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Short Term Acute Care HospitalProprietary

Carteret Health Care

Morehead City, NC

3500 Arendell Street, Morehead City, NC 28557(252) 808-6000

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

About this hospital

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.

  • Sole community hospital
  • Rural referral center
  • Helipad
CCN
340142
NPI
1760479331
Teaching
No Medicare-funded residents
County
Carteret County
Metro area
Morehead City, NC MicroSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1967
Last CMS survey
2009

Prices for common services

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

Major lower-extremity joint replacement without MCC

MS-DRG 470

$35,978 - $37,642

from 4 insurers · median $37,167

Aetnaest.$37,642
Insurer A*est.$35,978
Insurer B*est.$36,691
Insurer C*est.$37,642
Medicare $13,729Nearby hospitals $24,83650% above nearby hospitals

121 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$16,239 - $16,990

from 4 insurers · median $16,776

UnitedHealthcareest.$16,561
Insurer A*est.$16,239
Insurer B*est.$16,990
Insurer C*$16,990

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

Vaginal delivery, hospital stay

MS-DRG 807

$3,021 - $8,338

from 4 insurers · median $7,799

UnitedHealthcare$8,338
Insurer A*$3,021
Insurer B*est.$7,623
Insurer C*est.$7,975

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

CT abdomen and pelvis with contrast

CPT 74177

$266 - $4,422

from 4 insurers · median $4,268

Aetna$266
Insurer A*$4,226
Insurer B*$4,310
Insurer C*$4,422
Medicare $327Nearby hospitals $4,0027% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Carteret Health Care

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*24
773%
38
Insurer B*24
753%
201
Insurer C*24
738%
108
Insurer D*21
70%
114

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.

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

    2 of 5 stars

    • 225 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.10%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 27 services
    • 436 affiliated clinicians
    See doctors and services
  • Finances

    $215.8M net patient revenue

    • Operating margin on patient care 1.4%
    • $42.5M unreimbursed and uncompensated care
    • $21.9M net income
    See finances
  • Ownership and leadership

    Owned by Carteret County General Hospital Corporation

    • Private (for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

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 itOrganization NPIs
56-0952955Carteret General Hospital57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1760479331 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.

Location

3500 Arendell Street, Morehead City, NC 28557

(252) 808-6000

Get directions

Frequently asked questions

About Carteret Health Care's rates and hospital price transparency.

How much does an MRI cost at Carteret Health Care?

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.

How much does a CT scan cost at Carteret Health Care?

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.

How much does giving birth cost at Carteret Health Care?

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.

How much does a mammogram cost at Carteret Health Care?

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.

How much does hip or knee replacement cost at Carteret Health Care?

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.

What is Carteret Health Care's CMS star rating?

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.

Is Carteret Health Care a teaching hospital?

CMS reports no Medicare-funded interns or residents at Carteret Health Care for fiscal year 2027.

Does Medicare penalize Carteret Health Care for readmissions?

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.

What are the most common Medicare inpatient stays at Carteret Health Care?

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).

What is Carteret Health Care's case mix index?

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.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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