53/100
#1,178 nationally
Wilkes Regional Medical Center
1370 West D St, North Wilkesboro, NC 28659 · (336) 651-8100
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Wilkes Regional Medical Center billed $4.24 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
- 32
- inpatient and outpatient combined
- Rank in NC
- #46
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 64% of U.S. hospitals.
Better than 31% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 47% 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 |
165 | $20,240 | $2,008 | +72% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
116 | $42,811 | $14,218 | -34% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
65 | $14,309 | $2,356 | -26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
44 | $32,092 | $9,779 | -26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
36 | $6,621 | $1,340 | -34% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
30 | $24,122 | $2,670 | +18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
28 | $65,826 | $10,388 | +5% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
24 | $21,651 | $6,759 | -27% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
24 | $13,654 | $1,625 | +20% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
24 | $11,301 | $1,399 | 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$20,240 | $2,008 | +72% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$54,425 | $6,226 | +37% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,773 | $1,596 | +26% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,654 | $1,625 | +20% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$24,122 | $2,670 | +18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$65,826 | $10,388 | +5% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$11,301 | $1,399 | about average |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$80,803 | $15,322 | -3% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$23,539 | $10,537 | -51% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$24,599 | $8,017 | -41% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$18,000 | $6,398 | -41% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$28,763 | $8,821 | -37% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$31,200 | $9,546 | -36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$42,811 | $14,218 | -34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,621 | $1,340 | -34% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$23,840 | $7,839 | -31% |
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.