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Short Term Acute Care HospitalGovernment - State

Unc Medical Center

UNC Health · Chapel Hill, NC

101 Manning Drive, Chapel Hill, NC 27514(919) 966-4141

5 of 5

CMS star rating

995

Beds

36,630

Inpatient discharges a year

$3.6B

Net patient revenue a year

31

In-network payers

Photo 1: William Yeung, CC BY 2.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Unc Medical Center is a 995-bed government - state hospital in Chapel Hill, NC, affiliated with UNC Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 576 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
340061
NPI
1932208576
Health system
UNC Health
Teaching
Major teaching hospital
County
Orange County
Metro area
Durham-Chapel Hill, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2007

Prices for common services

The 24 services Unc 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

$5,369 - $10,157

from 3 insurers · median $9,221

Cigna$9,221
Insurer A*$5,369
Insurer B*$10,157

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

$11,523 - $17,390

from 3 insurers · median $13,902

Cigna$13,902
Insurer A*$11,523
Insurer B*$17,390

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

$2,483 - $2,944

from 2 insurers · median $2,714

Blue Cross$2,483
Insurer A*$2,944
Medicare $335Nearby hospitals $862215% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$8,413 - $9,324

from 2 insurers · median $8,869

Aetna$8,413
Insurer A*$9,324
Medicare $3,106Nearby hospitals $4,62192% above nearby hospitals

58 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Unc 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*10
780%
00
Insurer B*17
396%
140
Insurer C*21
351%
191
Insurer D*6
203%
01

How we chose these services: 10 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 3 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 Unc 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)
Aspirus Health PlanAvera Health PlansBanner HealthComPsychEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    5 of 5 stars

    • 268 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.08%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 53 services, including trauma & transplant care
    • 2,308 affiliated clinicians
    See doctors and services
  • Finances

    $3.6B net patient revenue

    • Operating margin on patient care 17.1%
    • $105.7M unreimbursed and uncompensated care
    • $712.8M net income
    See finances
  • Ownership and leadership

    Owned by University Of North Carolina Health Care System

    • State
    • Jeffrey Todd Lindsay, 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 Unc 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
56-1118388(multi-state) University Of North Carolina Hospitals59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1932208576 University Of North Carolina Hospitals At Chapel Hill1578500575 University Of North Carolina Hospitals At Chapel Hill1427142355 University Of North Carolina Hospitals At Chapel Hilland 182 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

101 Manning Drive, Chapel Hill, NC 27514

(919) 966-4141

Get directions

Frequently asked questions

About Unc Medical Center's rates and hospital price transparency.

How much does an MRI cost at Unc Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Unc Medical Center range from $2,049 to $2,173 across 2 insurers. Blue Cross Blue Shield's rate is $2,049. The median at nearby comparable hospitals is $1,360. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Unc Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Unc Medical Center range from $2,483 to $2,944 across 2 insurers. Blue Cross Blue Shield's rate is $2,483. The median at nearby comparable hospitals is $862. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Unc Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Unc Medical Center range from $4,376 to $5,239 across 2 insurers. UnitedHealthcare's rate is $5,239. The median at nearby comparable hospitals is $2,901. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Unc Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Unc Medical Center range from $5,369 to $10,157 across 3 insurers. Cigna's rate is $9,221. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Unc Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Unc Medical Center range from $166 to $258 across 2 insurers. Cigna's rate is $166. The median at nearby comparable hospitals is $276. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Unc Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Unc Medical Center range from $25,600 to $40,224 across 4 insurers. Aetna's rate is $40,224. The median at nearby comparable hospitals is $25,513. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Unc Medical Center's CMS star rating?

Unc 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 Unc Medical Center a teaching hospital?

Yes. CMS counts 0.68 Medicare-funded residents per bed at Unc Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Unc Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Unc Medical Center's base inpatient payments by an estimated 0.08% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Unc Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (250 discharges), heart failure and shock with mcc (147 discharges), respiratory infections and inflammations with mcc (101 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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