DRG 194 · Respiratory

Pneumonia Cost in North Carolina — Compare All Hospitals

Hospitalization for simple pneumonia and pleurisy with complications — one of the most common medical admissions.

State average
$31,350
gross charge · DRG 194
Hospitals
25
with published pricing
Price range
$6,512 – $64,182
low to high
Lowest $6,512 Highest $64,182

25 North Carolina hospitals publish gross charges for pneumonia (DRG 194). Prices range from $6,512 to $64,182 — roughly $57,670 apart. The cheapest is Randolph Hospital in Asheboro; the most expensive is Person Memorial Hospital in Roxboro. The state average sits at $31,350.

These numbers are list prices — what the hospital bills before any insurance adjustment. Insurance plans negotiate substantial discounts, Medicare and Medicaid pay fixed federal rates, and uninsured patients can usually qualify for a cash-pay discount. But the gross charge still works as a useful benchmark: a hospital that lists pneumonia at twice the price of another typically negotiates higher rates with insurers too, and quotes more for uninsured patients.

You usually don't choose a hospital during an urgent pneumonia admission. This page is for the planning side: patients with chronic conditions weighing their options, caregivers picking ahead of time, or employers comparing in-network facilities. Click any hospital name for its full quality profile — CMS overall star rating, mortality and readmission rates, patient-experience scores. When two nearby hospitals look similar on quality, the one with lower published charges is the safer default for routine medical admissions.

Pricing comes from each hospital's Machine-Readable File (MRF), published under the federal Hospital Price Transparency Rule. North Carolina hospitals missing from the list either don't perform pneumonia in volume, haven't published a usable price for DRG 194 in their most recent MRF, or fell below our data-quality thresholds (we filter out clearly erroneous entries like $0 charges). The list refreshes as hospitals update their files.

What this hospital charge usually covers

The gross-charge number above is the hospital's facility bill for pneumonia. Here's what's typically inside that price (typical inpatient stay: 3–5 days):

Included in the hospital bill

  • Inpatient room and respiratory monitoring
  • IV antibiotics and oxygen therapy
  • Chest imaging, blood cultures, and routine labs
  • Respiratory treatments (nebulizers, etc.) during the stay

Usually billed separately

  • Hospitalist and infectious-disease consultant professional fees
  • Pulmonologist consultation if required
  • Outpatient antibiotics after discharge
  • Follow-up chest imaging

Quality signals to check before picking a hospital

Price alone won't tell you which hospital does pneumonia best. These are the CMS quality measures that matter most for this specific procedure. Click any hospital below for its full profile, then look for these:

Pneumonia Mortality (30-day)

How often patients hospitalized for pneumonia survive 30 days. The headline pneumonia outcome.

Pneumonia Readmissions

Strong discharge planning, the right outpatient antibiotic, and follow-up reduce returns to the hospital.

Sepsis Care Bundle

Severe pneumonia can become sepsis. Hospitals with strong sepsis-bundle compliance catch and treat it early.

When the cheapest hospital may not be the best fit

The list below sorts by price. For pneumonia, the lowest price isn't automatically the best fit — these are situations where it's worth weighing additional factors against price. None of the below is medical advice; talk to your doctor about what applies to your specific situation.

Questions to ask your hospital or insurer

The gross charge is the starting point. These are the procedure-specific questions to ask before you commit:

Hospitals ranked by gross charge

  1. 1

    Randolph Hospital

    Asheboro, NC

    11 Medicare stays/yr
    Gross charge $6,512
    Medicare pays (avg) $6,773
  2. 2
    Gross charge $9,214
    Cash pay $3,686
  3. 3

    Sampson Regional Medical Center

    Clinton, NC

    Gross charge $16,783
    Cash pay $11,748
  4. 4

    Duke Regional Hospital

    Durham, NC

    36 Medicare stays/yr
    Gross charge $19,225
    Cash pay $5,191
    Medicare pays (avg) $6,325
  5. 5

    Duke University Hospital

    Durham, NC

    59 Medicare stays/yr
    Gross charge $21,047
    Cash pay $5,683
    Medicare pays (avg) $7,489
  6. 6

    Haywood Regional Medical Center

    Clyde, NC

    15 Medicare stays/yr
    Gross charge $26,009
    Cash pay $10,404
    Medicare pays (avg) $4,832
  7. 7

    UNC Hospitals

    Chapel Hill, NC

    45 Medicare stays/yr
    Gross charge $27,087
    Cash pay $16,252
    Medicare pays (avg) $8,491
  8. 8

    UNC REX Hospital

    Raleigh, NC

    72 Medicare stays/yr
    Gross charge $27,087
    Cash pay $16,252
    Medicare pays (avg) $4,464
  9. 9

    Maria Parham Medical Center

    Henderson, NC

    Gross charge $28,691
    Cash pay $11,476
  10. 10

    Novant Health New Hanover Regional Medical Center

    Wilmington, NC

    60 Medicare stays/yr
    Gross charge $29,656
    Cash pay $13,345
    Medicare pays (avg) $5,278
  11. 11

    Novant Health Presbyterian Medical Center (Acute Care)

    Charlotte, NC

    24 Medicare stays/yr
    Gross charge $30,275
    Cash pay $15,138
    Medicare pays (avg) $5,686
  12. 12

    Novant Health Thomasville Medical Center

    Thomasville, NC

    Gross charge $30,275
    Cash pay $15,138
  13. 13

    Novant Health Medical Park Hospital

    Winston-Salem, NC

    Gross charge $30,275
    Cash pay $15,138
  14. 14

    Novant Health Brunswick Medical Center

    Supply, NC

    30 Medicare stays/yr
    Gross charge $30,275
    Cash pay $15,138
    Medicare pays (avg) $5,002
  15. 15

    Novant Health Matthews Medical Center

    Matthews, NC

    22 Medicare stays/yr
    Gross charge $30,275
    Cash pay $15,138
    Medicare pays (avg) $5,015
  16. 16

    Novant Health Huntersville Medical Center

    Huntersville, NC

    21 Medicare stays/yr
    Gross charge $30,275
    Cash pay $15,138
    Medicare pays (avg) $4,735
  17. 17

    Novant Health Mint Hill Medical Center

    Charlotte, NC

    Gross charge $30,275
    Cash pay $15,138
  18. 18
    Gross charge $30,275
    Cash pay $15,138
  19. 19

    Rutherford Regional Health System

    Rutherfordton, NC

    Gross charge $30,559
    Cash pay $12,224
  20. 20

    Novant Health Rowan Medical Center

    Salisbury, NC

    14 Medicare stays/yr
    Gross charge $34,381
    Cash pay $17,191
    Medicare pays (avg) $5,257
  21. 21

    Wilson Medical Center

    Wilson, NC

    Gross charge $35,160
    Cash pay $14,064
  22. 22

    Harris Regional Hospital

    Sylva, NC

    Gross charge $53,243
    Cash pay $21,297
  23. 23

    Central Carolina Hospital

    Sanford, NC

    Gross charge $54,733
    Cash pay $21,893
  24. 24

    Frye Regional Medical Center

    Hickory, NC

    13 Medicare stays/yr
    Gross charge $57,977
    Cash pay $23,191
    Medicare pays (avg) $4,955
  25. 25

    Person Memorial Hospital

    Roxboro, NC

    Gross charge $64,182
    Cash pay $25,673
  26. 26

    CaroMont Regional Medical Center

    Gastonia, NC

    47 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $5,321
  27. 27

    Ecu Health Medical Center

    Greenville, NC

    73 Medicare stays/yr
    Gross charge
    Cash pay $13,094
    Medicare pays (avg) $5,931
  28. 28

    North Carolina Baptist Hospital

    Winston-Salem, NC

    53 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $7,472
  29. 29
    Gross charge
  30. 30

    Columbus Regional Healthcare System

    Whiteville, NC

    Gross charge
  31. 31

    Wakemed, Raleigh Campus

    Raleigh, NC

    100 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $6,411
  32. 32

    Cape Fear Valley Betsy Johnson Hospital

    Dunn, NC

    Gross charge
  33. 33

    Hugh Chatham Memorial Hospital

    Elkin, NC

    Gross charge
  34. 34

    Vidant Roanoke Chowan Hospital

    Ahoskie, NC

    16 Medicare stays/yr
    Gross charge
    Cash pay $13,094
    Medicare pays (avg) $5,867
  35. 35

    ECU Health Edgecombe Hospital

    Tarboro, NC

    Gross charge
    Cash pay $13,094
  36. 36

    ECU Health Duplin Hospital

    Kenansville, NC

    Gross charge
    Cash pay $13,094
  37. 37

    ECU Health North Hospital

    Roanoke Rapids, NC

    Gross charge
    Cash pay $13,094
  38. 38

    WakeMed Cary Hospital

    Cary, NC

    49 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $4,076
  39. 39

    ECU Health Bertie Hospital

    Windsor, NC

    Gross charge
    Cash pay $13,094
  40. 40

    ECU Health Chowan Hospital

    Edenton, NC

    Gross charge
    Cash pay $13,094
  41. 41

    The Outer Banks Hospital, Inc

    Nags Head, NC

    Gross charge
    Cash pay $13,094
  42. 42
    Gross charge
  43. 43

    Angel Medical Center

    Franklin, NC

    Gross charge

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