $9,041 | 1.6× | 5 | 2026-04-01 |
| Duke Regional Hospital Durham | $9,116 | 1.6× | 4 | 2026-04-01 |
| Highlands Cashiers Hospital Highlands | $9,387 | 1.7× | 2 | 2026-09-01 |
| Atrium Health Stanly Albemarle | $10,351 | 1.9× | 1 | 2026-09-15 |
| UNC Rex Hospital Raleigh | $10,561 | 1.8× | 5 | 2026-04-01 |
| Ecu Health Medical Center Greenville | $10,894 | 2.0× | 4 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) Chapel Hill | $10,906 | 1.9× | 7 | 2026-04-01 |
| Atrium Health University City Charlotte | $11,968 | 2.1× | 2 | 2025-12-05 |
| Duke University Hospital Durham | $12,044 | 2.1× | 4 | 2026-04-01 |
| Duke Raleigh Hospital Raleigh | $12,044 | 2.1× | 4 | 2026-04-01 |
| Novant Health New Hanover Regional Medical Center Wilmington | $12,189 | 2.1× | 5 | 2026-03-30 |
| Adventhealth Hendersonville Hendersonville | $12,273 | 2.2× | 2 | 2026-04-01 |
| WakeMed Raleigh Campus Raleigh | $12,429 | 2.1× | 2 | 2026-02-11 |
| WakeMed Cary Hospital Cary | $12,429 | 2.1× | 2 | 2026-02-11 |
| Atrium Health Union Monroe | $12,658 | 2.3× | 2 | 2025-12-04 |
| Atrium Health Cleveland Shelby | $12,997 | 2.4× | 2 | 2025-12-01 |
| Novant Health Brunswick Medical Center Supply | $13,324 | 2.3× | 1 | 2026-03-30 |
| Atrium Health Cabarrus Concord | $13,442 | 2.4× | 2 | 2025-12-01 |
| Atrium Health Pineville Charlotte | $13,602 | 2.4× | 2 | 2025-12-05 |
| Novant Health Thomasville Medical Center Thomasville | $15,608 | 2.8× | 2 | 2026-03-31 |
| Novant Health Presbyterian Medical Center Charlotte | $15,755 | 2.8× | 3 | 2026-03-31 |
| Novant Health Matthews Medical Center Matthews | $15,755 | 2.8× | 3 | 2026-03-30 |
| Novant Health Huntersville Medical Center Huntersville | $15,755 | 2.8× | 3 | 2026-03-30 |
| Novant Health Mint Hill Medical Center Charlotte | $15,755 | 2.8× | 3 | 2026-03-30 |
| Novant Health Ballantyne Medical Center Charlotte | $15,755 | 2.8× | 3 | 2026-03-30 |
| Caromont Regional Medical Center Gastonia | $16,062 | 2.9× | 8 | 2026-05-11 |
| Novant Health Forsyth Medical Center Winston-Salem | $17,701 | 3.2× | 3 | 2026-03-30 |
| Novant Health Medical Park Hospital Winston-Salem | $17,701 | 3.2× | 3 | 2026-03-30 |
| Unc Health Wayne Goldsboro | $17,830 | 3.2× | 2 | 2026-04-01 |
| Cape Fear Valley Medical Center Fayetteville | $21,482 | 3.8× | 1 | 2026-03-21 |
| Cape Fear Valley Hoke Hospital Raeford | $25,762 | 4.5× | 1 | 2026-03-30 |
MS-DRG 193
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Unc Health Blue Ridge Morganton | $8,149 | 0.9× | 1 | 2026-04-01 |
| Ecu Health North Hospital Roanoke Rapids | $9,026 | 1.0× | 1 | 2026-04-01 |
| Frye Regional Medical Center Hickory | $9,407 | 1.1× | 5 | 2026-07-08 |
| Maria Parham Medical Center Henderson | $10,883 | 1.2× | 3 | 2026-07-30 |
| Sampson Regional Medical Center Clinton | $10,938 | 1.2× | 3 | 2026-05-07 |
| Ecu Health Bertie Hospital Windsor | $11,010 | 1.2× | 2 | 2026-04-01 |
| Rutherford Regional Medical Center Rutherfordton | $11,137 | 1.3× | 3 | 2026-07-10 |
| Unc Rockingham Eden | $11,472 | 1.3× | 5 | 2026-04-01 |
| Caldwell Memorial Hospital Lenoir | $11,534 | 1.3× | 6 | 2026-04-01 |
| UNC Health Johnston Smithfield | $11,642 | 1.2× | 5 | 2026-04-01 |
| Person Memorial Hospital Roxboro | $11,784 | 1.3× | 3 | 2026-07-10 |
| Wilson Medical Center Wilson | $11,795 | 1.3× | 3 | 2026-07-10 |
| Duke Regional Hospital Durham | $11,996 | 1.3× | 4 | 2026-04-01 |
| Angel Medical Center Franklin | $12,196 | 1.4× | 2 | 2026-09-01 |
| The Outer Banks Hospital, Inc Nags Head | $12,212 | 1.4× | 2 | 2026-04-01 |
| Blue Ridge Regional Hospital Spruce Pine | $12,292 | 1.4× | 2 | 2026-09-01 |
| Central Carolina Hospital Sanford | $12,708 | 1.4× | 5 | 2026-07-20 |
| Harris Regional Hospital Sylva | $12,784 | 1.4× | 3 | 2026-07-10 |
| Transylvania Regional Hospital, Inc Brevard | $13,220 | 1.5× | 2 | 2026-09-01 |
| UNC Rex Hospital Raleigh | $13,353 | 1.4× | 4 | 2026-04-01 |
| North Carolina Specialty Hospital Durham | $13,518 | 1.4× | 2 | 2026-02-25 |
| Highlands Cashiers Hospital Highlands | $13,772 | 1.5× | 2 | 2026-09-01 |
| Chatham Hospital Inc Siler City | $14,221 | 1.5× | 1 | 2026-04-01 |
| Lake Norman Regional Medical Center Mooresville | $14,745 | 1.6× | 5 | 2026-04-01 |
| Swain County Hospital Bryson City | $15,202 | 1.7× | 3 | 2026-07-30 |
| Ecu Health Medical Center Greenville | $16,624 | 1.9× | 4 | 2026-04-01 |
| Atrium Health Stanly Albemarle | $16,882 | 1.9× | 1 | 2026-09-15 |
| UNC Hospitals (Chapel Hill) Chapel Hill | $17,525 | 1.9× | 7 | 2026-04-01 |
| Duke University Hospital Durham | $17,963 | 1.9× | 3 | 2026-04-01 |
| Duke Raleigh Hospital Raleigh | $17,963 | 1.9× | 3 | 2026-04-01 |
| Atrium Health University City Charlotte | $19,231 | 2.1× | 2 | 2025-12-05 |
| Novant Health New Hanover Regional Medical Center Wilmington | $19,880 | 2.1× | 5 | 2026-03-30 |
| Adventhealth Hendersonville Hendersonville | $20,017 | 2.2× | 2 | 2026-04-01 |
| WakeMed Raleigh Campus Raleigh | $20,272 | 2.1× | 2 | 2026-02-11 |
| WakeMed Cary Hospital Cary | $20,272 | 2.1× | 2 | 2026-02-11 |
| Atrium Health Union Monroe | $20,340 | 2.2× | 2 | 2025-12-04 |
| Atrium Health Cleveland Shelby | $20,885 | 2.3× | 2 | 2025-12-01 |
| Atrium Health Cabarrus Concord | $21,600 | 2.4× | 2 | 2025-12-01 |
| Novant Health Brunswick Medical Center Supply | $21,731 | 2.3× | 1 | 2026-03-30 |
| Atrium Health Pineville Charlotte | $21,856 | 2.4× | 2 | 2025-12-05 |
| Novant Health Thomasville Medical Center Thomasville | $25,456 | 2.8× | 2 | 2026-03-31 |
| Novant Health Presbyterian Medical Center Charlotte | $25,695 | 2.8× | 3 | 2026-03-31 |
| Novant Health Matthews Medical Center Matthews | $25,695 | 2.8× | 3 | 2026-03-30 |
| Novant Health Huntersville Medical Center Huntersville | $25,695 | 2.8× | 3 | 2026-03-30 |
| Novant Health Mint Hill Medical Center Charlotte | $25,695 | 2.8× | 3 | 2026-03-30 |
| Novant Health Ballantyne Medical Center Charlotte | $25,695 | 2.8× | 3 | 2026-03-30 |
| Caromont Regional Medical Center Gastonia | $26,196 | 2.9× | 8 | 2026-05-11 |
| Unc Health Wayne Goldsboro | $28,652 | 3.1× | 2 | 2026-04-01 |
| Novant Health Forsyth Medical Center Winston-Salem | $28,869 | 3.2× | 3 | 2026-03-30 |
| Novant Health Medical Park Hospital Winston-Salem | $28,869 | 3.2× | 3 | 2026-03-30 |
| Cape Fear Valley Medical Center Fayetteville | $32,336 | 3.5× | 1 | 2026-03-21 |
| Cape Fear Valley Hoke Hospital Raeford | $35,192 | 3.8× | 1 | 2026-03-30 |
MS-DRG 195
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Unc Health Blue Ridge Morganton | $3,851 | 0.9× | 1 | 2026-04-01 |
| Ecu Health North Hospital Roanoke Rapids | $4,290 | 1.0× | 1 | 2026-04-01 |
| Angel Medical Center Franklin | $5,064 | 1.2× | 2 | 2026-09-01 |
| Blue Ridge Regional Hospital Spruce Pine | $5,104 | 1.2× | 2 | 2026-09-01 |
| Maria Parham Medical Center Henderson | $5,204 | 1.2× | 3 | 2026-07-30 |
| Unc Rockingham Eden | $5,226 | 1.2× | 4 | 2026-04-01 |
| Sampson Regional Medical Center Clinton | $5,230 | 1.2× | 3 | 2026-05-07 |
| Ecu Health Bertie Hospital Windsor | $5,234 | 1.2× | 2 | 2026-04-01 |
| Rutherford Regional Medical Center Rutherfordton | $5,263 | 1.2× | 3 | 2026-07-10 |
| Caldwell Memorial Hospital Lenoir | $5,451 | 1.3× | 6 | 2026-04-01 |
| Transylvania Regional Hospital, Inc Brevard | $5,490 | 1.3× | 2 | 2026-09-01 |
| UNC Health Johnston Smithfield | $5,502 | 1.2× | 5 | 2026-04-01 |
| Person Memorial Hospital Roxboro | $5,569 | 1.3× | 3 | 2026-07-10 |
| Wilson Medical Center Wilson | $5,574 | 1.3× | 3 | 2026-07-10 |
| Highlands Cashiers Hospital Highlands | $5,718 | 1.3× | 2 | 2026-09-01 |
| The Outer Banks Hospital, Inc Nags Head | $5,805 | 1.4× | 2 | 2026-04-01 |
| Harris Regional Hospital Sylva | $6,041 | 1.4× | 3 | 2026-07-10 |
| Frye Regional Medical Center Hickory | $6,212 | 1.5× | 4 | 2026-07-08 |
| North Carolina Specialty Hospital Durham | $6,430 | 1.4× | 2 | 2026-02-25 |
| Swain County Hospital Bryson City | $6,684 | 1.6× | 4 | 2026-07-30 |
| Chatham Hospital Inc Siler City | $6,720 | 1.5× | 1 | 2026-04-01 |
| Duke Regional Hospital Durham | $6,959 | 1.6× | 4 | 2026-04-01 |
| Lake Norman Regional Medical Center Mooresville | $7,051 | 1.6× | 5 | 2026-04-01 |
| UNC Rex Hospital Raleigh | $8,020 | 1.8× | 5 | 2026-04-01 |
| Atrium Health Stanly Albemarle | $8,072 | 1.9× | 1 | 2026-09-15 |
| Ecu Health Medical Center Greenville | $8,108 | 1.9× | 4 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) Chapel Hill | $8,282 | 1.9× | 7 | 2026-04-01 |
| Atrium Health University City Charlotte | $9,088 | 2.1× | 2 | 2025-12-05 |
| Duke University Hospital Durham | $9,316 | 2.1× | 4 | 2026-04-01 |
| Duke Raleigh Hospital Raleigh | $9,316 | 2.1× | 4 | 2026-04-01 |
| Novant Health New Hanover Regional Medical Center Wilmington | $9,506 | 2.1× | 5 | 2026-03-30 |
| Adventhealth Hendersonville Hendersonville | $9,571 | 2.2× | 2 | 2026-04-01 |
| Atrium Health Union Monroe | $9,612 | 2.2× | 2 | 2025-12-04 |
| WakeMed Raleigh Campus Raleigh | $9,693 | 2.1× | 2 | 2026-02-11 |
| WakeMed Cary Hospital Cary | $9,693 | 2.1× | 2 | 2026-02-11 |
| Atrium Health Cleveland Shelby | $9,870 | 2.3× | 2 | 2025-12-01 |
| Atrium Health Cabarrus Concord | $10,208 | 2.4× | 2 | 2025-12-01 |
| Atrium Health Pineville Charlotte | $10,328 | 2.4× | 2 | 2025-12-05 |
| Novant Health Brunswick Medical Center Supply | $10,391 | 2.3× | 1 | 2026-03-30 |
| Novant Health Thomasville Medical Center Thomasville | $12,172 | 2.8× | 2 | 2026-03-31 |
| Novant Health Presbyterian Medical Center Charlotte | $12,287 | 2.8× | 3 | 2026-03-31 |
| Novant Health Matthews Medical Center Matthews | $12,287 | 2.8× | 3 | 2026-03-30 |
| Novant Health Huntersville Medical Center Huntersville | $12,287 | 2.8× | 3 | 2026-03-30 |
| Novant Health Mint Hill Medical Center Charlotte | $12,287 | 2.8× | 3 | 2026-03-30 |
| Novant Health Ballantyne Medical Center Charlotte | $12,287 | 2.8× | 3 | 2026-03-30 |
| Caromont Regional Medical Center Gastonia | $12,526 | 2.9× | 8 | 2026-05-11 |
| Unc Health Wayne Goldsboro | $13,540 | 3.1× | 2 | 2026-04-01 |
| Novant Health Forsyth Medical Center Winston-Salem | $13,804 | 3.2× | 3 | 2026-03-30 |
| Novant Health Medical Park Hospital Winston-Salem | $13,804 | 3.2× | 3 | 2026-03-30 |
| Cape Fear Valley Medical Center Fayetteville | $17,695 | 4.0× | 1 | 2026-03-21 |
| Cape Fear Valley Hoke Hospital Raeford | $22,473 | 5.0× | 1 | 2026-03-30 |
Questions
How much do insurers pay for pneumonia (hospital stay) in North Carolina?
52 North Carolina hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 51 hospitals is $10,894, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.