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Sepsis (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 871

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$12,1340.9×12026-04-01
Frye Regional Medical Center Hickory$13,6001.0×42026-07-08
Ecu Health North Hospital Roanoke Rapids$15,1011.1×12026-04-01
Wilson Medical Center Wilson$15,6091.2×32026-07-10
Maria Parham Medical Center Henderson$16,0841.2×32026-07-30
Sampson Regional Medical Center Clinton$16,1661.2×32026-05-07
Rutherford Regional Medical Center Rutherfordton$16,5841.3×32026-07-10
Unc Rockingham Eden$17,0821.3×52026-04-01
Caldwell Memorial Hospital Lenoir$17,1751.3×62026-04-01
UNC Health Johnston Smithfield$17,3351.2×52026-04-01
Person Memorial Hospital Roxboro$17,5461.3×32026-07-10
Ecu Health Bertie Hospital Windsor$18,4201.4×22026-04-01
Central Carolina Hospital Sanford$18,7801.4×52026-07-20
North Carolina Specialty Hospital Durham$18,9081.4×22026-02-25
Harris Regional Hospital Sylva$19,0361.4×32026-07-10
Angel Medical Center Franklin$20,2821.5×22026-09-01
The Outer Banks Hospital, Inc Nags Head$20,4331.6×22026-04-01
Blue Ridge Regional Hospital Spruce Pine$20,4421.6×22026-09-01
Chatham Hospital Inc Siler City$21,1751.5×12026-04-01
Ecu Health Medical Center Greenville$21,5971.6×32026-04-01
Lake Norman Regional Medical Center Mooresville$21,7911.6×52026-04-01
Transylvania Regional Hospital, Inc Brevard$21,9841.7×22026-09-01
Swain County Hospital Bryson City$22,4671.7×32026-07-30
Highlands Cashiers Hospital Highlands$22,9021.7×22026-09-01
Atrium Health Stanly Albemarle$24,9491.9×12026-09-15
UNC Rex Hospital Raleigh$25,2701.8×52026-04-01
UNC Hospitals (Chapel Hill) Chapel Hill$26,0961.9×72026-04-01
Duke Regional Hospital Durham$26,4771.9×42026-04-01
Duke University Hospital Durham$26,5461.9×32026-04-01
Duke Raleigh Hospital Raleigh$26,5461.9×32026-04-01
Atrium Health University City Charlotte$28,6362.1×22025-12-05
Novant Health New Hanover Regional Medical Center Wilmington$29,3802.1×52026-03-30
Adventhealth Hendersonville Hendersonville$29,5822.2×22026-04-01
WakeMed Raleigh Campus Raleigh$29,9582.1×22026-02-11
WakeMed Cary Hospital Cary$29,9582.1×22026-02-11
Atrium Health Union Monroe$30,2872.3×22025-12-04
Atrium Health Cleveland Shelby$31,0982.4×22025-12-01
Novant Health Brunswick Medical Center Supply$32,1152.3×12026-03-30
Atrium Health Cabarrus Concord$32,1632.4×22025-12-01
Atrium Health Pineville Charlotte$32,5442.4×22025-12-05
Novant Health Thomasville Medical Center Thomasville$37,6212.8×22026-03-31
Unc Health Wayne Goldsboro$37,7392.8×12026-04-01
Novant Health Presbyterian Medical Center Charlotte$37,9742.8×32026-03-31
Novant Health Matthews Medical Center Matthews$37,9742.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$37,9742.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$37,9742.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$37,9742.8×32026-03-30
Caromont Regional Medical Center Gastonia$38,7142.9×82026-05-11
Novant Health Forsyth Medical Center Winston-Salem$42,6653.2×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$42,6653.2×32026-03-30
Cape Fear Valley Medical Center Fayetteville$45,7443.3×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$46,8393.4×12026-03-30

MS-DRG 872

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$6,3760.9×12026-04-01
Frye Regional Medical Center Hickory$7,5181.1×42026-07-08
Ecu Health North Hospital Roanoke Rapids$7,6031.1×12026-04-01
Maria Parham Medical Center Henderson$8,4731.2×32026-07-30
Sampson Regional Medical Center Clinton$8,5161.2×32026-05-07
Rutherford Regional Medical Center Rutherfordton$8,7141.3×32026-07-10
Unc Rockingham Eden$8,9761.3×52026-04-01
Caldwell Memorial Hospital Lenoir$9,0251.3×62026-04-01
UNC Health Johnston Smithfield$9,1091.2×52026-04-01
Person Memorial Hospital Roxboro$9,2201.3×32026-07-10
Wilson Medical Center Wilson$9,2281.3×32026-07-10
Ecu Health Bertie Hospital Windsor$9,2741.3×22026-04-01
Angel Medical Center Franklin$9,4381.4×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$9,5121.4×22026-09-01
Central Carolina Hospital Sanford$9,8931.4×52026-07-20
Harris Regional Hospital Sylva$10,0031.4×32026-07-10
Transylvania Regional Hospital, Inc Brevard$10,2301.5×22026-09-01
The Outer Banks Hospital, Inc Nags Head$10,2881.5×22026-04-01
Duke Regional Hospital Durham$10,3481.4×42026-04-01
North Carolina Specialty Hospital Durham$10,5641.5×22026-02-25
Highlands Cashiers Hospital Highlands$10,6571.5×22026-09-01
Swain County Hospital Bryson City$10,8821.6×42026-07-30
Chatham Hospital Inc Siler City$11,1271.5×12026-04-01
Lake Norman Regional Medical Center Mooresville$11,4791.6×52026-04-01
Atrium Health Stanly Albemarle$13,1431.9×12026-09-15
UNC Rex Hospital Raleigh$13,2781.8×52026-04-01
Duke University Hospital Durham$13,5301.9×42026-04-01
Duke Raleigh Hospital Raleigh$13,5301.8×42026-04-01
Ecu Health Medical Center Greenville$13,6422.0×42026-04-01
UNC Hospitals (Chapel Hill) Chapel Hill$13,7121.9×72026-04-01
Atrium Health University City Charlotte$15,0472.1×22025-12-05
Novant Health New Hanover Regional Medical Center Wilmington$15,4772.1×52026-03-30
Adventhealth Hendersonville Hendersonville$15,5842.2×22026-04-01
WakeMed Raleigh Campus Raleigh$15,7822.1×22026-02-11
WakeMed Cary Hospital Cary$15,7822.1×22026-02-11
Atrium Health Union Monroe$15,9142.3×22025-12-04
Atrium Health Cleveland Shelby$16,3412.4×22025-12-01
Atrium Health Cabarrus Concord$16,9002.4×22025-12-01
Novant Health Brunswick Medical Center Supply$16,9182.3×12026-03-30
Atrium Health Pineville Charlotte$17,1012.4×22025-12-05
Novant Health Thomasville Medical Center Thomasville$19,8182.8×22026-03-31
Novant Health Presbyterian Medical Center Charlotte$20,0042.8×32026-03-31
Novant Health Matthews Medical Center Matthews$20,0042.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$20,0042.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$20,0042.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$20,0042.8×32026-03-30
Caromont Regional Medical Center Gastonia$20,3942.9×82026-05-11
Unc Health Wayne Goldsboro$22,4183.1×22026-04-01
Novant Health Forsyth Medical Center Winston-Salem$22,4763.2×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$22,4763.2×32026-03-30
Cape Fear Valley Medical Center Fayetteville$26,1223.6×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$29,7944.1×12026-03-30

Questions

How much do insurers pay for sepsis (hospital stay) in North Carolina?

52 North Carolina hospitals post usable commercial rates for sepsis (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 871), the median across 52 hospitals is $25,683, 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.