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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Carolinaeast Medical Center

CarolinaEast Health System · New Bern, NC

2000 Neuse Boulevard, New Bern, NC 28560(252) 633-8640

4 of 5

CMS star rating

320

Beds

12,722

Inpatient discharges a year

$596.5M

Net patient revenue a year

38

In-network payers

About this hospital

Carolinaeast Medical Center is a 320-bed government - hospital district or authority hospital in New Bern, NC, affiliated with CarolinaEast Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 281 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • Helipad
CCN
340131
NPI
1801852835
Health system
CarolinaEast Health System
Teaching
No Medicare-funded residents
County
Craven County
Metro area
New Bern, NC MicroSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2008

Prices for common services

The 24 services Carolinaeast Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$2,460 - $5,483

from 4 insurers · median $2,986

Aetna$5,483
Insurer A*$2,460
Insurer B*$2,534
Insurer C*$3,438
Medicare $349Nearby hospitals $4,03126% below nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,026 - $11,722

from 4 insurers · median $7,814

Cigna$11,722
Insurer A*$6,026
Insurer B*$6,953
Insurer C*$8,676

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,570 - $22,397

from 4 insurers · median $14,486

Cigna$19,176
Insurer A*$8,570
Insurer B*$9,796
Insurer C*$22,397

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$3,346 - $4,576

from 4 insurers · median $3,538

Aetna$3,500
Insurer A*$3,346
Insurer B*$3,576
Insurer C*$4,576
Medicare $238Nearby hospitals $1,766100% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Carolinaeast Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
955%
30
Insurer B*22
698%
82
Insurer C*22
690%
05
Insurer D*24
474%
145

How we chose these services: 3 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Carolinaeast Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 216 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.26%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 40 services
    • 595 affiliated clinicians
    See doctors and services
  • Finances

    $596.5M net patient revenue

    • Operating margin on patient care -3.5%
    • $19.8M unreimbursed and uncompensated care
    • $31.9M net income
    See finances
  • Ownership and leadership

    Hospital district or authority

    • Michael Carlton Smith, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Carolinaeast Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-0755775Carolina East Medical Center63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1801852835 Carolinaeast Medical Center1609833201 Carolinaeast Medical Center1780641373 Carolinaeast Medical Centerand 10 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2000 Neuse Boulevard, New Bern, NC 28560

(252) 633-8640

Get directions

Frequently asked questions

About Carolinaeast Medical Center's rates and hospital price transparency.

How much does an MRI cost at Carolinaeast Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Carolinaeast Medical Center range from $3,058 to $4,802 across 4 insurers. Blue Cross Blue Shield's rate is $3,511. The median at nearby comparable hospitals is $2,713. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Carolinaeast Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Carolinaeast Medical Center range from $2,460 to $5,483 across 4 insurers. Aetna's rate is $5,483. The median at nearby comparable hospitals is $4,031. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Carolinaeast Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Carolinaeast Medical Center range from $1,388 to $2,533 across 4 insurers. UnitedHealthcare's rate is $1,388. The median at nearby comparable hospitals is $3,715. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Carolinaeast Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Carolinaeast Medical Center range from $6,026 to $11,722 across 4 insurers. Cigna's rate is $11,722. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Carolinaeast Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Carolinaeast Medical Center range from $238 to $370 across 4 insurers. UnitedHealthcare's rate is $255. The median at nearby comparable hospitals is $254. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Carolinaeast Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Carolinaeast Medical Center range from $17,241 to $46,101 across 4 insurers. Aetna's rate is $46,101. The median at nearby comparable hospitals is $31,127. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Carolinaeast Medical Center's CMS star rating?

Carolinaeast Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Carolinaeast Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Carolinaeast Medical Center for fiscal year 2027.

Does Medicare penalize Carolinaeast Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Carolinaeast Medical Center's base inpatient payments by an estimated 0.26% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Carolinaeast Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (329 discharges), heart failure and shock with mcc (217 discharges), respiratory infections and inflammations with mcc (152 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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