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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Wakemed Raleigh Campus And North Hospital

Wakemed Health and Hospitals · Raleigh, NC

3000 New Bern Avenue, Raleigh, NC 27610(919) 350-8000

4 of 5

CMS star rating

822

Beds

38,615

Inpatient discharges a year

$1.6B

Net patient revenue a year

34

In-network payers

About this hospital

Wakemed Raleigh Campus And North Hospital is an 822-bed voluntary non-profit - private hospital in Raleigh, NC, affiliated with Wakemed Health and Hospitals. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 433 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
340069
NPI
1972579837
Health system
Wakemed Health and Hospitals
Teaching
Teaching hospital
County
Wake County
Metro area
Raleigh-Cary, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2007

Prices for common services

The 24 services Wakemed Raleigh Campus And North 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

$6,108 - $8,372

from 4 insurers · median $7,376

Cigna$8,312
Insurer A*$6,108
Insurer B*$6,440
Insurer C*$8,372

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

$10,456 - $11,973

from 4 insurers · median $11,232

Cigna$11,927
Insurer A*$10,456
Insurer B*$10,538
Insurer C*$11,973

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

$862 - $3,262

from 3 insurers · median $3,186

Blue Cross$3,186
Insurer A*$862
Insurer B*$3,262
Medicare $333Nearby hospitals $1,245156% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$49,193 - $147,671

from 4 insurers · median $122,751

Aetna$49,193
Insurer A*$120,612
Insurer B*$124,889
Insurer C*$147,671
Medicare $70,507Nearby hospitals $124,228In line with nearby hospitals

14 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Wakemed Raleigh Campus And North 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*16
762%
23
Insurer B*16
744%
30
Insurer C*24
317%
911
Insurer D*15
293%
102

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 Wakemed Raleigh Campus And North 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 204 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.03%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 43 services, including trauma care
    • 1,638 affiliated clinicians
    See doctors and services
  • Finances

    $1.6B net patient revenue

    • Operating margin on patient care 5.4%
    • $111.7M unreimbursed and uncompensated care
    • $84.9M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Donald Gintzig, 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 Wakemed Raleigh Campus And North 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
56-6017737(multi-state) Wakemed65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 60 more1114993086 Wakemed1972579837 Wakemed1467435842 Wakemedand 100 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

3000 New Bern Avenue, Raleigh, NC 27610

(919) 350-8000

Get directions

Frequently asked questions

About Wakemed Raleigh Campus And North Hospital's rates and hospital price transparency.

How much does an MRI cost at Wakemed Raleigh Campus And North Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wakemed Raleigh Campus And North Hospital range from $1,360 to $2,460 across 3 insurers. Blue Cross Blue Shield's rate is $2,402. The median at nearby comparable hospitals is $1,684. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Wakemed Raleigh Campus And North Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wakemed Raleigh Campus And North Hospital range from $862 to $3,262 across 3 insurers. Blue Cross Blue Shield's rate is $3,186. The median at nearby comparable hospitals is $1,245. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Wakemed Raleigh Campus And North Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Wakemed Raleigh Campus And North Hospital range from $3,747 to $5,910 across 2 insurers. UnitedHealthcare's rate is $3,747. The median at nearby comparable hospitals is $2,750. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Wakemed Raleigh Campus And North Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Wakemed Raleigh Campus And North Hospital range from $6,108 to $8,372 across 4 insurers. Cigna's rate is $8,312. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Wakemed Raleigh Campus And North Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wakemed Raleigh Campus And North Hospital range from $97 to $264 across 3 insurers. Aetna's rate is $242. The median at nearby comparable hospitals is $217. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Wakemed Raleigh Campus And North Hospital's CMS star rating?

Wakemed Raleigh Campus And North Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Wakemed Raleigh Campus And North Hospital a teaching hospital?

Yes. CMS counts 0.09 Medicare-funded residents per bed at Wakemed Raleigh Campus And North Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Wakemed Raleigh Campus And North Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wakemed Raleigh Campus And North Hospital's base inpatient payments by an estimated 0.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Wakemed Raleigh Campus And North Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (385 discharges), heart failure and shock with mcc (286 discharges), kidney and urinary tract infections without mcc (154 discharges).

What is Wakemed Raleigh Campus And North Hospital's case mix index?

Wakemed Raleigh Campus And North Hospital's Medicare case mix index is 2.05 for fiscal year 2027, higher than 81% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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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