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Short Term Acute Care HospitalGovernment - State

Unc Rex Hospital

UNC Health · Raleigh, NC

4420 Lake Boone Trail, Raleigh, NC 27607(919) 784-3100

5 of 5

CMS star rating

605

Beds

32,037

Inpatient discharges a year

$1.8B

Net patient revenue a year

34

In-network payers

Photo 1: FoxDon, CC BY-SA 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Unc Rex Hospital is a 605-bed government - state hospital in Raleigh, NC, affiliated with UNC Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 536 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
340114
NPI
1497797088
Health system
UNC Health
Teaching
No Medicare-funded residents
County
Wake County
Metro area
Raleigh-Cary, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Unc Rex 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$2,974 - $3,029

from 2 insurers · median $3,002

Aetna$2,974
Insurer A*$3,029
Medicare $333Nearby hospitals $862248% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,059 - $9,552

from 2 insurers · median $8,306

Blue Cross$7,059
Insurer A*$9,552

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

$11,379 - $14,060

from 2 insurers · median $12,720

Blue Cross$11,379
Insurer A*$14,060

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$5,123 - $7,135

from 2 insurers · median $6,129

UnitedHealthcare$5,123
Insurer A*$7,135
Medicare $3,087Nearby hospitals $7,89922% below nearby hospitals

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

How the insurers pay at Unc Rex Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*12
753%
02
Insurer B*20
363%
137
Insurer C*2
221%
11
Insurer D*15
204%
210

How we chose these services: 9 appear in this hospital's own Medicare claims, 12 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 Rex Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthDean Health PlanEMI HealthEmblemHealth

More about this hospital

  • Quality

    5 of 5 stars

    • 202 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.12%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services
    • 1,984 affiliated clinicians
    See doctors and services
  • Finances

    $1.8B net patient revenue

    • Operating margin on patient care 5.4%
    • $42.3M unreimbursed and uncompensated care
    • $196.9M net income
    See finances
  • Ownership and leadership

    Owned by The New Trustees Of The Rex Hospital Inc

    • State
    • Ananth P Mohan, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-1509260(multi-state) Rex Hospital INC52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more1497797088 Rex Hospital Inc.1649494188 Rex Hospital Inc.1245799782 Rex Hospital Incand 56 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

4420 Lake Boone Trail, Raleigh, NC 27607

(919) 784-3100

Get directions

Frequently asked questions

About Unc Rex Hospital's rates and hospital price transparency.

How much does an MRI cost at Unc Rex Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Unc Rex Hospital range from $2,379 to $2,439 across 2 insurers. Blue Cross Blue Shield's rate is $2,439. The median at nearby comparable hospitals is $1,049. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Unc Rex Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Unc Rex Hospital range from $2,974 to $3,029 across 2 insurers. Aetna's rate is $2,974. 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 Rex Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Unc Rex Hospital range from $2,740 to $4,148 across 2 insurers. Aetna's rate is $4,148. The median at nearby comparable hospitals is $4,829. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Unc Rex Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Unc Rex Hospital range from $7,059 to $9,552 across 2 insurers. Blue Cross Blue Shield's rate is $7,059. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Unc Rex Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Unc Rex Hospital range from $191 to $267 across 2 insurers. Cigna's rate is $191. 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 Unc Rex Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Unc Rex Hospital range from $23,504 to $32,841 across 4 insurers. UnitedHealthcare's rate is $32,476. The median at nearby comparable hospitals is $25,102. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Unc Rex Hospital's CMS star rating?

Unc Rex Hospital 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 Rex Hospital a teaching hospital?

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

Does Medicare penalize Unc Rex Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Unc Rex Hospital's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Unc Rex Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (316 discharges), heart failure and shock with mcc (295 discharges), cardiac arrhythmia and conduction disorders with cc (181 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.

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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
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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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