Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay) in North Carolina: what insurers pay
Posted commercial rates at 16 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 |
|---|---|---|---|---|
| North Carolina Specialty Hospital Durham | $8,802 | 1.5× | 2 | 2026-02-25 |
| Duke Regional Hospital Durham | $9,116 | 1.6× | 4 | 2026-04-01 |
| Lake Norman Regional Medical Center Mooresville | $9,122 | 1.6× | 4 | 2026-04-01 |
| UNC Rex Hospital Raleigh | $10,561 | 1.8× | 3 | 2026-04-01 |
| Atrium Health University City Charlotte | $11,968 | 2.1× | 2 | 2025-12-05 |
| UNC Hospitals (Chapel Hill) Chapel Hill | $11,997 | 2.1× | 3 | 2026-04-01 |
| Duke University Hospital Durham | $12,044 | 2.1× | 4 | 2026-04-01 |
| Duke Raleigh Hospital Raleigh | $12,044 | 2.1× | 4 | 2026-04-01 |
| UNC Health Johnston Smithfield | $12,111 | 2.1× | 3 | 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 Cabarrus Concord | $13,442 | 2.4× | 2 | 2025-12-01 |
| Atrium Health Pineville Charlotte | $13,602 | 2.4× | 2 | 2025-12-05 |
| 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 |
MS-DRG 193
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Duke Regional Hospital Durham | $11,996 | 1.3× | 4 | 2026-04-01 |
| UNC Rex Hospital Raleigh | $13,353 | 1.4× | 2 | 2026-04-01 |
| North Carolina Specialty Hospital Durham | $13,518 | 1.4× | 2 | 2026-02-25 |
| Duke University Hospital Durham | $17,963 | 1.9× | 3 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) Chapel Hill | $19,278 | 2.1× | 3 | 2026-04-01 |
| Atrium Health Pineville Charlotte | $21,856 | 2.4× | 2 | 2025-12-05 |
| Novant Health Matthews Medical Center Matthews | $25,695 | 2.8× | 3 | 2026-03-30 |
MS-DRG 195
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| North Carolina Specialty Hospital Durham | $6,430 | 1.4× | 2 | 2026-02-25 |
| Duke Regional Hospital Durham | $6,959 | 1.6× | 4 | 2026-04-01 |
| UNC Rex Hospital Raleigh | $8,020 | 1.8× | 3 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) Chapel Hill | $9,110 | 2.0× | 3 | 2026-04-01 |
| Duke University Hospital Durham | $9,316 | 2.1× | 4 | 2026-04-01 |
| Atrium Health Pineville Charlotte | $10,328 | 2.4× | 2 | 2025-12-05 |
| Novant Health Matthews Medical Center Matthews | $12,287 | 2.8× | 3 | 2026-03-30 |
Questions
How much do insurers pay for pneumonia (hospital stay) in North Carolina?
16 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 16 hospitals is $12,078, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.