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Short Term Acute Care HospitalGovernment - Local

Duplin General Hospital

Vidant Health · Kenansville, NC

401 North Main Street, Kenansville, NC 28349(910) 296-0941

3 of 5

CMS star rating

49

Beds

2,674

Inpatient discharges a year

$75.5M

Net patient revenue a year

29

In-network payers

About this hospital

Duplin General Hospital is a 49-bed government - local hospital in Kenansville, NC, affiliated with Vidant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 237 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
340120
NPI
1508832833
Health system
Vidant Health
Teaching
No Medicare-funded residents
County
Duplin County
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2007

Prices for common services

The 24 services Duplin General Hospital 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$8,232 - $17,775

from 4 insurers · median $9,547

Cigna$9,020
Insurer A*$8,232
Insurer B*$10,073
Insurer C*est.$17,775

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

$11,000 - $15,376

from 4 insurers · median $12,404

Cigna$12,828
Insurer A*$11,000
Insurer B*est.$11,980
Insurer C*$15,376

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 abdomen and pelvis with contrast

CPT 74177

$265 - $5,822

from 3 insurers · median $5,056

Aetna$5,056
Insurer A*$265
Insurer B*$5,822
Medicare $325Nearby hospitals $2,512101% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$8,232 - $17,775

from 4 insurers · median $9,547

Cigna$9,020
Insurer A*$8,232
Insurer B*$10,073
Insurer C*est.$17,775

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 neonatal nursery services to CMS

How the insurers pay at Duplin General Hospital

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*12
1286%
60
Insurer B*17
1231%
120
Insurer C*23
639%
160
Insurer D*24
75%
017

How we chose these services: 1 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 9 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 Duplin General Hospital, 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)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    3 of 5 stars

    • 170 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.46%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 31 services
    • 164 affiliated clinicians
    See doctors and services
  • Finances

    $75.5M net patient revenue

    • Operating margin on patient care 8.0%
    • $5.9M unreimbursed and uncompensated care
    • $8.2M net income
    See finances
  • Ownership and leadership

    Local

    • Donald Smith, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-6011594Duplin General Hospital52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more1508832833 Duplin General Hospital Incorporated1902872260 Duplin General Hospital Incorporated1356461602 Duplin General Hospital Incorporatedand 7 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

401 North Main Street, Kenansville, NC 28349

(910) 296-0941

Get directions

Frequently asked questions

About Duplin General Hospital's rates and hospital price transparency.

How much does an MRI cost at Duplin General Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Duplin General Hospital range from $265 to $5,851 across 4 insurers. Blue Cross Blue Shield's rate is $3,774. The median at nearby comparable hospitals is $2,741. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Duplin General Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Duplin General Hospital range from $265 to $5,822 across 3 insurers. Aetna's rate is $5,056. The median at nearby comparable hospitals is $2,512. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Duplin General Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Duplin General Hospital range from $911 to $3,456 across 2 insurers. Aetna's rate is $3,456. The median at nearby comparable hospitals is $1,452. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Duplin General Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Duplin General Hospital range from $8,232 to $17,775 across 4 insurers. Cigna's rate is $9,020. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Duplin General Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Duplin General Hospital range from $85 to $474 across 4 insurers. Blue Cross Blue Shield's rate is $243. The median at nearby comparable hospitals is $178. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Duplin General Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Duplin General Hospital range from $17,129 to $68,743 across 4 insurers. UnitedHealthcare's rate is $17,129. The median at nearby comparable hospitals is $19,586. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Duplin General Hospital's CMS star rating?

Duplin General Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Duplin General Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Duplin General Hospital for fiscal year 2027.

Does Medicare penalize Duplin General Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Duplin General Hospital's base inpatient payments by an estimated 0.46% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Duplin General Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (90 discharges), heart failure and shock with mcc (61 discharges), septicemia or severe sepsis without mv >96 hours without mcc (23 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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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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