59/100
#979 nationally
Johnston Health
509 Bright Leaf Blvd, Smithfield, NC 27577 · (919) 934-8171
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Johnston Health billed $4.47 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
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 87
- inpatient and outpatient combined
- Rank in NC
- #38
- 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 48% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 63% of U.S. hospitals.
Better than 90% 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 |
308 | $9,742 | $2,075 | -17% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
234 | $20,980 | $2,430 | +8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
226 | $58,650 | $14,345 | -10% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
150 | $38,651 | $9,700 | -11% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
139 | $17,392 | $2,906 | -31% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
113 | $8,568 | $1,404 | -15% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
82 | $25,897 | $5,039 | -26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
81 | $53,756 | $11,341 | -14% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
69 | $7,148 | $1,673 | -39% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
68 | $49,454 | $12,215 | -10% |
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 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,065 | $1,660 | +15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$54,346 | $9,383 | +12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$20,980 | $2,430 | +8% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$19,428 | $2,770 | about average |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$52,010 | $9,600 | about average |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$33,548 | $6,889 | about average |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$32,091 | $6,428 | about average |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$146,876 | $29,508 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,710 | $615 | -45% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$78,500 | $21,302 | -45% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$99,260 | $37,442 | -44% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,148 | $1,673 | -39% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$36,893 | $11,683 | -35% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$44,128 | $9,121 | -35% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$29,393 | $7,951 | -35% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$50,253 | $13,032 | -34% |
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.