72/100
#589 nationally
Rex Hospital
4420 Lake Boone Trail, Raleigh, NC 27607 · (919) 784-3100
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Rex Hospital billed $3.95 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
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 222
- inpatient and outpatient combined
- Rank in NC
- #24
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 60% of U.S. hospitals.
Better than 73% of U.S. hospitals.
Better than 80% of U.S. hospitals.
Better than 86% 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 |
1,219 | $10,156 | $2,069 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
1,077 | $55,586 | $11,741 | -11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
724 | $14,986 | $2,421 | -23% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
683 | $15,165 | $2,902 | -40% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
344 | $121,388 | $20,928 | -8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
316 | $52,272 | $13,650 | -20% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
314 | $20,371 | $5,116 | -42% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
303 | $45,172 | $9,682 | -33% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
302 | $14,733 | $3,603 | -29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
295 | $29,801 | $9,499 | -31% |
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 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$32,655 | $6,158 | +25% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$111,255 | $23,768 | +8% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$87,393 | $16,606 | +5% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,744 | $1,676 | +3% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
$43,393 | $6,724 | about average |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$21,525 | $3,308 | -5% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$8,052 | $1,358 | -6% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$33,492 | $11,077 | -7% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay |
$34,988 | $15,102 | -67% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$34,121 | $13,862 | -60% |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with
MS-DRG 857 · Inpatient stay |
$38,581 | $12,661 | -60% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
$138,745 | $55,502 | -59% |
|
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Complications
MS-DRG 240 · Inpatient stay |
$51,488 | $18,152 | -57% |
|
Peritoneal Adhesiolysis without Complications/mcc
MS-DRG 337 · Inpatient stay |
$32,762 | $10,620 | -57% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
$75,963 | $33,856 | -57% |
|
Other Digestive System Operating Room Procedures with Major Complications
MS-DRG 356 · Inpatient stay |
$81,550 | $27,931 | -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.