State

North Carolina

68 of 78 hospitals take a cut in FY2027: 88% of the 77 measured on at least one condition. The average cut, counting all 78 hospitals, is 0.32%, the 25th-largest among the 49 states and DC in the program. Estimated total: $6.4Mestimate.

North Carolina · FY2027Compared with all hospitals nationally

1Hospitals

2Penalized

88%

of 77 measured · +5 pts vs nation

3Average cut

0.32%

−0.03 pts vs nation

4Cut 1% or more

5% of hospitals (nation 8%)

5At the 3% cap

6Estimated dollars

$6.4Mestimate

Hospitals on the map

Figure 1. 68 of the 78 hospitals here take a cut; the largest, 1.35%, is at Duke Health Lake Norman Hospital.

Hospital dots, by cut

No cut
Under 0.25%
0.25%–0.49%
0.50%–0.99%
1.00%–1.99%
2.00%–3.00%

Dots are sized by Medicare volume and shaded by cut. Select one to open it.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Locations geocoded from street addresses (U.S. Census Bureau Geocoder), else ZIP or county centers.

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Hospital	City	Cut	Base payments (dot size)
Duke Health Lake Norman Hospital	Mooresville	1.35%	$7.8M
Sampson Regional Medical Center	Clinton	1.05%	$4.8M
Carteret General Hospital	Morehead City	1.04%	$17.8M
Vidant Duplin Hospital	Kenansville	1.03%	$4.7M
Lexington Memorial Hospital Inc	Lexington	0.99%	$5.1M
Stanly Regional Medical Center	Albemarle	0.84%	$6.7M
Atrium Health Pineville	Charlotte	0.80%	$62.3M
Granville Health Systems	Oxford	0.79%	$2.7M
Cape Fear Valley Medical Center	Fayetteville	0.71%	$61.2M
UNC Rockingham	Eden	0.68%	$2.4M
ECU Health Medical Center	Greenville	0.67%	$125M
UNC Lenoir Health Care	Kinston	0.66%	$13.5M
Columbus Regional Healthcare System	Whiteville	0.65%	$6.9M
Atrium Health Lincoln	Lincolnton	0.63%	$11.5M
Person Memorial Hospital	Roxboro	0.55%	$1.4M
Atrium Health Union	Monroe	0.54%	$23.9M
Frye Regional Medical Center	Hickory	0.54%	$25.4M
Onslow Memorial Hospital	Jacksonville	0.52%	$13.4M
Wakemed, Cary Hospital	Cary	0.49%	$35.9M
Hugh Chatham Memorial Hospital	Elkin	0.48%	$3.5M
Rutherford Regional Medical Center	Rutherfordton	0.48%	$7.6M
Carolina East Medical Center	New Bern	0.47%	$52.5M
Atrium Health Cleveland	Shelby	0.46%	$21.2M
The McDowell Hospital	Marion	0.46%	$3.7M
Haywood Regional Medical Center	Clyde	0.45%	$13.7M
ECU Health North Hospital	Roanoke Rapids	0.41%	$9.2M
Cape Fear Valley Hoke Hospital	Raeford	0.40%	$2.1M
High Point Regional Health System	High Point	0.37%	$20.1M
Caldwell Memorial Hospital	Lenoir	0.36%	$7.3M
Novant Health Forsyth Medical Center	Winston-Salem	0.35%	$95.4M
Blue Ridge Healthcare Hospitals, Inc	Morganton	0.33%	$13.7M
Caromont Regional Medical Center	Gastonia	0.33%	$51.0M
Novant Health Huntersville Medical Center	Huntersville	0.32%	$19.3M
Memorial Mission Hospital and Asheville Surgery Ce	Asheville	0.31%	$148M
Novant Health Presbyterian Medical Center	Charlotte	0.30%	$68.8M
Novant Health New Hanover Regional Medical Center	Wilmington	0.28%	$147M
Southeastern Regional Medical Center	Lumberton	0.28%	$13.1M
UNC Health Nash	Rocky Mount	0.27%	$27.2M
Scotland Memorial Hospital	Laurinburg	0.26%	$7.9M
UNC Health Care Wayne	Goldsboro	0.26%	$22.1M
Pardee Hospital Henderson County	Hendersonville	0.22%	$23.2M
Watauga Medical Center	Boone	0.22%	$13.2M
Duke Regional Hospital	Durham	0.20%	$31.0M
Betsy Johnson Regional Hospital	Dunn	0.19%	$9.0M
Northern Regional Hospital	Mount Airy	0.19%	$7.2M
Wilson Medical Center	Wilson	0.18%	$11.6M
Vidant Roanoke Chowan Hospital	Ahoskie	0.16%	$6.7M
Johnston Health	Smithfield	0.15%	$23.6M
Novant Health Rowan Medical Center	Salisbury	0.14%	$15.9M
Carolinas Medical Center-Northeast	Concord	0.11%	$61.1M
Firsthealth Moore Regional Hospital	Pinehurst	0.10%	$64.3M
Rex Hospital	Raleigh	0.10%	$98.1M
Vidant Edgecombe Hospital	Tarboro	0.10%	$6.9M
Alamance Regional Medical Center	Burlington	0.08%	$17.7M
Iredell Memorial Hospital Inc	Statesville	0.08%	$15.3M
UNC Hospitals	Chapel Hill	0.08%	$90.7M
Central Carolina Hospital	Sanford	0.07%	$5.6M
Moses H. Cone Memorial Hospital, The	Greensboro	0.07%	$72.7M
North Carolina Baptist Hospital	Winston-Salem	0.07%	$96.2M
Maria Parham Medical Center	Henderson	0.06%	$8.2M
AdventHealth Hendersonville	Hendersonville	0.05%	$14.6M
Wakemed, Raleigh Campus	Raleigh	0.04%	$94.9M
Novant Health Mint Hill Medical Center	Charlotte	0.03%	$5.2M
Novant Health Thomasville Medical Center	Thomasville	0.03%	$3.6M
Duke University Hospital	Durham	0.02%	$192M
Novant Health Matthews Medical Center	Matthews	0.02%	$21.5M
Carolinas Medical Center/Behav Health	Charlotte	0.01%	$137M
Catawba Valley Medical Center	Hickory	0.01%	$20.0M
Atrium Health Anson	Wadesboro	0.00%	$875K
Atrium Health University City	Charlotte	0.00%	$9.5M
Cherokee Indian Hospital Authority	Cherokee	0.00%	$927K
Harris Regional Hospital	Sylva	0.00%	$6.5M
North Carolina Specialty Hospital	Durham	0.00%	$3.8M
Novant Health Ballantyne Medical Center	Charlotte	0.00%	$5.3M
Novant Health Brunswick Medical Center	Supply	0.00%	$14.6M
Randolph Hospital	Asheboro	0.00%	$5.0M
Sentara Albemarle Medical Center	Elizabeth City	0.00%	$20.3M
Wilkes Regional Medical Center	North Wilkesboro	0.00%	$7.1M

Size of the cuts

Figure 2. 10 of the 78 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.32%.

Bars: North Carolina. Outline: all hospitals. Both as shares, so areas of any size compare. The bar at the left is hospitals with no cut.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

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Cut from	to	Hospitals here	Share here	Share of all hospitals
No cut	—	10	13%	20%
0.0%	0.1%	15	19%	18%
0.1%	0.2%	10	13%	11%
0.2%	0.3%	8	10%	10%
0.3%	0.4%	8	10%	8%
0.4%	0.5%	9	12%	6%
0.5%	0.6%	4	5%	6%
0.6%	0.7%	5	6%	4%
0.7%	0.8%	2	3%	3%
0.8%	0.9%	2	3%	3%
0.9%	1.0%	1	1%	2%
1.0%	1.1%	3	4%	2%
1.1%	1.2%	0	0%	1%
1.2%	1.3%	0	0%	1%
1.3%	1.4%	1	1%	1%
1.4%	1.5%	0	0%	1%
1.5%	1.6%	0	0%	1%
1.6%	1.7%	0	0%	0%
1.7%	1.8%	0	0%	0%
1.8%	1.9%	0	0%	0%
1.9%	2.0%	0	0%	0%
2.0%	2.1%	0	0%	0%
2.1%	2.2%	0	0%	0%
2.2%	2.3%	0	0%	0%
2.3%	2.4%	0	0%	0%
2.4%	2.5%	0	0%	0%
2.5%	2.6%	0	0%	0%
2.6%	2.7%	0	0%	0%
2.7%	2.8%	0	0%	0%
2.8%	2.9%	0	0%	0%
2.9%	3.0%	0	0%	0%

Peer groups

Figure 3. The largest group here is group 4, with 26 of the 78 hospitals.

How many hospitals here fall in each dual-eligible peer group. Group 1 serves the fewest low-income patients, group 5 the most. Under each group: its average cut here.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

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Peer group	Hospitals here	Average cut
Group 1	9	0.24%
Group 2	11	0.38%
Group 3	20	0.20%
Group 4	26	0.43%
Group 5	12	0.27%

Which conditions drive the penalties here

Figure 4. Bypass surgery is the largest part of the estimated dollars here, 28%.

All hospitals

Penalized on this condition

Share of estimated dollars

Left: share of measured hospitals penalized on each condition (tick: all hospitals, about half). Right: share of the estimated dollars. Each condition flags about half of the hospitals measured on it by design, because CMS compares a hospital with the median of its peer group, so a bar near the tick is not a finding on its own. Dollars are modeled here: each cut hospital’s estimated dollars split by its conditions’ parts of the cut.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File; dollars are modeled here.

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Condition	Measured here	Penalized here	Share penalized	All hospitals’ share	Modeled dollars	Share of dollars
Heart attack	48	23	48%	50%	$424K	7%
COPD	76	38	50%	50%	$498K	8%
Heart failure	76	37	49%	50%	$1.4M	22%
Pneumonia	76	29	38%	50%	$1.3M	20%
Bypass surgery	21	13	62%	49%	$1.8M	28%
Hip/knee replacement	46	22	48%	50%	$936K	15%

Average cut over time

Figure 5. In FY2027, the average cut in North Carolina was 0.32%, against 0.35% across all hospitals in the program.

Red: hospitals in North Carolina that are in the FY2027 program. Dashed: every hospital in the FY2027 program, nationwide. Each year averages those in that year’s file. The cap on the cut changed over the years, so a cut in one year is not the same size of penalty in another. Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out.

This site recomputes · CMS Hospital Readmissions Reduction Program supplemental data files, FY2013–FY2027.

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Fiscal year	Average cut here	Average cut, all hospitals in the program
FY2013	0.25%	0.28%
FY2014	0.23%	0.26%
FY2015	0.40%	0.50%
FY2016	0.51%	0.49%
FY2017	0.67%	0.60%
FY2018	0.73%	0.61%
FY2019	0.54%	0.59%
FY2020	0.53%	0.60%
FY2021	0.55%	0.58%
FY2022	0.58%	0.54%
FY2023	0.47%	0.33%
FY2024	0.45%	0.34%
FY2025	0.39%	0.33%
FY2026	0.32%	0.35%
FY2027	0.32%	0.35%

Metro areas

Largest first, by hospitals. A metro area across a state line counts the hospitals in this state only.

Metro area	Hospitals	Penalized	Average cut	Cut 1% or more	Estimated dollars
Outside metro areas	26	88%	0.39%	3	$1.1M
Charlotte-Concord-Gastonia, NC-SC (NC part)	17	82%	0.32%	1	$1.4M
Durham-Chapel Hill, NC	5	80%	0.17%	0	$181K
Greensboro-High Point, NC	4	75%	0.28%	0	$142K
Hickory-Lenoir-Morganton, NC	4	100%	0.31%	0	$211K
Raleigh-Cary, NC	4	100%	0.20%	0	$347K
Winston-Salem, NC	4	100%	0.36%	0	$452K
Asheville, NC	3	100%	0.19%	0	$517K
Fayetteville, NC	2	100%	0.55%	0	$443K
Rocky Mount, NC	2	100%	0.18%	0	$80K
Wilmington, NC	2	50%	0.14%	0	$413K
Burlington, NC	1	100%	0.08%	0	$14K
Goldsboro, NC	1	100%	0.26%	0	$58K
Greenville, NC	1	100%	0.67%	0	$837K
Jacksonville, NC	1	100%	0.52%	0	$70K
Pinehurst-Southern Pines, NC	1	100%	0.10%	0	$64K

Download the table as a CSV

Hospitals in North Carolina

Largest cut first. Select a hospital to open its page.

Hospitals in North Carolina, largest cut first
Hospital	Cut	Estimated dollars	Peer group	Conditions	Beds
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	1.35%	$105K	2	Counted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, and Hip/knee replacement	105
Sampson Regional Medical CenterClinton, NC · CCN 340024	1.05%	$50K	4	Counted toward the cut: Heart failure and Pneumonia	116
Carteret General HospitalMorehead City, NC · CCN 340142	1.04%	$185K	2	Counted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, and Hip/knee replacement	117
Vidant Duplin HospitalKenansville, NC · CCN 340120	1.03%	$48K	4	Counted toward the cut: COPD and Heart failure	81
Lexington Memorial Hospital IncLexington, NC · CCN 340096	0.99%	$50K	4	Counted toward the cut: Heart failure and Pneumonia	94
Stanly Regional Medical CenterAlbemarle, NC · CCN 340119	0.84%	$57K	4	Counted toward the cut: COPD and Pneumonia	109
Atrium Health PinevilleCharlotte, NC · CCN 340098	0.80%	$499K	1	Counted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, and Hip/knee replacement	344
Granville Health SystemsOxford, NC · CCN 340127	0.79%	$22K	4	Counted toward the cut: Pneumonia	62
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	0.71%	$435K	5	Counted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, and Hip/knee replacement	594
UNC RockinghamEden, NC · CCN 340060	0.68%	$16K	4	Counted toward the cut: Heart failure	99
ECU Health Medical CenterGreenville, NC · CCN 340040	0.67%	$837K	4	Counted toward the cut: COPD, Pneumonia, Bypass surgery, and Hip/knee replacement	909
UNC Lenoir Health CareKinston, NC · CCN 340027	0.66%	$89K	5	Counted toward the cut: Heart attack, COPD, Heart failure, and Pneumonia	235
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	0.65%	$45K	4	Counted toward the cut: COPD, Heart failure, and Hip/knee replacement	166
Atrium Health LincolnLincolnton, NC · CCN 340145	0.63%	$72K	3	Counted toward the cut: Heart failure	110
Person Memorial HospitalRoxboro, NC · CCN 340159	0.55%	$7K	4	Counted toward the cut: COPD, Heart failure, and Pneumonia	50
Frye Regional Medical CenterHickory, NC · CCN 340116	0.54%	$137K	2	Counted toward the cut: Heart attack, COPD, Heart failure, and Bypass surgery	338
Atrium Health UnionMonroe, NC · CCN 340130	0.54%	$129K	3	Counted toward the cut: Heart failure and Pneumonia	157
Onslow Memorial HospitalJacksonville, NC · CCN 340042	0.52%	$70K	4	Counted toward the cut: COPD, Heart failure, and Pneumonia	150
Wakemed, Cary HospitalCary, NC · CCN 340173	0.49%	$176K	1	Counted toward the cut: COPD and Heart failure	156
Rutherford Regional Medical CenterRutherfordton, NC · CCN 340013	0.48%	$36K	4	Counted toward the cut: Heart attack, COPD, and Hip/knee replacement	143
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	0.48%	$17K	3	Counted toward the cut: COPD and Heart failure	81
Carolina East Medical CenterNew Bern, NC · CCN 340131	0.47%	$247K	1	Counted toward the cut: Heart failure and Bypass surgery	314
Atrium Health ClevelandShelby, NC · CCN 340021	0.46%	$98K	4	Counted toward the cut: COPD, Heart failure, and Hip/knee replacement	241
The McDowell HospitalMarion, NC · CCN 340087	0.46%	$17K	4	Counted toward the cut: COPD and Heart failure	65
Haywood Regional Medical CenterClyde, NC · CCN 340184	0.45%	$62K	3	Counted toward the cut: COPD, Heart failure, and Pneumonia	178

Showing the 25 largest cuts of 78 hospitals. The whole list is in the CSV.

Download these hospitals as a CSV

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