41/100
#1,580 nationally
Wakemed, Cary Hospital
1900 Kildare Farm Road, Cary, NC 27518 · (919) 350-2550
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Wakemed, Cary Hospital billed $5.77 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
- 5.8x
- volume-weighted across all its priced work
- Procedures priced
- 115
- inpatient and outpatient combined
- Rank in NC
- #58
- 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 29% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 74% 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 |
472 | $22,272 | $2,451 | +15% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
223 | $16,093 | $2,098 | +37% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
217 | $54,283 | $13,438 | -17% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
178 | $15,402 | $1,691 | +31% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
151 | $65,685 | $11,631 | +5% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
149 | $38,935 | $8,551 | -10% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
146 | $26,700 | $3,077 | +29% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
129 | $22,151 | $2,938 | -12% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
122 | $15,501 | $1,822 | +20% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
105 | $29,421 | $5,575 | 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 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$23,766 | $2,528 | +43% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$16,093 | $2,098 | +37% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$52,747 | $5,871 | +34% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$15,402 | $1,691 | +31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$26,700 | $3,077 | +29% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$22,941 | $2,694 | +26% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$30,065 | $3,432 | +26% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
$86,373 | $11,348 | +26% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$4,209 | $1,262 | -51% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$29,926 | $8,900 | -37% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$33,727 | $8,838 | -30% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$30,685 | $6,631 | -30% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$38,328 | $9,987 | -28% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
$39,701 | $7,794 | -27% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$64,462 | $13,599 | -27% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$34,718 | $8,532 | -27% |
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.