75/100
#481 nationally
Caldwell Memorial Hospital
321 Mulberry St Sw, Lenoir, NC 28645 · (828) 757-5100
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Caldwell Memorial Hospital billed $3.75 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 41
- inpatient and outpatient combined
- Rank in NC
- #12
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 72% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 69% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
219 | $15,271 | $4,901 | -56% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
119 | $16,010 | $2,774 | -16% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
107 | $1,225 | $594 | -61% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
80 | $33,104 | $13,888 | -49% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
69 | $40,330 | $9,452 | -40% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
68 | $16,460 | $2,720 | -35% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
60 | $31,397 | $6,143 | -21% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
59 | $16,809 | $2,526 | -18% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
56 | $6,268 | $1,341 | -38% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
54 | $44,602 | $11,257 | -29% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$46,922 | $10,421 | +30% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$13,293 | $1,656 | +13% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,283 | $1,680 | about average |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$20,225 | $3,259 | -11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$16,468 | $2,382 | -15% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$16,010 | $2,774 | -16% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,809 | $2,526 | -18% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$31,397 | $6,143 | -21% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$13,352 | $7,048 | -61% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,225 | $594 | -61% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$5,504 | $1,772 | -57% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$15,271 | $4,901 | -56% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$29,513 | $9,742 | -52% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$26,528 | $11,485 | -52% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$16,280 | $7,311 | -51% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$33,104 | $13,888 | -49% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.