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Emergency Department Visit with High Level of Medical Decision Making Cost in North Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 94 North Carolina hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,682
📉 Low $177
📈 High $9,523
🏥 94 hospitals
🏛️ 61 with insurance contracts
🇺🇸 Medicare $164
Hospital comparison — North Carolina
Sorted by cash price (lowest first). Showing top 60 of 94 hospitals.
Billed more than $1,682 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | Cigna | UHC | Centene | Humana | MultiPlan | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| HUGH CHATHAM MEMORIAL HOSPITAL ELKIN |
$177 | — | — | — | — | — | — | — | — |
| CHATHAM HOSPITAL PROGRESS BOULEVARD SILER CITY |
$308 | — | — | — | — | — | — | — | — |
| WASHINGTON REGIONAL MEDICAL CENTER PLYMOUTH |
$349 | — | — | — | — | — | — | — | — |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES HWY NORTH DANBURY |
$524 | — | — | — | — | — | — | — | — |
| ONSLOW MEMORIAL HOSPITAL JACKSONVILLE |
$531 | $587 | $139 | $2,906 | $184 | $139 | $166 | $3,006 | — |
| DUKE HEALTH LAKE NORMAN HOSPITAL MOORESVILLE |
$634 | — | — | — | — | — | — | — | — |
| RANDOLPH HOSPITAL ASHEBORO |
$692 | $24.70 | $17.00 | $1,803 | $14.10 | $645 | $645 | — | — |
| ECU HEALTH DUPLIN HOSPITAL KENANSVILLE |
$724 | — | — | — | — | — | — | — | — |
| THE OUTER BANKS HOSPITAL NAGS HEAD |
$732 | — | — | — | — | — | — | — | — |
| SWAIN COMMUNITY HOSPITAL BRYSON CITY |
$779 | $39.00 | $39.00 | $68.20 | $39.00 | $39.00 | — | — | $39.00 |
| ECU HEALTH ROANOKE-CHOWAN HOSPITAL AHOSKIE |
$818 | — | — | — | — | — | — | — | — |
| ECU HEALTH BERTIE HOSPITAL WINDSOR |
$900 | — | — | — | — | — | — | — | — |
| ALLEGHANY MEMORIAL HOSPITAL DOCTORS STREET SPARTA |
$913 | $621 | $174 | $1,534 | $621 | $621 | — | — | — |
| DUKE REGIONAL HOSPITAL DURHAM |
$930 | $157 | $139 | $167 | $139 | — | $90.00 | — | — |
| ADVENTHEALTH POLK COLUMBUS |
$941 | — | — | — | — | — | — | — | — |
| WATAUGA MEDICAL CENTER BOONE |
$951 | — | — | — | — | — | — | — | — |
| CANNON MEMORIAL HOSPITAL LINVILLE |
$951 | — | — | — | — | — | — | — | — |
| DUKE UNIVERSITY HOSPITAL DURHAM |
$960 | $161 | $139 | $167 | $87.00 | — | $85.00 | — | — |
| DUKE RALEIGH HOSPITAL RALEIGH |
$960 | $161 | $139 | $167 | $87.00 | — | $85.00 | — | — |
| ECU HEALTH NORTH HOSPITAL ROANOKE RAPIDS |
$982 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER NORTH WILKESBORO |
$994 | $755 | $556 | $1,042 | $376 | $376 | — | $1,829 | — |
| UNC HEALTH SOUTHEASTERN TH ST LUMBERTON |
$1,065 | — | — | — | — | — | — | — | — |
| CONE HEALTH ANNIE PENN HOSPITAL REIDSVILLE |
$1,134 | — | — | — | — | — | — | — | — |
| CONE HEALTH WESLEY LONG HOSPITAL GREENSBORO |
$1,134 | — | — | — | — | — | — | — | — |
| CONE HEALTH MOSES CONE HOSPITAL GREENSBORO |
$1,134 | — | — | — | — | — | — | — | — |
| CONE HEALTH BEHAVIORAL HEALTH HOSPITAL GREENSBORO |
$1,134 | — | — | — | — | — | — | — | — |
| CONE HEALTH ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON |
$1,134 | — | — | — | — | — | — | — | — |
| HARRIS REGIONAL HOSPITAL HOSPITAL ROAD SYLVA |
$1,156 | $44.60 | $36.18 | $295 | $100 | $49.49 | $102 | — | $100 |
| MARIA PARHAM MEDICAL CENTER HENDERSON |
$1,166 | $47.10 | $36.52 | $56.70 | $100 | $57.05 | $100 | — | $100 |
| ECU HEALTH CHOWAN HOSPITAL EDENTON |
$1,174 | — | — | — | — | — | — | — | — |
| UNC ROCKINGHAM HOSPITAL EAST KINGS HWY EDEN |
$1,185 | — | — | — | — | — | — | — | — |
| HAYWOOD REGIONAL MEDICAL CENTER CLYDE |
$1,256 | $44.60 | $33.11 | $100 | $100 | $45.31 | $102 | — | — |
| NOVANT HEALTH CLEMMONS MEDICAL CENTER CLEMMONS |
$1,305 | $592 | $412 | $595 | $412 | $412 | $578 | $1,958 | — |
| NOVANT HEALTH KERNERSVILLE MEDICAL CENTER KERNERSVILLE |
$1,305 | $592 | $412 | $595 | $412 | $412 | $578 | $1,958 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER LEXINGTON |
$1,318 | $748 | $561 | $1,146 | $501 | $501 | $2,319 | $2,372 | — |
| UNC LENOIR HEALTH CARE AIRPORT RD KINSTON |
$1,339 | — | — | — | — | — | — | — | — |
| CALDWELL MEMORIAL HOSPITAL MULBERRY ST SW LENOIR |
$1,379 | — | — | — | — | — | — | — | — |
| UNC MEDICAL CENTER MANNING DR CHAPEL HILL |
$1,411 | — | — | — | — | — | — | — | — |
| WAYNE UNC HEALTHCARE WAYNE MEMORIAL DR GOLDSBORO |
$1,469 | — | — | — | — | — | — | — | — |
| RUTHERFORD REGIONAL HEALTH SYSTEM RUTHERFORDTON |
$1,484 | $47.10 | $20.28 | $37.40 | $33.40 | $30.20 | $73.00 | $90.00 | $100 |
| WAKEMED NORTH HOSPITAL RALEIGH |
$1,495 | $593 | $288 | $3,400 | — | $250 | — | — | — |
| WAKEMED CARY HOSPITAL CARY |
$1,495 | $593 | $288 | $3,400 | — | $250 | — | — | — |
| WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK SUNNYBROOK ROAD RALEIGH |
$1,495 | — | — | — | — | — | — | — | — |
| PERSON MEMORIAL HOSPITAL ROXBORO |
$1,603 | $35.10 | $17.84 | $41.50 | $1,879 | $28.53 | $100 | — | — |
| NOVANT HEALTH PENDER MEDICAL CENTER BURGAW |
$1,608 | $989 | $965 | $994 | $2,609 | $1,024 | $917 | — | — |
| ATRIUM HEALTH BEHAVIORAL HEALTH CHARLOTTE CHARLOTTE |
$1,682 | $168 | $162 | $170 | $155 | $155 | $166 | — | — |
| ATRIUM HEALTH KINGS MOUNTAIN SHELBY |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,196 | $1,487 |
| ATRIUM HEALTH STANLY ALBERMARLE |
$1,682 | $168 | $381 | $162 | $155 | $155 | $166 | $3,162 | $1,487 |
| ATRIUM HEALTH PINEVILLE CHARLOTTE |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,095 | $1,487 |
| CAROLINAS REHABILITATION MOUNT HOLLY BELMONT |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,095 | $1,487 |
| ATRIUM HEALTH UNIVERSITY CITY CHARLOTTE |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,095 | $1,487 |
| ATRIUM HEALTH LINCOLN LINCOLNTON |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,196 | $1,487 |
| ATRIUM HEALTH UNION WEST MONROE |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,196 | $1,487 |
| ATRIUM HEALTH MERCY CHARLOTTE |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,095 | $1,487 |
| ATRIUM HEALTH CABARRUS CONCORD |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,196 | $1,487 |
| ATRIUM HEALTH CAROLINAS MEDICAL CENTER CHARLOTTE |
$1,682 | $168 | $290 | $162 | $155 | $155 | $166 | $3,028 | $1,487 |
| ATRIUM HEALTH LEVINE CHILDREN'S HOSPITAL CHARLOTTE |
$1,682 | $168 | $1,569 | $162 | $155 | $155 | $166 | $3,028 | $1,487 |
| ATRIUM HEALTH ANSON WADESBORO |
$1,682 | $168 | $290 | $162 | $155 | $153 | $166 | $3,196 | $1,487 |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER MATTHEWS |
$1,726 | $593 | $458 | $596 | $458 | $458 | $579 | $2,590 | — |
| NOVANT HEALTH ROWAN MEDICAL CENTER SALISBURY |
$1,726 | $593 | $579 | $596 | $579 | $594 | $579 | $2,590 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,682 for this?
That is the median of what the 94 North Carolina hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in North Carolina, Medicare reimburses about $164 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Carolina range from $177 to $9,523 — that means hospital cash prices are typically 10.3x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in North Carolina?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in North Carolina range from $177 to $9,523, with a median of $1,682. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in North Carolina?
- The cheapest North Carolina hospital published cash price for this procedure is $177. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in North Carolina
Methodology. Cash prices and insurance-negotiated rates published by each North Carolina facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.