Medicine & Surgery · Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$35,978 - $37,642
from 4 insurers · median $37,167
121 Medicare discharges for this DRG in CMS hospital data
Morehead City, NC
2 of 5
CMS star rating
99
Beds
5,713
Inpatient discharges a year
$215.8M
Net patient revenue a year
33
In-network payers
Carteret Health Care is a 99-bed proprietary hospital in Morehead City, NC. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 287 disclosed rate categories.
The 24 services Carteret Health Care 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$35,978 - $37,642
from 4 insurers · median $37,167
121 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$16,239 - $16,990
from 4 insurers · median $16,776
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 807
$3,021 - $8,338
from 4 insurers · median $7,799
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$266 - $4,422
from 4 insurers · median $4,268
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$167 - $3,464
from 4 insurers · median $3,344
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$91 - $825
from 4 insurers · median $796
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$128 - $2,105
from 4 insurers · median $2,032
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$294 - $3,360
from 4 insurers · median $3,243
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$90 - $438
from 4 insurers · median $423
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,021 - $8,338
from 4 insurers · median $7,799
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
MRI imaging
CPT 72148
$98 - $2,939
from 4 insurers · median $2,837
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$25 - $262
from 4 insurers · median $253
Common here, based on CMS Medicare volume
MRI imaging
CPT 72197
$3,267 - $3,418
from 3 insurers · median $3,331
Common here, based on CMS Medicare volume
MRI imaging
CPT 72141
$98 - $2,939
from 4 insurers · median $2,837
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$21,382 - $22,371
from 4 insurers · median $22,088
Hospital reports inpatient surgical services to CMS
Nuclear imaging
CPT 78452
$352 - $3,325
from 4 insurers · median $3,210
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$62 - $504
from 4 insurers · median $486
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$461 - $482
from 3 insurers · median $470
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$3 - $127
from 4 insurers · median $122
Typical for a hospital with this service line
Urology
CPT 50590
$6,126 - $6,608
from 3 insurers · median $6,441
29 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Ultrasound
CPT 76536
$79 - $684
from 4 insurers · median $660
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$60 - $335
from 4 insurers · median $324
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 85025
$81 - $85
from 4 insurers · median $84
Typical for a hospital with this service line
Mammography
CPT 77065
$99 - $409
from 4 insurers · median $395
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 773% | 3 | 8 |
| Insurer B* | 24 | 753% | 20 | 1 |
| Insurer C* | 24 | 738% | 10 | 8 |
| Insurer D* | 21 | 70% | 1 | 14 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 6 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 Carteret Health Care, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$215.8M net patient revenue
Ownership and leadership
Owned by Carteret County General Hospital Corporation
The employer identification numbers (EINs) health plans and networks list for Carteret Health Care in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 56-0952955Carteret General Hospital | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more | 1760479331 Carteret County General Hospital Corporation1396712212 Carteret County General Hospital Corporation1619943800 Carteret County General Hospital Corporationand 4 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.
3500 Arendell Street, Morehead City, NC 28557
(252) 808-6000
How Carteret Health Care compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 10 measures
0 better, 7 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.09
Higher than 80% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
225 min
Higher than 90% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
76%
Higher than 76% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | Worse on 1 of 6 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Worse on 3 of 10 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.09 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 225 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 76% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Carteret Health Care's inpatient payments for its readmissions, quality and cost results.
-1.10% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.85% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Carteret Health Care, beside the US median and the average of NC hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 233 cases | 4.5 | 4.1 | 4.042 | Worse than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,621 cases | 5.5 | 3.9 | 3.99 | Worse than 95% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 70 cases | 13.7 | 11.8 | 11.93 | Worse than 94% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.5 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 135 cases | 9.8 | 8.5 | 8.754 | Worse than 81% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 295 cases | 14.4 | 11 | 11.28 | Worse than 94% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 423 cases | 20.9 | 15.2 | 15.37 | Worse than 97% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 140 cases | 13.4 | 11.6 | 12.32 | Worse than 76% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,709 cases | 0.63 | 0.51 | 0.6392 | No Different Than the National Rate | Worse than 74% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,688 cases | 0.18 | 0.2 | 0.2025 | No Different Than the National Rate | Better than 76% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,616 cases | 0.24 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 81% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 769 cases | 2.12 | 2.29 | 2.327 | No Different Than the National Rate | Better than 77% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 379 cases | 1.63 | 1.63 | 1.616 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 381 cases | 10.13 | 8.88 | 9.086 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 795 cases | 4.64 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 354 cases | 6.57 | 5.105 | 4.934 | No Different Than the National Rate | Worse than 88% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 103 cases | 1.67 | 1.72 | 1.74 | No Different Than the National Rate | Better than 70% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 291 cases | 0.98 | 1.02 | 1.018 | No Different Than the National Rate | Better than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 52 cases | 41.8 | 4.2 | 2.516 | Worse than 91% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 306 cases | 65.7 | 1.25 | 4.059 | Worse than 96% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 414 cases | 30.3 | 3.85 | 4.357 | Worse than 82% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 131 cases | 13.7 | 12.9 | 12.92 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 188 cases | 8.1 | 10.7 | 10.53 | No Different Than the National Rate | Better than 99% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 188 cases | 4.4 | 5.3 | 5.411 | No Different Than the National Rate | Better than 93% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 351 cases | 0.9 | 1 | 0.979 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 55 cases | 14.5 | 14.4 | 14.22 | Worse than 55% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.9 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 154 cases | 21 | 19.8 | 19.82 | Worse than 88% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 340 cases | 23.3 | 21.3 | 21.37 | Worse than 93% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 210 cases | 5.9 | 5.8 | 5.698 | Worse than 55% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 463 cases | 18.2 | 17.2 | 17.06 | Worse than 81% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3158 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.089 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 867 | 1,370 | 6,107 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.565 | 0.9835 | 6.392 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 4.212 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6593 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2172 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.466 | 1.392 | 2.008 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,790 | 1,799 | 5,404 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.215 | 1.377 | 7.041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.354 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5489 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 1.185 | 0.2345 | 0.4264 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 7.169 | 2.135 | 2.632 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 68 | 61 | 148 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.546 | 1.591 | 3.971 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 5 | 1 | 3.869 | Worse than the National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 3.234 | 0.7155 | 0.9259 | Worse than the National Benchmark | Worse than 99% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.699 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 93 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.7 | 0.328 | 0.7343 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.267 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2893 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.314 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 30,046 | 14,451 | 62,217 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.866 | 0.567 | 4.657 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.863 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.742 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.319 | 0.127 | 0.1478 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.93 | 0.747 | 1.095 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 28,695 | 13,646 | 56,214 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.742 | 5.683 | 32.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 5 | 2 | 9.258 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.871 | 0.279 | 0.3119 | No Different than National Benchmark | Worse than 93% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 321 cases | 67 | 73 | 71.37 | Worse than 75% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 321 cases | 12 | 8 | 9.762 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 321 cases | 21 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 85 | 87 | 85.7 | Worse than 63% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 321 cases | 3 | 4 | 3.269 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 321 cases | 83 | 80 | 80.26 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 93 | 91 | 91.65 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 321 cases | 3 | 4 | 4.218 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 321 cases | 4 | 3 | 3.591 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 321 cases | 14 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 321 cases | 83 | 79 | 80.9 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 93 | 91 | 91.66 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 321 cases | 3 | 5 | 5.01 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 321 cases | 4 | 3 | 3.452 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 321 cases | 14 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 321 cases | 64 | 61 | 62.62 | Better than 64% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 80 | 77 | 77.77 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 321 cases | 16 | 19 | 18.97 | Better than 69% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 321 cases | 3 | 3 | 2.839 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 321 cases | 20 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 89 | 86 | 86.12 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 321 cases | 10 | 13 | 13.33 | Better than 78% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 321 cases | 4 | 3 | 3.441 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 321 cases | 90 | 87 | 86.67 | Better than 78% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 321 cases | 10 | 14 | 14.2 | Better than 83% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 321 cases | 90 | 86 | 85.8 | Better than 83% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 321 cases | 78 | 74 | 76.04 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 321 cases | 5 | 7 | 6.586 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 321 cases | 17 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 321 cases | 84 | 77 | 79.47 | Better than 84% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 321 cases | 3 | 6 | 5.475 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 321 cases | 13 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 321 cases | 88 | 85 | 86.33 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 321 cases | 2 | 3 | 3.465 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 321 cases | 10 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 321 cases | 5 | 8 | 8.446 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 321 cases | 21 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 321 cases | 74 | 72 | 71.41 | Better than 58% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 90 | 88 | 88.02 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 321 cases | 4 | 3 | 3.323 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 321 cases | 78 | 74 | 75.25 | Better than 71% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 321 cases | 7 | 9 | 9.232 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 321 cases | 15 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 321 cases | 79 | 75 | 75.79 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 321 cases | 4 | 5 | 5.697 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 321 cases | 17 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 321 cases | 82 | 77 | 77.57 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 321 cases | 3 | 4 | 4.424 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 321 cases | 15 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 321 cases | 87 | 86 | 86.24 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 321 cases | 1 | 3 | 2.859 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 321 cases | 12 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 321 cases | 60 | 59 | 60.2 | Better than 51% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 321 cases | 8 | 9 | 9.109 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 321 cases | 32 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 83 | 82 | 82.46 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 321 cases | 4 | 3 | 3.419 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 321 cases | 4 | 5 | 5.683 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 321 cases | 72 | 71 | 70.04 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 321 cases | 89 | 87 | 86.94 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 321 cases | 24 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 321 cases | 4 | 4 | 3.656 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 321 cases | 50 | 47 | 49.27 | Better than 63% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 321 cases | 25 | 30 | 29.43 | Better than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 321 cases | 25 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 321 cases | 4 | 3 | 3.387 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 321 cases | 10 | 12 | 12.81 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 321 cases | 90 | 88 | 87.19 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.179 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.182 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1154 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,762 cases | 94 | 79 | 85.95 | Better than 83% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 403 cases | 233 | 154 | 190 | Worse than 91% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 369 cases | 225 | 148 | 183 | Worse than 90% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 19 cases | 1,212 | 247 | 389 | Worse than 99% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 266 | 293 | 427 | Better than 62% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 40,781 cases | 2 | 1 | 2.253 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 35 cases | 80 | 74 | 72.17 | Better than 62% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 24 cases | 100 | 97 | 93.75 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 54.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,768 cases | 21 | 15 | 16.55 | Worse than 88% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 405 cases | 76 | 65 | 63.49 | Better than 76% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 172 cases | 94 | 73 | 72.19 | Better than 92% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 96 cases | 85 | 88 | 81.33 | Worse than 60% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 406 cases | 83 | 82 | 80.49 | Better than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 255 cases | 98 | 94 | 94.21 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 130 cases | 99 | 98 | 96.77 | Better than 70% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 93.39 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 3,301 cases | 99 | 90 | 88.42 | Better than 90% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 438 cases | 99 | 97 | 96.08 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5 | 5 | 4.658 | Worse than 50% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.8 | 6.6 | 6.699 | Worse than 52% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.92 | 0.99 | 0.9478 | Better than 81% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 20.53 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 5.133 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 27.67 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 7.066 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 62 | 34 | 42.34 | Better than 87% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.5 | 8.75 | 10.67 | Better than 86% of US hospitals | |
| VBP safety domain scoreFY 2026 | 53.33 | 40 | 39.99 | Better than 72% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 13.33 | 10 | 10.21 | Better than 71% of US hospitals | |
| VBP total performance scoreFY 2026 | 41.33 | 29.5 | 32.71 | Better than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 22 | 18 | 25 | 12 | 2 | 10 |
| VBP clinical outcomes weighted domain score | 5.5 | 4.5 | 6.25 | 3 | 0.5 | 2.5 |
| VBP efficiency and cost reduction domain score | 40 | Not Available | 50 | 50 | 70 | 40 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 12.5 | 12.5 | 17.5 | 10 |
| VBP person and community engagement domain score | 59 | Not Available | Not Available | 42 | 33 | 62 |
| VBP person and community engagement weighted domain score | 14.75 | Not Available | Not Available | 10.5 | 8.25 | 15.5 |
| VBP safety domain score | 65 | Not Available | Not Available | 20 | 0 | 53.33 |
| VBP safety weighted domain score | 16.25 | Not Available | Not Available | 5 | 0 | 13.33 |
| VBP total performance score | 46.5 | Not Available | Not Available | 31 | 26.25 | 41.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 65 cases | 1.054 | 0.9995 | 0.987 | Worse than 80% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 159 cases | 1.105 | 0.9969 | 0.9983 | Worse than 98% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 340 cases | 1.075 | 0.9983 | 0.9982 | Worse than 87% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 329 cases | 1.021 | 0.9916 | 1.01 | Worse than 58% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 413 cases | 1.04 | 0.9955 | 0.989 | Worse than 76% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9546 | 0.9704 | 1.008 | 1.025 | 1.04 | 1.054 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.03 | 0.9559 | 0.9723 | 0.9789 | 1.055 | 1.105 |
| READM-30-HF-HRRP | 0.9101 | 0.9435 | 0.9922 | 1.113 | 1.103 | 1.075 |
| READM-30-HIP-KNEE-HRRP | 0.9016 | 0.9945 | 1.079 | 1.149 | 1.331 | 1.021 |
| READM-30-PN-HRRP | 1.073 | 1.007 | 0.9412 | 0.8918 | 0.9552 | 1.04 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Carteret Health Care | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.1 | 0.489 | 0.6937 | Worse than 88% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.892 | 0.346 | 0.3392 | Worse than 94% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6866 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.521 | 0.6405 | 0.9073 | Worse than 92% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.094 | 0.9628 | 0.9914 | Worse than 80% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.562 | 0.7945 | 0.9227 | Worse than 86% of US hospitals | |
| Total HAC scoreFY 2026 | 1.401 | -0.0453 | 0.09972 | Worse than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | No | Yes | Yes |
| Total HAC score | 0.7892 | -0.054 | 0 | -0.5054 | 1.174 | 1.401 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2024)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
117
Medicare-certified beds
199
Registered nurses (full-time equivalent)
1967
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Carteret Health Care reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
5,713
Inpatient discharges
Medicare 33%, Medicaid 1%
28,388
Inpatient days
79% of available bed days used
1,037
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830444). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Carteret Health Care reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 9,527 | 173 | 18,688 | 28,388 |
| Discharges | 1,858 | 51 | 3,804 | 5,713 |
| Average length of stay | 5.1 days | 3.4 days | 4.9 days | 5.0 days |
| Average daily census | 26.1 | 0.5 | 51.2 | 77.8 |
4,607
Medicare Advantage days
792 discharges
2,659
Medicaid managed care days
4,453
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 91 | 24,477 | 9,226 | 74% |
| Intensive care unit | 8 | 2,399 | 301 | 82% |
| Nursery | 1,512 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830444, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Carteret Health Care treats Medicare patients for most often, in 2024. 1,321 Medicare discharges in 44 published DRGs; 15% surgical; 69% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 144 | $30,373 | $15,450 | $13,850 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 118 | $18,448 | $9,848 | $8,412 | 1.28 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 85 | $40,126 | $14,251 | $18,298 | 1.88 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 71 | $22,705 | $12,832 | $10,354 | 1.70 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 51 | $16,820 | $5,337 | $7,670 | 0.81 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 44 | $19,400 | $9,875 | $8,846 | 1.33 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $17,998 | $8,507 | $8,207 | 1.17 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 41 | $30,973 | $16,138 | $14,124 | 2.07 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 40 | $19,548 | $7,235 | $8,914 | 1.03 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 38 | $16,794 | $5,575 | $7,658 | 0.82 |
| Renal failure with CCMS-DRG 683, medical | 36 | $16,662 | $6,633 | $7,598 | 0.90 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 34 | $17,767 | $5,386 | $8,102 | 0.79 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $13,706 | $4,972 | $6,250 | 0.74 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 31 | $14,128 | $5,341 | $6,443 | 0.78 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $24,495 | $11,793 | $11,170 | 1.50 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $18,144 | $6,865 | $8,274 | 0.98 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 25 | $16,184 | $8,335 | $7,380 | 1.10 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $22,117 | $9,033 | $10,085 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $22,937 | $12,440 | $10,459 | 1.59 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 23 | $15,230 | $7,176 | $6,945 | 1.02 |
See all 44 Medicare inpatient DRGs at Carteret Health Care
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Carteret Health Care billed Medicare for most in 2024: 1,025 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 266 | 255 | $8,095 | $2,020 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 102 | 98 | $38,817 | $10,321 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 101 | 94 | $6,491 | $1,139 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 97 | 94 | $23,700 | $5,265 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 68 | 68 | $15,205 | $4,227 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 42 | 26 | $33,190 | $10,107 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 38 | 33 | $15,436 | $3,848 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 34 | 32 | $3,270 | $1,160 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 33 | 28 | $10,388 | $2,083 | $2,405 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 32 | $12,410 | $2,573 | $2,636 |
See all 20 Medicare outpatient services at Carteret Health Care
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Carteret Health Care in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,035 in 2020 to 2,473 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 28570 | 636 | 26% | 3,392 | $16.3M | 65% | 62% |
| 28557 | 479 | 19% | 2,623 | $12.6M | 63% | 67% |
| 28516 | 448 | 18% | 2,537 | $12.4M | 66% | 63% |
| 28584 | 284 | 11% | 1,496 | $8.3M | 43% | 40% |
| 28512 | 135 | 5% | 752 | $3.5M | 66% | 64% |
| 28532 | 115 | 5% | 552 | $3.2M | 21% | 14% |
| 28594 | 101 | 4% | 528 | $2.8M | 49% | 46% |
| 28539 | 63 | 3% | 315 | $1.8M | 12% | 12% |
| 28531 | 53 | 2% | 240 | $1.4M | 66% | 79% |
| 28582 | 39 | 2% | 181 | $1.1M | 39% | 24% |
| 28560 | 28 | 1% | 116 | $615,864 | 3% | 1% |
| 28528 | 24 | 1% | 136 | $675,758 | 100% | 100% |
| 28579 | 22 | 1% | 146 | $632,324 | 100% | 100% |
| 28511 | 20 | 1% | 89 | $525,588 | 100% | 100% |
| 28540 | 14 | 1% | 66 | $510,786 | 1% | 1% |
| 28562 | 12 | 0% | 77 | $417,451 | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 2,473 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Carteret Health Care reported at its latest Medicare certification survey (2009). Counts are people, not full-time equivalents.
199
Registered nurses
23
Licensed practical nurses
1
Physicians
1
Nurse practitioners
9
Nurse anesthetists (CRNAs)
7
Pharmacists
19
Respiratory therapists
16
Radiology technicians
3
Nuclear medicine technicians
13
Laboratory technicians
8
Medical technologists
3
Dietitians
4
Social workers
590
Other personnel
Source: CMS Provider of Services file.
436 clinicians who bill Medicare list Carteret Health Care as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Floriece Blackmon, M.D.
Diagnostic Radiology Physician
NPI 1992834949
See commercial rates for Floriece Blackmon, M.D.John Lopiccolo, D.P.M.
Podiatrist
NPI 1679599963
See commercial rates for John Lopiccolo, D.P.M.Evan Restelli, D.O.
Pulmonary Disease Physician
NPI 1003923814
See commercial rates for Evan Restelli, D.O.Jennifer Holmes, MD
Pulmonary Disease Physician
NPI 1780769232
See commercial rates for Jennifer Holmes, MDCourtney Auman, MD
Pain Medicine Physician
NPI 1154563591
See commercial rates for Courtney Auman, MDJohny Ardeljan, DO
Neurology Physician
NPI 1265692073
See commercial rates for Johny Ardeljan, DOMatthew Swiber, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1730150541
See commercial rates for Matthew Swiber, M.D.Jeffrey Potter, MD
Neuroradiology Physician
NPI 1831171222
See commercial rates for Jeffrey Potter, MDBrian Zhao, M.D.
Diagnostic Radiology Physician
NPI 1699161372
See commercial rates for Brian Zhao, M.D.Michael Lach, D.O.
Diagnostic Radiology Physician
NPI 1710304829
See commercial rates for Michael Lach, D.O.Reagan Parrish, D.P.M.
Foot Surgery Podiatrist
NPI 1760702245
See commercial rates for Reagan Parrish, D.P.M.Christopher Ball
Diagnostic Radiology Physician
NPI 1821483041
See commercial rates for Christopher BallChristopher Mizelle, MD
Dermatology Physician
NPI 1568471555
See commercial rates for Christopher Mizelle, MDStephen Sides, MD
Vascular & Interventional Radiology Physician
NPI 1841272465
See commercial rates for Stephen Sides, MDAnthony Thaxton, MD
Body Imaging Physician
NPI 1407884695
See commercial rates for Anthony Thaxton, MDDouglas Shusterman, MD
Body Imaging Physician
NPI 1295717767
See commercial rates for Douglas Shusterman, MDBrendan Kelley, M.D.
Neuroradiology Physician
NPI 1467794701
See commercial rates for Brendan Kelley, M.D.David Walker, MD
Diagnostic Radiology Physician
NPI 1124548391
See commercial rates for David Walker, MDMichael Coan, MD
Diagnostic Radiology Physician
NPI 1023091147
See commercial rates for Michael Coan, MDEvan Leitz, MD
Diagnostic Radiology Physician
NPI 1013177344
See commercial rates for Evan Leitz, MDHeather Seymour, MD
Diagnostic Radiology Physician
NPI 1780667055
See commercial rates for Heather Seymour, MDMary Lawrence, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1215932140
See commercial rates for Mary Lawrence, MDTobin Finizio, MD
Diagnostic Radiology Physician
NPI 1194779132
See commercial rates for Tobin Finizio, MDEarl Frantz, D.O.
Sports Medicine (Family Medicine) Physician
NPI 1770574022
See commercial rates for Earl Frantz, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Carteret Health Care reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $549M | 254.4% |
| Inpatient | $135.3M | 62.7% |
| Outpatient | $413.7M | 191.7% |
| Contractual allowances and discounts | -$333.2M | -154.4% |
| Net patient revenue | $215.8M | 100.0% |
| Operating expenses | -$212.7M | -98.6% |
| Operating income from patient care | $3.1M | 1.4% |
| Other income | $18.8M | 8.7% |
| Contributions and donations | $1.8M | 0.8% |
| Investment income | $8.9M | 4.1% |
| Other | $8.1M | 3.8% |
| Net income | $21.9M | 10.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $142.5M | 28.0% |
| Medicaid (including managed care) | $3M | 0.6% |
| Other payers and self-pay | $364.2M | 71.4% |
| Total charges | $509.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830444, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Carteret Health Care's latest cost report.
1.4%
Operating margin
Operating income from patient care / net patient revenue
9.3%
Total margin
Net income / net patient revenue plus other income
15.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.08
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
4.8%
Return on assets
Net income for a year / total assets
5.6%
Return on equity
Net income for a year / fund balance
0.01
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.87
Current ratio
Current assets / current liabilities
1.38
Quick ratio
Cash, temporary investments and net receivables / current liabilities
63 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
78 days
Days in patient receivables
Net patient receivables / daily net patient revenue
106 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.51
Asset turnover
Total revenue for a year / total assets
11.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Carteret Health Care owned and owed at the end of its reporting period (Sep 2025), across all fund types: $456.9M in total assets and a $389.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $34.4M | 7.5% |
| Patient receivables, net | $46M | 10.1% |
| Inventory | $5.5M | 1.2% |
| Total current assets | $108.9M | 23.8% |
| Property and equipment, net of depreciation | $120.7M | 26.4% |
| Investments and other assets | $227.2M | 49.7% |
| Total assets | $456.9M | 100.0% |
| Current liabilities | $58.3M | 12.8% |
| Long-term debt | $4.8M | 1.1% |
| Total liabilities | $67.7M | 14.8% |
| Fund balance (net assets) | $389.1M | 85.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Carteret Health Care provided without full payment, as reported on Worksheet S-10 of its cost report.
$42.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$34,615
Bad debt
Patient bills written off as uncollectible, at charges
-$230,790
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$42.5M
Total unreimbursed and uncompensated care
20.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 830444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Carteret Health Care's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $166.6M | $181.1M | $187.2M | $205.5M | $207.5M | $215.8M |
| Operating expenses | $152.7M | $165.3M | $175.2M | $190.9M | $199.9M | $212.7M |
| Operating margin | 8.3% | 8.7% | 6.4% | 7.1% | 3.7% | 1.4% |
| Net income | $21.3M | $27.8M | $2M | $25.3M | $29.4M | $21.9M |
| Total assets | $328.3M | $350.4M | $366.4M | $395.3M | $425.7M | $456.9M |
| Discharges | 5,388 | 5,825 | 5,806 | 5,991 | 6,022 | 5,713 |
| Inpatient days | 22,341 | 24,661 | 24,998 | 28,723 | 28,352 | 28,388 |
| Medicare Advantage days | 354 | 4,003 | 4,521 | 2,586 | 4,607 | |
| Beds | 99 | 99 | 99 | 99 | 99 | 99 |
| Employees (FTE) | 939 | 959 | 928 | 957 | 941 | 1,037 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Carteret Health Care reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $26.8M | $170M | 0.16 | ||
| Operating room | $4.2M | $15.9M | $23.2M | 0.68 | 61,176 |
| Emergency | $6M | $13.3M | $21.1M | 0.63 | 25,543 |
| Impl. dev. charged to patients | $10.3M | $29.4M | 0.35 | ||
| Radiology-diagnostic | $3.3M | $9M | $36M | 0.25 | 32,000 |
| Laboratory | $2.6M | $8.7M | $39.6M | 0.22 | 8,993 |
| Medical supplies charged to patient | $8.3M | $29.7M | 0.28 | ||
| Observation beds (non-distinct part | $4.4M | $1.8M | 2.44 | ||
| Delivery room & labor room | $1.9M | $3.9M | $3.4M | 1.16 | 10,190 |
| Op medical unit | $2.2M | $3.4M | $3.1M | 1.11 | 9,981 |
| Home health agency | $1.8M | $3.3M | $3.3M | 1.01 | 650 |
| Physical therapy | $1.5M | $2.8M | $3.7M | 0.75 | 8,467 |
| Radiology-therapeutic | $616,880 | $2.6M | $26.8M | 0.10 | 4,917 |
| Respiratory therapy | $1.3M | $2.3M | $3M | 0.75 | 2,535 |
| Ct scan | $583,973 | $1.8M | $57.1M | 0.03 | 400 |
| Sea level pharmacy | $239,876 | $1.7M | $1.3M | 1.28 | 2,758 |
| Cardiac catheterization | $621,308 | $1.7M | $7.6M | 0.22 | 5,229 |
| Ambulance services | $1.1M | $1.6M | $2.3M | 0.72 | |
| Anesthesiology | $2M | $1.4M | $4.5M | 0.30 | 410 |
| Recovery room | $721,820 | $1.3M | $6.5M | 0.20 | 1,250 |
| Blood storing processing & trans. | $191,934 | $1.2M | $2.6M | 0.48 | |
| Cardiac rehab | $343,062 | $1.1M | $397,545 | 2.68 | 6,230 |
| Wound care | $519,919 | $962,076 | $3.2M | 0.30 | 3,238 |
| Electrocardiology | $333,611 | $862,870 | $2.3M | 0.38 | 3,228 |
| Sleep lab | $329,411 | $664,045 | $1.4M | 0.49 | 1,853 |
| Mri | $265,804 | $559,920 | $10.6M | 0.05 | 1,245 |
| Hyperbaric | $117,851 | $480,826 | 0.25 | 385 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $12.2M | $28.3M | $12M | 2.35 | 88,981 |
| Intensive care unit | $977,409 | $2.8M | $1.9M | 1.46 | 7,233 |
| Nursery | $61,669 | $327,710 | $679,730 | 0.48 | 1,688 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $789,012 | $16.9M | 27,517 | $28.67 | 2,034 |
| Administrative & general | $8.8M | $15.7M | 38,700 | ||
| Cap rel costs-bldg & fixt | $9.1M | 464,321 | |||
| Operation of plant | $1.5M | $6.9M | 60,821 | $25.34 | 48,684 |
| Cap rel costs-mvble equip | $6.1M | ||||
| Nursing administration | $4.2M | $4.5M | 99,691 | $42.06 | 7,890 |
| Pharmacy | $2.9M | $3.2M | 62,440 | $45.70 | 7,004 |
| Housekeeping | $1.2M | $2.3M | 72,163 | $16.63 | 3,660 |
| Dietary | $1.6M | $2.2M | 85,023 | $18.84 | 8,203 |
| Central services & supply | $1M | $1.9M | 42,535 | $24.32 | 9,956 |
| Medical records & library | $1.2M | $1.1M | 58,129 | $20.80 | 3,659 |
| Laundry & linen service | $35,655 | $835,781 | 2,251 | $15.84 | |
| Pharmacy residency program | $95,087 | $112,595 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830444, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Carteret Health Care for an inpatient stay.
1.44
Case mix index
Higher than 21% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
12.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,867
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.47 | 1.48 | 1.54 | 1.47 | 1.53 | 1.45 | 1.44 |
| Wage index | 0.825 | 0.823 | 0.826 | 0.879 | 0.893 | 0.893 | 0.977 |
| Readmissions adjustment | -0.46% | -0.66% | -0.12% | -0.64% | -1.63% | -2.64% | -1.10% |
| Value-based purchasing adjustment | +0.19% | +0.98% | +0.98% | -0.30% | +0.94% | +0.35% | +0.85% |
| Medicare inpatient stays | 2,658 | 2,658 | 2,224 | 2,209 | 2,011 | 1,912 | 1,867 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Carteret Health Care reports to Medicare as owners or with operational control.
Carteret County General Hospital Corporation
5% or greater direct ownership interest, since 1967
Carteret County General Hospital Corporation
Operational/managerial control, since 1967
Sources: CMS Hospital All Owners.
The officers and board members on Carteret Health Care's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 18 of 19 are shown.
Helipad
Carteret Hospital
FAA location ID NR44, a medical-use heliport 0.1 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Carteret home health service
CCN 347042, certified 1996, Medicare prospective payment
Carteret general hospital-hospice
CCN 341579, certified 1996
Source: Worksheet S-2 Part I of Carteret Health Care's latest Medicare cost report (HCRIS).
About Carteret Health Care's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Carteret Health Care range from $294 to $3,360 across 4 insurers. Blue Cross Blue Shield's rate is $3,211. The median at nearby comparable hospitals is $3,400. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Carteret Health Care range from $266 to $4,422 across 4 insurers. Aetna's rate is $266. The median at nearby comparable hospitals is $4,002. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Carteret Health Care range from $16,239 to $16,990 across 4 insurers. UnitedHealthcare's rate is $16,561. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Carteret Health Care range from $90 to $438 across 4 insurers. Blue Cross Blue Shield's rate is $419. The median at nearby comparable hospitals is $249. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Carteret Health Care range from $35,978 to $37,642 across 4 insurers. Aetna's rate is $37,642. The median at nearby comparable hospitals is $24,836. What a patient pays depends on their plan's deductible, coinsurance and network status.
Carteret Health Care has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Carteret Health Care for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Carteret Health Care's base inpatient payments by an estimated 1.10% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (144 discharges), heart failure and shock with mcc (118 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (85 discharges).
Carteret Health Care's Medicare case mix index is 1.44 for fiscal year 2027, higher than 21% of hospitals paid under the inpatient prospective payment system.
Carteret Health Care reported 5,713 inpatient discharges and 28,388 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Carteret Health Care reported 1,037 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Carteret Health Care reported $215.8M in net patient revenue on $549M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 1.4%, and net income of $21.9M.
Carteret Health Care reported $42.5M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $42.5M of charity care at cost.
Insurers' price transparency files list Carteret Health Care under employer identification number 56-0952955 (Carteret General Hospital). 57 health plans and networks list 56-0952955 for it.
436 clinicians who bill Medicare list Carteret Health Care as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (42), family nurse practitioner (36), diagnostic radiology physician (32).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Carteret Health Care, effective 2024.
In its Medicare enrollment, Carteret Health Care reports Carteret County General Hospital Corporation as 5% or greater direct ownership interest.
CMS lists 27 services at Carteret Health Care, including Anesthesia, Chemotherapy, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Carteret Health Care came from ZIP codes 28570 (636), 28557 (479), 28516 (448).
Carteret Health Care has 99 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 117 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Carteret Health Care is located at 3500 Arendell Street, Morehead City, NC 28557. Its main phone number is (252) 808-6000.
Carteret Health Care's CMS Certification Number (CCN), also called its Medicare provider number, is 340142.
The National Provider Identifier (NPI) on file for Carteret Health Care is 1760479331.
Carteret Health Care lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
287 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers