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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Johnston Health

UNC Health · Smithfield, NC

509 North Bright Leaf Blvd, Smithfield, NC 27577(919) 934-8171

4 of 5

CMS star rating

223

Beds

13,989

Inpatient discharges a year

$387.5M

Net patient revenue a year

27

In-network payers

About this hospital

Johnston Health is a 223-bed government - hospital district or authority hospital in Smithfield, NC, affiliated with UNC Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 450 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
340090
NPI
1619911104
Health system
UNC Health
Teaching
No Medicare-funded residents
County
Johnston County
Metro area
Raleigh-Cary, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2020

Prices for common services

The 24 services Johnston Health 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

$6,996 - $11,145

from 3 insurers · median $9,347

Blue Cross$6,996
Insurer A*$9,347
Insurer B*$11,145

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,757 - $13,425

from 2 insurers · median $12,091

Blue Cross$10,757
Insurer A*$13,425

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$3,066 - $3,103

from 2 insurers · median $3,085

Aetna$3,066
Insurer A*$3,103
Medicare $330Nearby hospitals $1,477109% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$8,508 - $12,888

from 2 insurers · median $10,698

UnitedHealthcare$12,888
Insurer A*$8,508
Medicare $5,714Nearby hospitals $11,4427% below nearby hospitals

82 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Johnston Health

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*13
625%
26
Insurer B*19
368%
109
Insurer C*14
209%
23
Insurer D*5
207%
21

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 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 Johnston Health, 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 HealthEMI HealthEmblemHealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    4 of 5 stars

    • 187 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.34%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services
    • 616 affiliated clinicians
    See doctors and services
  • Finances

    $387.5M net patient revenue

    • Operating margin on patient care 9.1%
    • $27.4M unreimbursed and uncompensated care
    • $39.8M net income
    See finances
  • Ownership and leadership

    Owned by University Of North Carolina Health Care System

    • Hospital district or authority
    • Tommy Williams, 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 Johnston Health in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
46-3176429Johnston Health Services Corporation49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1619911104 Johnston Health Services Corporation1780628354 Johnston Health Services Corporation1033153606 Johnston Health Services Corporationand 8 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

509 North Bright Leaf Blvd, Smithfield, NC 27577

(919) 934-8171

Get directions

Frequently asked questions

About Johnston Health's rates and hospital price transparency.

How much does an MRI cost at Johnston Health?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Johnston Health range from $2,023 to $2,493 across 2 insurers. Blue Cross Blue Shield's rate is $2,023. The median at nearby comparable hospitals is $1,367. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Johnston Health?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Johnston Health range from $3,066 to $3,103 across 2 insurers. Aetna's rate is $3,066. The median at nearby comparable hospitals is $1,477. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Johnston Health?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Johnston Health range from $2,762 to $4,103 across 2 insurers. Aetna's rate is $4,103. The median at nearby comparable hospitals is $4,495. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Johnston Health?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Johnston Health range from $6,996 to $11,145 across 3 insurers. Blue Cross Blue Shield's rate is $6,996. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Johnston Health?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Johnston Health range from $177 to $279 across 2 insurers. Cigna's rate is $177. The median at nearby comparable hospitals is $229. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Johnston Health?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Johnston Health range from $22,538 to $31,887 across 3 insurers. UnitedHealthcare's rate is $31,232. The median at nearby comparable hospitals is $23,515. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Johnston Health's CMS star rating?

Johnston Health 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 Johnston Health a teaching hospital?

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

Does Medicare penalize Johnston Health for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Johnston Health's base inpatient payments by an estimated 0.34% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Johnston Health?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (226 discharges), heart failure and shock with mcc (150 discharges), respiratory infections and inflammations with mcc (68 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
  • 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
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