Durham, NC
Not rated by CMS
CMS star rating
18
Beds
645
Inpatient discharges a year
$73.7M
Net patient revenue a year
29
In-network payers
North Carolina Specialty Hospital is an 18-bed proprietary hospital in Durham, NC. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 341 disclosed rate categories.
The 24 services North Carolina Specialty 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$20,175 - $20,997
from 2 insurers · median $20,586
73 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$313 - $1,464
from 4 insurers · median $875
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$733 - $2,496
from 4 insurers · median $1,713
591 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$262 - $537
from 4 insurers · median $414
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,528 - $1,721
from 2 insurers · median $1,624
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,528 - $1,721
from 2 insurers · median $1,624
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$2,496 - $20,601
from 4 insurers · median $10,382
122 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74176
$452 - $928
from 4 insurers · median $714
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$549 - $1,010
from 4 insurers · median $777
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,721 - $1,791
from 2 insurers · median $1,756
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,721 - $1,761
from 2 insurers · median $1,741
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$29 - $188
from 4 insurers · median $122
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$194 - $4,847
from 4 insurers · median $2,314
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$2,741 - $6,304
from 4 insurers · median $4,335
Typical for a hospital with this service line
Ultrasound
CPT 76705
$54 - $339
from 4 insurers · median $201
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,357 - $3,328
from 4 insurers · median $2,914
36 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$2,032 - $6,304
from 4 insurers · median $2,683
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$1,568 - $3,173
from 4 insurers · median $2,533
14 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Orthopedics and pain
CPT 27446
$6,206 - $12,000
from 3 insurers · median $8,842
415 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58662
$2,496 - $6,304
from 2 insurers · median $4,400
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,493 - $2,381
from 4 insurers · median $2,004
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$116 - $353
from 4 insurers · median $194
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$1,960 - $6,304
from 4 insurers · median $2,631
Typical for a hospital with this service line
Urology
CPT 50590
$1,000 - $8,547
from 4 insurers · median $6,179
15 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
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* | 18 | 225% | 8 | 6 |
| Insurer B* | 18 | 158% | 6 | 10 |
| Insurer C* | 24 | 125% | 2 | 20 |
| Insurer D* | 23 | 84% | 3 | 20 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for North Carolina Specialty Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Not rated by CMS
Doctors and services
Accredited by The Joint Commission
Finances
$73.7M net patient revenue
Ownership and leadership
Owned by National Surgical Hospitals, LLC
The employer identification numbers (EINs) health plans and networks list for North Carolina Specialty Hospital 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 |
|---|---|---|
| 56-2109998North Carolina Specialty Hospital | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 48 more | 1437221785 North Carolina Specialty Hospital LLC1467972703 North Carolina Specialty Hospital LLC1740996875 North Carolina Specialty Hospital LLCand 1 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.
3916 Ben Franklin Boulevard, Durham, NC 27704
(919) 956-9300
How North Carolina Specialty Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Death rates
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 3 measures
0 better, 2 no different, 1 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
84%
Higher than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.93
Lower than 65% 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
| Measure | Result | Period |
|---|---|---|
| Death rates | No different on 1 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 1 of 3 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 | 84% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.93 | 2022-07-01 to 2024-06-30 |
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 North Carolina Specialty Hospital's inpatient payments for its readmissions, quality and cost results.
-1.29% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% 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 North Carolina Specialty Hospital, 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 | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 170 cases | 4.1 | 4.1 | 4.042 | Worse than 48% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 322 cases | 3.9 | 3.9 | 3.99 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.93 | |||
| 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 | Not Available | 8.754 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.28 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 15.37 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.32 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 137 cases | 0.6 | 0.51 | 0.6392 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 375 cases | 0.21 | 0.2 | 0.2025 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 360 cases | 0.26 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 349 cases | 2.24 | 2.29 | 2.327 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 341 cases | 1.64 | 1.63 | 1.616 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 342 cases | 7.62 | 8.88 | 9.086 | No Different Than the National Rate | Better than 77% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 355 cases | 3.57 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 65% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 314 cases | 4.87 | 5.105 | 4.934 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 42 cases | 1.76 | 1.72 | 1.74 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 81 cases | 1.04 | 1.02 | 1.018 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.516 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 4.059 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 4.357 | |||
| 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 | Not Available | 12.92 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.53 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.411 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 157 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 | Not Available | 14.22 | |||
| 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 | Not Available | 19.82 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.37 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 175 cases | 5.6 | 5.8 | 5.698 | Better than 58% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.06 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | 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 | 98 | 1,370 | 6,107 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.057 | 0.9835 | 6.392 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.008 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 97 | 1,799 | 5,404 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.048 | 1.377 | 7.041 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.354 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5489 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4264 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.632 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 1 | 61 | 148 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.025 | 1.591 | 3.971 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.869 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9259 | |||
| 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 | 2 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.014 | 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 | 2,520 | 14,451 | 62,217 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.05 | 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 | Not Available | 0.1478 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.095 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 2,520 | 13,646 | 56,214 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.424 | 5.683 | 32.99 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 9.258 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3119 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 261 cases | 69 | 73 | 71.37 | Worse than 67% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 261 cases | 12 | 8 | 9.762 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 261 cases | 19 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 84 | 87 | 85.7 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 261 cases | 3 | 4 | 3.269 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 261 cases | 82 | 80 | 80.26 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 93 | 91 | 91.65 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 261 cases | 4 | 4 | 4.218 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 261 cases | 4 | 3 | 3.591 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 261 cases | 14 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 261 cases | 82 | 79 | 80.9 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 92 | 91 | 91.66 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 261 cases | 6 | 5 | 5.01 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 261 cases | 4 | 3 | 3.452 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 261 cases | 12 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 261 cases | 65 | 61 | 62.62 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 78 | 77 | 77.77 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 261 cases | 21 | 19 | 18.97 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 261 cases | 3 | 3 | 2.839 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 261 cases | 14 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 86 | 86 | 86.12 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 261 cases | 14 | 13 | 13.33 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 261 cases | 3 | 3 | 3.441 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 261 cases | 86 | 87 | 86.67 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 261 cases | 15 | 14 | 14.2 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 261 cases | 85 | 86 | 85.8 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 261 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 · 261 cases | 6 | 7 | 6.586 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 261 cases | 16 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 261 cases | 81 | 77 | 79.47 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 261 cases | 7 | 6 | 5.475 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 261 cases | 12 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 261 cases | 86 | 85 | 86.33 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 261 cases | 4 | 3 | 3.465 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 261 cases | 10 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 261 cases | 7 | 8 | 8.446 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 261 cases | 13 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 261 cases | 80 | 72 | 71.41 | Better than 80% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 91 | 88 | 88.02 | Better than 77% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 261 cases | 4 | 3 | 3.323 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 261 cases | 78 | 74 | 75.25 | Better than 71% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 261 cases | 11 | 9 | 9.232 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 261 cases | 11 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 261 cases | 78 | 75 | 75.79 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 261 cases | 5 | 5 | 5.697 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 261 cases | 17 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 261 cases | 81 | 77 | 77.57 | Better than 74% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 261 cases | 4 | 4 | 4.424 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 261 cases | 15 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 261 cases | 86 | 86 | 86.24 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 261 cases | 3 | 3 | 2.859 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 261 cases | 11 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 261 cases | 72 | 59 | 60.2 | Better than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 261 cases | 9 | 9 | 9.109 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 261 cases | 19 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 87 | 82 | 82.46 | Better than 85% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 261 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 · 261 cases | 4 | 5 | 5.683 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 261 cases | 84 | 71 | 70.04 | Better than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 261 cases | 91 | 87 | 86.94 | Better than 76% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 261 cases | 12 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 261 cases | 5 | 4 | 3.656 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 261 cases | 51 | 47 | 49.27 | Better than 67% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 261 cases | 31 | 30 | 29.43 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 261 cases | 18 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 261 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 · 261 cases | 13 | 12 | 12.81 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 261 cases | 87 | 88 | 87.19 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| 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 · 352 cases | 0 | 8 | 8.179 | The best result, shared by 7% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 77 cases | 0 | 1 | 1.182 | The best result, shared by 34% of US hospitals | |
| 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 · 530 cases | 91 | 79 | 85.95 | Better than 74% 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 | Not Available | 190 | |||
| 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 | Not Available | 183 | |||
| 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 | Not Available | 389 | |||
| 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 | Not Available | 427 | |||
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 2.253 | |||
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 72.17 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 93.75 | |||
| 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 · 305 cases | 15 | 15 | 16.55 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 63.49 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 72.19 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 81.33 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 80.49 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 94.21 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.77 | |||
| 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 · 183 cases | 99 | 90 | 88.42 | Better than 90% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.08 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 4.658 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.699 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.91 | 0.99 | 0.9478 | Better than 84% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.987 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9983 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9982 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.061 | 0.9916 | 1.01 | Worse than 69% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 0.989 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | 0.7998 | 0.8331 | 0.8853 | 0.8601 | 1.007 | 1.061 |
| READM-30-PN-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6937 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.3392 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6866 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9073 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9264 | 0.9628 | 0.9914 | Better than 65% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9227 | |||
| Total HAC scoreFY 2026 | -0.9478 | -0.0453 | 0.09972 | Better than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -1.052 | -0.3127 | 0 | -0.3339 | -1.006 | -0.9478 |
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 2006)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
24
Medicare-certified beds
30
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What North Carolina Specialty Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
645
Inpatient discharges
Medicare 27%, Medicaid n/a
1,660
Inpatient days
25% of available bed days used
218
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838281). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges North Carolina Specialty Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 427 | 0 | 1,233 | 1,660 |
| Discharges | 171 | 0 | 474 | 645 |
| Average length of stay | 2.5 days | 2.6 days | 2.6 days | |
| Average daily census | 1.2 | 0.0 | 3.4 | 4.5 |
401
Medicare Advantage days
134 discharges
60
Medicaid managed care days
21 discharges
2,322
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 18 | 1,660 | 427 | 25% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838281, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What North Carolina Specialty Hospital treats Medicare patients for most often, in 2024. 87 Medicare discharges in 4 published DRGs; 100% surgical; 0% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 40 | $42,319 | $10,941 | $16,758 | 1.88 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 22 | $82,345 | $15,440 | $32,609 | 2.67 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $65,594 | $14,887 | $25,975 | 2.48 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $123,917 | $31,831 | $49,071 | 4.61 |
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) North Carolina Specialty Hospital billed Medicare for most in 2024: 1,519 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 591 | 397 | $5,202 | $1,657 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 415 | 402 | $40,601 | $10,039 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 122 | 118 | $26,436 | $5,141 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 87 | 86 | $62,422 | $14,647 | $15,763 |
| Level 3 Urology and Related ServicesAPC 5373 | 51 | 50 | $2,822 | $1,464 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 43 | 40 | $8,679 | $1,355 | $1,407 |
| Level 2 Intraocular ProceduresAPC 5492 | 42 | 38 | $10,564 | $2,913 | $3,116 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 35 | $8,898 | $2,297 | $2,373 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 25 | 25 | $3,450 | $1,679 | $1,780 |
| Level 3 Intraocular ProceduresAPC 5493 | 23 | 18 | $12,128 | $3,756 | $4,004 |
See all 16 Medicare outpatient services at North Carolina Specialty Hospital
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 North Carolina Specialty Hospital 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 210 in 2020 to 51 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 27573 | 15 | 29% | 55 | $1.1M | 2% | 2% |
| 27574 | 13 | 25% | 33 | $852,693 | 2% | 3% |
| 27712 | 12 | 24% | 18 | $759,994 | 1% | 3% |
| 27516 | 11 | 22% | 19 | $684,598 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 51 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 North Carolina Specialty Hospital reported at its latest Medicare certification survey (2004). Counts are people, not full-time equivalents.
30
Registered nurses
4
Licensed practical nurses
1
Nurse anesthetists (CRNAs)
1
Pharmacists
1
Physical therapists
1
Radiology technicians
1
Laboratory technicians
1
Dietitians
1
Social workers
40
Other personnel
Source: CMS Provider of Services file.
154 clinicians who bill Medicare list North Carolina Specialty Hospital 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.
Robert Baranello, M.D.
Pain Medicine Physician
NPI 1457848301
See commercial rates for Robert Baranello, M.D.John Kaspar, M.D.
Urology Physician
NPI 1891786091
See commercial rates for John Kaspar, M.D.John Taliaferro, MD
Orthopaedic Surgery Physician
NPI 1417375569
See commercial rates for John Taliaferro, MDThomas Longo, M.D.
Urology Physician
NPI 1154559904
See commercial rates for Thomas Longo, M.D.Jay Kim, MD
Urology Physician
NPI 1750382909
See commercial rates for Jay Kim, MDMichael Ransone, MD
Orthopaedic Surgery Physician
NPI 1821484205
See commercial rates for Michael Ransone, MDEmil Kheterpal, MD
Urology Physician
NPI 1437369691
See commercial rates for Emil Kheterpal, MDAdriana Pollak, PA-C
Physician Assistant
NPI 1871010074
See commercial rates for Adriana Pollak, PA-CJohn Wood, MD
Ophthalmology Physician
NPI 1700834512
See commercial rates for John Wood, MDRichard Rutherford, M.D.
Orthopaedic Surgery Physician
NPI 1104116227
See commercial rates for Richard Rutherford, M.D.Michael Mcgraw, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1629363551
See commercial rates for Michael Mcgraw, MDDaniel Carpenter, MD
Orthopaedic Surgery Physician
NPI 1831502558
See commercial rates for Daniel Carpenter, MDEdward Houser, MD
Urology Physician
NPI 1649431024
See commercial rates for Edward Houser, MDBrad Novey, MD
Ophthalmology Physician
NPI 1982702338
See commercial rates for Brad Novey, MDKenneth Ellington, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1609950344
See commercial rates for Kenneth Ellington, M.D.Milton James, M.D.
Ophthalmology Physician
NPI 1912909227
See commercial rates for Milton James, M.D.Brett Gilbert, M.D.
Orthopaedic Surgery Physician
NPI 1871788422
See commercial rates for Brett Gilbert, M.D.James Bowers, MD
Orthopaedic Surgery Physician
NPI 1134138753
See commercial rates for James Bowers, MDMaggie Stoecker, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1407029770
See commercial rates for Maggie Stoecker, M.D.David Dickman, M.D.
Ophthalmology Physician
NPI 1891717948
See commercial rates for David Dickman, M.D.Asra Firozvi, M.D.
Ophthalmology Physician
NPI 1609931617
See commercial rates for Asra Firozvi, M.D.Brittany Skillman
Physician Assistant
NPI 1598499956
See commercial rates for Brittany SkillmanMichael Waugh, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1629101720
See commercial rates for Michael Waugh, MDJulian Aldridge, M.D.
Orthopaedic Hand Surgery Physician
NPI 1720175458
See commercial rates for Julian Aldridge, M.D.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 North Carolina Specialty Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $214.2M | 290.8% |
| Inpatient | $51.7M | 70.2% |
| Outpatient | $162.5M | 220.5% |
| Contractual allowances and discounts | -$140.5M | -190.8% |
| Net patient revenue | $73.7M | 100.0% |
| Operating expenses | -$70.4M | -95.5% |
| Operating income from patient care | $3.3M | 4.5% |
| Other income | $796,268 | 1.1% |
| Investment income | $39,210 | 0.1% |
| Other | $757,058 | 1.0% |
| Other expenses | -$2 | -0.0% |
| Net income | $4.1M | 5.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $45.3M | 21.2% |
| Medicaid (including managed care) | $12.6M | 5.9% |
| Other payers and self-pay | $156.1M | 73.0% |
| Total charges | $214M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838281, 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 North Carolina Specialty Hospital's latest cost report.
4.5%
Operating margin
Operating income from patient care / net patient revenue
5.5%
Total margin
Net income / net patient revenue plus other income
16.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
29% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.61
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
5.3%
Return on assets
Net income for a year / total assets
20.4%
Return on equity
Net income for a year / fund balance
0.14
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.28
Current ratio
Current assets / current liabilities
1.34
Quick ratio
Cash, temporary investments and net receivables / current liabilities
12 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
45 days
Days in patient receivables
Net patient receivables / daily net patient revenue
47 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.96
Asset turnover
Total revenue for a year / total assets
5.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838281, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What North Carolina Specialty Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $77.6M in total assets and a $20M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.2M | 2.9% |
| Patient receivables, net | $9.1M | 11.7% |
| Inventory | $1.9M | 2.5% |
| Total current assets | $19.2M | 24.8% |
| Property and equipment, net of depreciation | $50.3M | 64.8% |
| Investments and other assets | $8.1M | 10.4% |
| Total assets | $77.6M | 100.0% |
| Current liabilities | $8.4M | 10.9% |
| Long-term debt | $2.7M | 3.5% |
| Total liabilities | $57.5M | 74.2% |
| Fund balance (net assets) | $20M | 25.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838281, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care North Carolina Specialty Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$3,916
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11,243
Bad debt
Patient bills written off as uncollectible, at charges
-$633,205
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$7,416
Total unreimbursed and uncompensated care
0.0% 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 838281, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
North Carolina Specialty Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $62.8M | $67.9M | $71.6M | $70.9M | $73.1M | $73.7M |
| Operating expenses | $52.4M | $57.4M | $63.2M | $62.1M | $69.6M | $70.4M |
| Operating margin | 16.5% | 15.4% | 11.7% | 12.5% | 4.8% | 4.5% |
| Net income | $12.1M | $13.8M | $8.9M | $9.4M | $4.2M | $4.1M |
| Total assets | $52.8M | $53.8M | $72.2M | $63.8M | $67.4M | $77.6M |
| Discharges | 1,117 | 646 | 590 | 504 | 626 | 645 |
| Inpatient days | 2,214 | 1,749 | 1,560 | 1,302 | 1,785 | 1,660 |
| Medicare Advantage days | 220 | 162 | 192 | 193 | 350 | 401 |
| Beds | 18 | 18 | 18 | 18 | 18 | 18 |
| Employees (FTE) | 189 | 205 | 194 | 215 | 217 | 218 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838281, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center North Carolina Specialty Hospital 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 |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $22.5M | $75.4M | 0.30 | ||
| Operating room | $5.1M | $17.6M | $79.3M | 0.22 | 17,784 |
| Medical supplies charged to patient | $6.3M | $14.6M | 0.43 | ||
| Observation beds (non-distinct part | $5.7M | $10M | 0.57 | ||
| Drugs charged to patients | $3.6M | $13.4M | 0.27 | ||
| Recovery room | $918,076 | $2.8M | $5.1M | 0.54 | 6,091 |
| Laboratory | $452,657 | $1.1M | $1.4M | 0.84 | 548 |
| Radiology-diagnostic | $585,169 | $1.1M | $871,441 | 1.26 | 1,076 |
| Hyperbaric oxygen therapy | $1M | $4M | 0.26 | 4,713 | |
| Physical therapy | $677,329 | $1.4M | 0.49 | ||
| Anesthesiology | $155,686 | $7.4M | 0.02 | 190 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.4M | $9.7M | $1.2M | 8.02 | 16,585 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.6M | $8.3M | 95,236 | $34.16 | 8,536 |
| Cap rel costs-bldg & fixt | $6.8M | 71,560 | |||
| Employee benefits department | $3.5M | 112 | |||
| Cap rel costs-mvble equip | $1.9M | ||||
| Central services & supply | $616,409 | $1.5M | 26,873 | $22.94 | 397 |
| Operation of plant | $329,802 | $1.4M | 9,486 | $34.77 | 11,332 |
| Pharmacy | $815,708 | $1M | 12,076 | $67.55 | 1,032 |
| Dietary | $411,271 | $877,955 | 15,456 | $26.61 | 1,489 |
| Housekeeping | $419,176 | $425,362 | 20,693 | $20.26 | 233 |
| Nursing administration | $390,120 | 2,080 | $187.56 | 311 | |
| Laundry & linen service | $383,716 | 779 | |||
| Medical records & library | $239,117 | $284,280 | 7,718 | $30.98 | 352 |
| Cafeteria | -$213,486 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838281, 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 North Carolina Specialty Hospital for an inpatient stay.
3.19
Case mix index
Higher than 98% 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).
1.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
182
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
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 | 2.23 | 2.23 | 2.49 | 2.48 | 2.44 | 2.74 | 3.19 |
| Wage index | 0.963 | 0.965 | 0.978 | 0.937 | 0.942 | 0.957 | 0.977 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | -0.37% | -1.29% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 583 | 583 | 268 | 199 | 165 | 181 | 182 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations North Carolina Specialty Hospital reports to Medicare as owners or with operational control.
National Surgical Hospitals, LLC
5% or greater indirect ownership interest, 51%, since 2001
Nsh Durham, Inc.
5% or greater direct ownership interest, 51%, since 2001
Sp Holdco I Inc
5% or greater indirect ownership interest, 51%, since 2017
Surgery Center Holdings Inc
5% or greater indirect ownership interest, 51%, since 2001
Surgery Center Holdings LLC
5% or greater indirect ownership interest, 51%, since 2017
Surgery Partners Inc
5% or greater indirect ownership interest, 51%, since 2017
Toreg.2 LLC
5% or greater direct ownership interest, 28.7%, since 2001
Associated Medical LLC
5% or greater direct ownership interest, 15.4%, since 2001
Bcpe Seminole Holdings II Intermediate LP
5% or greater indirect ownership interest, 12.1%, since 2023
Fmr LLC
5% or greater indirect ownership interest, 6.7%, since 2022
Toreg.2.5 LLC
5% or greater direct ownership interest, 5%, since 2019
Sources: CMS Hospital All Owners.
The officers and board members on North Carolina Specialty Hospital'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 2 of 3 are shown.
About North Carolina Specialty Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at North Carolina Specialty Hospital range from $313 to $1,464 across 4 insurers. UnitedHealthcare's rate is $713. The median at nearby comparable hospitals is $696. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at North Carolina Specialty Hospital range from $1,528 to $1,721 across 2 insurers. Aetna's rate is $1,528. The median at nearby comparable hospitals is $2,480. 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 North Carolina Specialty Hospital range from $20,175 to $20,997 across 2 insurers. Aetna's rate is $20,175. The median at nearby comparable hospitals is $21,166. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at North Carolina Specialty Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts North Carolina Specialty Hospital's base inpatient payments by an estimated 1.29% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (40 discharges), revision of hip or knee replacement without cc/mcc (22 discharges), major joint or limb reattachment procedures of upper extremities (13 discharges).
North Carolina Specialty Hospital's Medicare case mix index is 3.19 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.
North Carolina Specialty Hospital reported 645 inpatient discharges and 1,660 inpatient days from Jan 1, 2025 to Dec 31, 2025.
North Carolina Specialty Hospital reported 218 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
North Carolina Specialty Hospital reported $73.7M in net patient revenue on $214.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 4.5%, and net income of $4.1M.
North Carolina Specialty Hospital reported $7,416 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $3,916 of charity care at cost.
North Carolina Specialty Hospital's Medicare enrollment lists Randi Shults as Hospital CEO since 2005.
Insurers' price transparency files list North Carolina Specialty Hospital under employer identification number 56-2109998 (North Carolina Specialty Hospital). 53 health plans and networks list 56-2109998 for it.
154 clinicians who bill Medicare list North Carolina Specialty Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are certified registered nurse anesthetist (49), physician assistant (32), orthopaedic surgery physician (20).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for North Carolina Specialty Hospital, effective 2006.
In its Medicare enrollment, North Carolina Specialty Hospital reports National Surgical Hospitals, LLC as 5% or greater indirect ownership interest (51%).
CMS lists 10 services at North Carolina Specialty Hospital, including Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Inpatient Surgical, Outpatient Surgery.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at North Carolina Specialty Hospital came from ZIP codes 27573 (15), 27574 (13), 27712 (12).
North Carolina Specialty Hospital has 18 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 24 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
North Carolina Specialty Hospital is located at 3916 Ben Franklin Boulevard, Durham, NC 27704. Its main phone number is (919) 956-9300.
North Carolina Specialty Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 340049.
The National Provider Identifier (NPI) on file for North Carolina Specialty Hospital is 1437221785.
North Carolina Specialty Hospital lists 29 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
341 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