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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Novant Health Presbyterian Medical Center

Novant Health · Charlotte, NC

200 Hawthorne Lane, Charlotte, NC 28204(704) 384-4000

5 of 5

CMS star rating

632

Beds

27,949

Inpatient discharges a year

$2.4B

Net patient revenue a year

35

In-network payers

About this hospital

Novant Health Presbyterian Medical Center is a 632-bed voluntary non-profit - private hospital in Charlotte, NC, affiliated with Novant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 376 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
340053
NPI
1881647204
Health system
Novant Health
Teaching
No Medicare-funded residents
County
Mecklenburg County
Metro area
Charlotte-Concord-Gastonia, NC-SC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2011

Prices for common services

The 24 services Novant Health Presbyterian Medical Center 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

$9,195 - $12,522

from 3 insurers · median $11,372

Cigna$12,522
Insurer A*$9,195
Insurer B*$11,372

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

$13,794 - $17,568

from 3 insurers · median $17,200

Cigna$17,568
Insurer A*$13,794
Insurer B*$17,200

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$29,496 - $45,302

from 3 insurers · median $30,599

Blue Cross$29,496
Insurer A*$30,599
Insurer B*$45,302
Medicare $12,286Nearby hospitals $29,049In line with nearby hospitals

279 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$54,929 - $157,374

from 3 insurers · median $75,531

Blue Cross$54,929
Insurer A*$75,531
Insurer B*est.$157,374
Medicare $26,466Nearby hospitals $53,37742% above nearby hospitals

53 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Novant Health Presbyterian Medical Center

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
281%
138
Insurer B*18
216%
511
Insurer C*23
210%
710
Insurer D*23
95%
511

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 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 Novant Health Presbyterian Medical Center, 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

    5 of 5 stars

    • 162 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 44 services
    • 1,814 affiliated clinicians
    See doctors and services
  • Finances

    $2.4B net patient revenue

    • Operating margin on patient care 13.2%
    • $45.5M unreimbursed and uncompensated care
    • $357.6M net income
    See finances
  • Ownership and leadership

    Owned by Novant Health, Inc.

    • Private (not for profit)
    • Jamie Feinour, 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 Novant Health Presbyterian Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-0554230The Presbyterian Hospital67Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 62 more1346291309 The Presbyterian Hospital1881647204 The Presbyterian Hospital1841241213 The Presbyterian Hospitaland 136 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

200 Hawthorne Lane, Charlotte, NC 28204

(704) 384-4000

Get directions

Frequently asked questions

About Novant Health Presbyterian Medical Center's rates and hospital price transparency.

How much does an MRI cost at Novant Health Presbyterian Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Novant Health Presbyterian Medical Center range from $686 to $2,633 across 4 insurers. Aetna's rate is $686. The median at nearby comparable hospitals is $1,595. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Novant Health Presbyterian Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Novant Health Presbyterian Medical Center range from $337 to $3,294 across 4 insurers. Aetna's rate is $790. The median at nearby comparable hospitals is $1,575. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Novant Health Presbyterian Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Novant Health Presbyterian Medical Center range from $1,196 to $3,488 across 4 insurers. UnitedHealthcare's rate is $1,383. The median at nearby comparable hospitals is $2,252. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Novant Health Presbyterian Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Novant Health Presbyterian Medical Center range from $9,195 to $12,522 across 3 insurers. Cigna's rate is $12,522. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Novant Health Presbyterian Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Novant Health Presbyterian Medical Center range from $180 to $560 across 4 insurers. UnitedHealthcare's rate is $213. The median at nearby comparable hospitals is $200. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Novant Health Presbyterian Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Novant Health Presbyterian Medical Center range from $29,496 to $45,302 across 3 insurers. Blue Cross Blue Shield's rate is $29,496. The median at nearby comparable hospitals is $29,049. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Novant Health Presbyterian Medical Center's CMS star rating?

Novant Health Presbyterian Medical Center has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Novant Health Presbyterian Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Novant Health Presbyterian Medical Center for fiscal year 2027.

Does Medicare penalize Novant Health Presbyterian Medical Center for readmissions?

No. Novant Health Presbyterian Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Novant Health Presbyterian Medical Center?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (203 discharges), septicemia or severe sepsis without mv >96 hours with mcc (132 discharges), percutaneous and other intracardiac procedures without mcc (114 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.

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
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