34/100
#1,762 nationally
Carolinas Medical Center/Behav Health
1000 Blythe Blvd, Charlotte, NC 28203 · (704) 355-2000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Carolinas Medical Center/Behav Health billed $5.04 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
- 5.0x
- volume-weighted across all its priced work
- Procedures priced
- 256
- inpatient and outpatient combined
- Rank in NC
- #69
- 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.
Better than 44% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 32% of U.S. hospitals.
Better than 32% 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 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,020 | $3,112 | $584 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
465 | $14,963 | $1,675 | +27% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
462 | $20,743 | $2,434 | +7% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
428 | $24,943 | $2,443 | +41% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
427 | $87,927 | $11,505 | +41% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
367 | $45,451 | $4,589 | +65% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
342 | $14,072 | $1,416 | +40% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
314 | $28,439 | $3,087 | +38% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
293 | $24,126 | $2,756 | +26% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
293 | $12,575 | $1,767 | about average |
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 |
|---|---|---|---|
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$220,721 | $6,997 | +273% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$28,971 | $1,678 | +155% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$217,997 | $51,198 | +153% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$121,648 | $41,391 | +144% |
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
$127,891 | $7,857 | +90% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$37,559 | $2,793 | +84% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$21,350 | $2,094 | +82% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$238,806 | $21,143 | +80% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Autologous Bone Marrow Transplant with Complications/mcc
MS-DRG 016 · Inpatient stay |
$115,798 | $59,744 | -52% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$41,864 | $18,157 | -37% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
$48,129 | $20,218 | -35% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications
MS-DRG 846 · Inpatient stay |
$71,918 | $32,740 | -33% |
|
Other Digestive System Operating Room Procedures with Major Complications
MS-DRG 356 · Inpatient stay |
$123,998 | $39,314 | -33% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$21,947 | $12,010 | -33% |
|
Pancreas, Liver and Shunt Procedures with Major Complications
MS-DRG 405 · Inpatient stay |
$183,432 | $53,118 | -30% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
$50,025 | $17,410 | -26% |
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.