CostGrade
B

75/100

#482 nationally

Carolina East Medical Center

2000 Neuse Blvd, New Bern, NC 28560 · (252) 633-8640

Charges moderately above what care is paid for

For every $1 of care Medicare actually paid for here, Carolina East Medical Center billed $3.62 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
3.6x
volume-weighted across all its priced work
Procedures priced
137
inpatient and outpatient combined
Rank in NC
#13
lower markup ranks higher
CMS quality stars
4/5
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.

Inpatient charge markup 24.4/35

Better than 70% of U.S. hospitals.

Outpatient charge markup 19.0/25

Better than 76% of U.S. hospitals.

Price level vs national median 23.2/30

Better than 77% of U.S. hospitals.

Price consistency 8.0/10

Better than 80% 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 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

1,620 $7,221 $2,158 -39%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

686 $14,811 $2,540 -24%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

557 $47,262 $12,230 -24%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

364 $6,117 $1,495 -39%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

355 $23,278 $3,011 -8%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

329 $43,328 $16,834 -34%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

287 $28,378 $6,601 -29%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

217 $28,175 $10,945 -35%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

200 $22,677 $4,746 -17%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

192 $8,230 $1,773 -30%

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
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

$223,409 $42,207 +18%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

$142,693 $27,109 +15%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

$146,531 $21,846 +10%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

$37,349 $5,327 +8%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

$81,512 $19,447 about average
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications

MS-DRG 982 · Inpatient stay

$105,130 $25,965 about average
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

$148,548 $30,570 about average
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

$105,403 $28,856 -7%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Cardiac Pacemaker Revision Except Device Replacement with Complications

MS-DRG 261 · Inpatient stay

$33,591 $15,804 -70%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

$40,323 $24,790 -66%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

$25,881 $15,475 -66%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

$5,642 $2,178 -61%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

$14,459 $5,122 -60%
Other Respiratory System Operating Room Procedures with Major Complications

MS-DRG 166 · Inpatient stay

$61,801 $33,509 -58%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

$22,638 $9,623 -57%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

$24,397 $10,224 -56%

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.