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Short Term Acute Care HospitalGovernment - Local

Vidant Edgecombe Hospital

Vidant Health · Tarboro, NC

111 Hospital Drive, Tarboro, NC 27886(252) 641-7700

3 of 5

CMS star rating

101

Beds

2,727

Inpatient discharges a year

$117.2M

Net patient revenue a year

30

In-network payers

About this hospital

Vidant Edgecombe Hospital is a 101-bed government - local hospital in Tarboro, NC, affiliated with Vidant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 259 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
340107
NPI
1699757393
Health system
Vidant Health
Teaching
No Medicare-funded residents
County
Edgecombe County
Metro area
Rocky Mount, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2009

Prices for common services

The 24 services Vidant Edgecombe 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$8,232 - $27,708

from 4 insurers · median $9,547

Cigna$9,020
Insurer A*$8,232
Insurer B*$10,073
Insurer C*est.$27,708

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

$11,000 - $22,132

from 4 insurers · median $14,102

Cigna$12,828
Insurer A*$11,000
Insurer B*$15,376
Insurer C*est.$22,132

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

$265 - $5,463

from 3 insurers · median $5,129

Aetna$5,129
Insurer A*$265
Insurer B*$5,463
Medicare $325Nearby hospitals $2,148139% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$8,232 - $27,708

from 4 insurers · median $9,547

Cigna$9,020
Insurer A*$8,232
Insurer B*$10,073
Insurer C*est.$27,708

CMS lists this service as CPT 59610, 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

How the insurers pay at Vidant Edgecombe 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*22
996%
150
Insurer B*23
697%
142
Insurer C*15
684%
80
Insurer D*24
75%
012

How we chose these services: 0 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 9 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 Vidant Edgecombe 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 HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    3 of 5 stars

    • 239 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.57%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 28 services
    • 232 affiliated clinicians
    See doctors and services
  • Finances

    $117.2M net patient revenue

    • Operating margin on patient care 5.6%
    • $6.2M unreimbursed and uncompensated care
    • $10.1M net income
    See finances
  • Ownership and leadership

    Local

    • Donald Smith, 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 Vidant Edgecombe 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
56-2093700Vidant Edgecombe Hospital53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more1699757393 East Carolina Health - Heritage Inc1194703884 East Carolina Health - Heritage Inc1821076589 East Carolina Health - Heritage Incand 4 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

111 Hospital Drive, Tarboro, NC 27886

(252) 641-7700

Get directions

Frequently asked questions

About Vidant Edgecombe Hospital's rates and hospital price transparency.

How much does an MRI cost at Vidant Edgecombe Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Vidant Edgecombe Hospital range from $265 to $5,553 across 4 insurers. Blue Cross Blue Shield's rate is $3,372. The median at nearby comparable hospitals is $2,061. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Vidant Edgecombe Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Vidant Edgecombe Hospital range from $265 to $5,463 across 3 insurers. Aetna's rate is $5,129. The median at nearby comparable hospitals is $2,148. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Vidant Edgecombe Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Vidant Edgecombe Hospital range from $911 to $3,456 across 4 insurers. Aetna's rate is $3,456. The median at nearby comparable hospitals is $5,165. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Vidant Edgecombe Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Vidant Edgecombe Hospital range from $8,232 to $27,708 across 4 insurers. Cigna's rate is $9,020. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Vidant Edgecombe Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Vidant Edgecombe Hospital range from $85 to $474 across 4 insurers. UnitedHealthcare's rate is $85. The median at nearby comparable hospitals is $254. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Vidant Edgecombe Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Vidant Edgecombe Hospital range from $17,129 to $68,743 across 4 insurers. UnitedHealthcare's rate is $17,129. The median at nearby comparable hospitals is $29,374. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Vidant Edgecombe Hospital's CMS star rating?

Vidant Edgecombe Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Vidant Edgecombe Hospital a teaching hospital?

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

Does Medicare penalize Vidant Edgecombe Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Vidant Edgecombe Hospital's base inpatient payments by an estimated 0.57% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Vidant Edgecombe Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (112 discharges), heart failure and shock with mcc (46 discharges), respiratory infections and inflammations with mcc (23 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
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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