42/100
#1,527 nationally
North Carolina Baptist Hospital
Medical Center Boulevard, Winston-Salem, NC 27157 · (336) 716-2011
Charges well above the national norm
For every $1 of care Medicare actually paid for here, North Carolina Baptist Hospital billed $4.21 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
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 220
- inpatient and outpatient combined
- Rank in NC
- #55
- 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 66% of U.S. hospitals.
Better than 23% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 22% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
491 | $17,013 | $2,444 | -12% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
425 | $23,717 | $2,101 | +102% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
396 | $15,932 | $1,696 | +36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
380 | $11,751 | $1,425 | +17% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
303 | $8,864 | $1,752 | -22% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
301 | $18,858 | $1,844 | +46% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
299 | $82,517 | $11,611 | +32% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
296 | $68,633 | $27,789 | +5% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
260 | $20,987 | $2,801 | +10% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
251 | $20,367 | $2,528 | +15% |
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 |
$240,084 | $7,052 | +306% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$58,432 | $3,652 | +183% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$60,655 | $4,764 | +150% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$6,594 | $623 | +110% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$23,717 | $2,101 | +102% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$91,652 | $32,122 | +97% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$35,698 | $2,747 | +97% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$43,165 | $3,044 | +86% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications
MS-DRG 846 · Inpatient stay |
$50,181 | $31,211 | -53% |
|
Other Operating Room Procedures for Injuries with Major Complications
MS-DRG 907 · Inpatient stay |
$85,444 | $39,327 | -51% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
$21,834 | $15,227 | -49% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$37,626 | $22,927 | -47% |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with
MS-DRG 857 · Inpatient stay |
$51,555 | $24,347 | -47% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$4,882 | $1,416 | -43% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$89,272 | $48,671 | -42% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$39,451 | $18,589 | -40% |
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.