▸ Hospital · NC · CCN 340171

Novant Health Matthews Medical Center

1500 MATTHEWS TOWNSHIP PARKWAY, MATTHEWS, NC, 28105

157 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

194

of 209 target codes

Payers

with negotiated rates

Rates published

13,107

last crawl 2026-05-23

▸ Compare with other hospitals All NC hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www2.novanthealth.org/Public_Files/regulatory/561376368_novant-health-matthews-medical-center-llc-dba-novant-health-matthews-medical-center_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	22	—	—	$30.92	$72	$28,217
Psychiatric diagnostic evaluation	CPT	90791	22	—	—	$13.01	$70.5	$344.96
Psychiatric eval with medical services	CPT	90792	22	—	—	$13.01	$70.5	$344.96
Psychotherapy 30 minutes	CPT	90832	22	—	—	$13.01	$70.5	$344.96
Psychotherapy 45 minutes	CPT	90834	22	—	—	$13.01	$70.5	$344.96
Psychotherapy 60 minutes	CPT	90837	22	—	—	$13.01	$70.5	$344.96
Crisis psychotherapy 60 minutes	CPT	90839	22	—	—	$13.01	$70.5	$344.96
emergency
ED visit level 1	CPT	99281	22	$282	$141	$36.68	$174.84	$273.54
ED visit level 2	CPT	99282	22	$573	$286.5	$51.5	$355.26	$555.81
ED visit level 3	CPT	99283	22	$1,726	$863	$51.5	$1,070.12	$1,674.22
ED visit level 4	CPT	99284	22	$2,455	$1,227.5	$51.5	$1,522.1	$2,381.35
ED visit level 5	CPT	99285	22	$3,453	$1,726.5	$51.5	$2,140.86	$3,349.41
Critical care, first hour	CPT	99291	22	$4,644	$2,322	$51.5	$2,879.28	$4,504.68
imaging
CT head without contrast	CPT	70450	22	$2,148	$1,074	$51.5	$285.03	$2,083.56
CT head with contrast	CPT	70460	22	$2,551	$1,275.5	$51.5	$338.51	$2,474.47
CT head with and without contrast	CPT	70470	22	$2,929	$1,464.5	$51.5	$388.67	$2,841.13
CT neck with contrast	CPT	70491	22	$2,978	$1,489	$51.5	$395.18	$2,888.66
MRI brain without contrast	CPT	70551	22	—	—	$13.01	$80	$504.7
MRI brain with contrast	CPT	70552	22	—	—	$13.01	$80	$678.04
MRI brain with and without contrast	CPT	70553	22	—	—	$13.01	$80	$729.56
Chest X-ray single view	CPT	71045	22	$392	$196	$50.99	$243.04	$380.24
Chest X-ray 2 views	CPT	71046	22	$465	$232.5	$51.5	$288.3	$451.05
Chest X-ray 3 views	CPT	71047	22	$560	$280	$51.5	$347.2	$543.2
CT chest without contrast	CPT	71250	22	$2,123	$1,061.5	$51.5	$858.7	$2,059.31
CT chest with contrast	CPT	71260	22	$2,865	$1,432.5	$51.5	$380.18	$2,779.05
CT chest with and without contrast	CPT	71270	22	$3,504	$1,752	$51.5	$464.98	$3,398.88
MRI chest without contrast	CPT	71550	22	—	—	$13.01	$80	$551.07
MRI chest with contrast	CPT	71551	22	—	—	$13.01	$80	$1,523.56
MRI chest with and without contrast	CPT	71552	22	—	—	$13.01	$80	$836.21
Lumbosacral spine X-ray	CPT	72100	22	$560	$280	$34.12	$104.13	$543.2
CT cervical spine without contrast	CPT	72125	22	$2,600	$1,300	$51.5	$345.02	$2,522
CT thoracic spine without contrast	CPT	72128	22	$2,234	$1,117	$51.5	$296.45	$2,166.98
CT lumbar spine without contrast	CPT	72131	22	$2,768	$1,384	$51.5	$367.31	$2,684.96
MRI cervical spine without contrast	CPT	72141	22	—	—	$13.01	$80	$463.72
MRI thoracic spine without contrast	CPT	72146	22	—	—	$13.01	$80	$470.72
MRI lumbar spine without contrast	CPT	72148	22	—	—	$13.01	$80	$463.72
MRI lumbar spine with and without contrast	CPT	72149	22	—	—	$13.01	$80	$678.04
MRI cervical spine with and without contrast	CPT	72156	22	—	—	$13.01	$80	$731.94
MRI lumbar spine with contrast	CPT	72158	22	—	—	$13.01	$80	$721.21
CT pelvis without contrast	CPT	72192	22	$2,377	$1,188.5	$51.5	$1,081.94	$2,305.69
CT pelvis with contrast	CPT	72193	22	$2,874	$1,437	$51.5	$381.37	$2,787.78
Shoulder X-ray	CPT	73030	22	$465	$232.5	$26.41	$86.68	$451.05
Humerus X-ray	CPT	73060	22	$465	$232.5	$23.28	$98.45	$451.05
Hand X-ray 3 views	CPT	73130	22	$560	$280	$27.07	$86.68	$543.2
MRI upper extremity joint without contrast	CPT	73221	22	—	—	$13.01	$80	$477.48
MRI upper extremity joint with and without contrast	CPT	73223	22	—	—	$13.01	$80	$709.78
Knee X-ray 1-2 views	CPT	73560	22	$465	$232.5	$25.81	$169.14	$451.05
Ankle X-ray 3 views	CPT	73610	22	$560	$280	$27.07	$86.68	$543.2
MRI lower extremity joint without contrast	CPT	73721	22	—	—	$13.01	$80	$486.17
MRI lower extremity joint with and without contrast	CPT	73723	22	—	—	$13.01	$80	$708.33
CT abdomen without contrast	CPT	74150	22	$2,488	$1,244	$51.5	$330.15	$2,413.36
CT abdomen with contrast	CPT	74160	22	$3,216	$1,608	$51.5	$426.76	$3,119.52
CT abdomen with and without contrast	CPT	74170	22	$3,703	$1,851.5	$51.5	$1,703.38	$3,591.91
CT abdomen and pelvis without contrast	CPT	74176	22	$4,585	$2,292.5	$51.5	$608.42	$4,447.45
CT abdomen and pelvis with contrast	CPT	74177	22	$5,640	$2,820	$51.5	$748.42	$5,470.8
CT abdomen and pelvis with and without contrast	CPT	74178	22	$6,497	$3,248.5	$51.5	$862.15	$6,302.09
MRI abdomen without contrast	CPT	74181	22	—	—	$13.01	$80	$463.72
MRI abdomen with and without contrast	CPT	74183	22	—	—	$13.01	$80	$747.17
Abdominal ultrasound complete	CPT	76700	22	$1,322	$661	$101.59	$175.42	$1,282.34
Abdominal ultrasound limited	CPT	76705	22	$959	$479.5	$87.62	$127.25	$930.23
Retroperitoneal ultrasound complete	CPT	76770	22	$1,128	$564	$101.59	$149.68	$1,094.16
Obstetric ultrasound first trimester	CPT	76801	22	$791	$395.5	$101.59	$126.14	$767.27
Obstetric ultrasound after first trimester	CPT	76805	22	$791	$395.5	$101.59	$141.36	$767.27
Obstetric ultrasound with fetal anatomy	CPT	76811	22	$1,122	$561	$145.97	$238.24	$1,088.34
Transvaginal ultrasound	CPT	76830	22	$1,028	$514	$101.44	$136.41	$997.16
Pelvic ultrasound complete	CPT	76856	22	$1,294	$647	$101.59	$171.71	$1,255.18
Scrotal ultrasound	CPT	76870	22	$1,035	$517.5	$101.53	$137.34	$1,003.95
Diagnostic mammography unilateral	CPT	77065	20	—	—	$13.01	$62	$97
Diagnostic mammography bilateral	CPT	77066	20	—	—	$13.01	$62	$97
Screening mammography bilateral	CPT	77067	20	$376	$188	$48.91	$233.12	$364.72
EKG complete	CPT	93000	20	—	—	$13.01	$33	$97
EKG tracing only	CPT	93005	22	—	—	$9.96	$52	$114.66
EKG interpretation only	CPT	93010	20	—	—	$13.01	$62	$97
Transthoracic echocardiogram complete	CPT	93306	22	$2,926	$1,463	$206.8	$545.59	$2,838.22
Transthoracic echocardiogram	CPT	93307	22	$2,266	$1,133	$133.09	$300.69	$2,198.02
Stress echocardiogram	CPT	93350	22	—	—	$13.01	$80	$1,061.98
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	22	—	—	$46	$76.5	$31,568
COPD w MCC	MS-DRG	190	22	—	—	$46	$76.5	$22,377
COPD w CC	MS-DRG	191	22	—	—	$46	$76.5	$17,029
COPD w/o CC/MCC	MS-DRG	192	22	—	—	$46	$76.5	$12,969
Simple pneumonia & pleurisy w CC	MS-DRG	194	22	—	—	$46	$76.5	$16,280
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	22	—	—	$46	$76.5	$12,696
AMI discharged alive w MCC	MS-DRG	280	22	—	—	$46	$76.5	$32,404
AMI discharged alive w CC	MS-DRG	281	22	—	—	$46	$76.5	$18,567
AMI discharged alive w/o CC/MCC	MS-DRG	282	22	—	—	$46	$76.5	$14,607
Heart failure & shock w MCC	MS-DRG	291	22	—	—	$46	$76.5	$25,934
Heart failure & shock w CC	MS-DRG	292	22	—	—	$46	$76.5	$17,151
Heart failure & shock w/o CC/MCC	MS-DRG	293	22	—	—	$46	$76.5	$11,434
Cardiac arrhythmia w MCC	MS-DRG	308	22	—	—	$46	$76.5	$24,322
Cardiac arrhythmia w CC	MS-DRG	309	22	—	—	$46	$76.5	$14,862
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	22	—	—	$46	$76.5	$11,436
GI hemorrhage w CC	MS-DRG	378	22	—	—	$46	$76.5	$19,811
GI hemorrhage w/o CC/MCC	MS-DRG	379	22	—	—	$46	$76.5	$12,735
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	22	—	—	$46	$76.5	$15,749
Fractures of femur w/o MCC	MS-DRG	533	22	—	—	$46	$76.5	$31,669
Kidney/UTI w MCC	MS-DRG	689	22	—	—	$46	$76.5	$23,439
Kidney/UTI w/o MCC	MS-DRG	690	22	—	—	$46	$76.5	$16,353
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	22	—	—	$46	$76.5	$39,240
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	22	—	—	$46	$76.5	$20,672
Initial hospital care, low complexity	CPT	99221	20	—	—	$13.01	$62	$97
Initial hospital care, moderate complexity	CPT	99222	20	—	—	$13.01	$62	$97
Initial hospital care, high complexity	CPT	99223	20	—	—	$13.01	$62	$97
Hospital discharge, <30 min	CPT	99238	20	—	—	$13.01	$62	$97
Hospital discharge, >30 min	CPT	99239	20	—	—	$13.01	$62	$97
lab
Basic metabolic panel (BMP)	CPT	80048	22	$131	$65.5	$8.46	$81.22	$127.07
General health panel	CPT	80050	20	$294	$147	$38.24	$182.28	$285.18
Electrolyte panel	CPT	80051	22	$104	$52	$7.01	$64.48	$100.88
Comprehensive metabolic panel	CPT	80053	22	$157	$78.5	$10.56	$97.34	$152.29
Lipid panel	CPT	80061	22	$200	$100	$13.39	$124	$194
Renal function panel	CPT	80069	22	$132	$66	$8.68	$81.84	$128.04
Hepatic function panel	CPT	80076	22	$131	$65.5	$8.17	$81.22	$127.07
Urinalysis non-automated	CPT	81002	22	$63	$31.5	$3.48	$37.17	$61.11
Urinalysis automated	CPT	81003	22	$43	$21.5	$2.25	$26.66	$51.5
Glucose quantitative	CPT	82947	22	$94	$47	$3.93	$41.76	$91.18
Hemoglobin A1c	CPT	83036	22	$145	$72.5	$9.71	$89.9	$140.65
Thyroid stimulating hormone (TSH)	CPT	84443	22	$240	$120	$16.8	$148.8	$232.8
Complete blood count with automated differential	CPT	85025	22	$229	$114.5	$7.77	$86.4	$222.13
Complete blood count without differential	CPT	85027	22	$97	$48.5	$6.47	$60.14	$94.09
Urine culture bacterial	CPT	87086	22	$120	$60	$8.07	$74.4	$116.4
Urine culture identification	CPT	87088	22	$120	$60	$8.09	$74.4	$116.4
Tissue exam by pathologist level IV	CPT	88305	22	$658	$329	$50.64	$407.96	$638.26
maternity
Fetal non-stress test	CPT	59025	22	$679	$339.5	$81.05	$420.98	$658.63
Routine obstetric care including vaginal delivery	CPT	59400	20	—	—	$13.01	$62	$97
Vaginal delivery only	CPT	59409	22	—	—	$13.01	$70.5	$6,291.42
Vaginal delivery with postpartum	CPT	59410	20	—	—	$13.01	$62	$97
Routine obstetric care with C-section	CPT	59510	20	—	—	$13.01	$62	$97
C-section delivery only	CPT	59514	20	—	—	$13.01	$62	$97
C-section with postpartum	CPT	59515	20	—	—	$13.01	$62	$97
office
Office visit, new patient, 15-29 min	CPT	99202	20	—	—	$13.01	$62	$97
Office visit, new patient, 30-44 minutes	CPT	99203	20	—	—	$13.01	$62	$97
Office visit, new patient, 45-59 min	CPT	99204	20	—	—	$13.01	$62	$97
Office visit, new patient, 60-74 min	CPT	99205	20	—	—	$13.01	$62	$97
Office visit, established patient, 5 min	CPT	99211	20	—	—	$13.01	$62	$97
Office visit, established patient, 10-19 min	CPT	99212	20	—	—	$13.01	$62	$97
Office visit, established patient, 20-29 minutes	CPT	99213	20	—	—	$13.01	$62	$97
Office visit, established patient, 30-39 minutes	CPT	99214	20	—	—	$13.01	$62	$97
Office visit, established patient, 40-54 min	CPT	99215	20	—	—	$13.01	$62	$97
preventive
Upper GI endoscopy diagnostic	CPT	43235	22	—	—	$13.01	$70.5	$1,762.74
Upper GI endoscopy with biopsy	CPT	43239	22	—	—	$13.01	$70.5	$1,762.74
Sigmoidoscopy diagnostic	CPT	45330	22	—	—	$13.01	$70.5	$1,807.4
Sigmoidoscopy with biopsy	CPT	45331	22	—	—	$13.01	$70.5	$1,807.4
Colonoscopy diagnostic	CPT	45378	22	—	—	$13.01	$70.5	$1,807.4
Colonoscopy with biopsy	CPT	45380	22	—	—	$13.01	$70.5	$2,325.7
Colonoscopy with polyp removal	CPT	45385	22	—	—	$13.01	$70.5	$2,325.7
surgery
Total shoulder arthroplasty	CPT	23472	22	—	—	$13.01	$70.5	$34,077
Hip hemiarthroplasty	CPT	27125	22	—	—	$13.01	$70.5	$24,952
Total hip replacement	CPT	27130	22	—	—	$13.01	$70.5	$24,952
Total knee replacement	CPT	27447	22	—	—	$13.01	$70.5	$24,952
Knee revision arthroplasty single component	CPT	27486	22	—	—	$13.01	$70.5	$24,952
Knee revision arthroplasty all components	CPT	27487	22	—	—	$13.01	$70.5	$34,077
Shoulder arthroscopy with decompression	CPT	29826	20	—	—	$13.01	$62	$97
Shoulder arthroscopy with rotator cuff repair	CPT	29827	22	—	—	$13.01	$70.5	$14,103
Knee arthroscopy with meniscectomy	CPT	29881	22	—	—	$13.01	$70.5	$6,359.2
ACL reconstruction	CPT	29888	22	—	—	$13.01	$70.5	$14,103
Major small/large bowel procedures w MCC	MS-DRG	329	22	—	—	$46	$76.5	$97,735
Major small/large bowel procedures w CC	MS-DRG	330	22	—	—	$46	$76.5	$50,972
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	22	—	—	$46	$76.5	$35,784
CABG single arterial graft	CPT	33533	20	—	—	$13.01	$62	$97
CABG 2 arterial grafts	CPT	33534	20	—	—	$13.01	$62	$97
CABG 3 arterial grafts	CPT	33535	20	—	—	$13.01	$62	$97
CABG 4+ arterial grafts	CPT	33536	20	—	—	$13.01	$62	$97
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	22	—	—	$46	$76.5	$35,968
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	22	—	—	$46	$76.5	$29,041
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	22	—	—	$46	$76.5	$72,445
Open appendectomy	CPT	44950	22	—	—	$13.01	$70.5	$12,582
Laparoscopic appendectomy	CPT	44970	22	—	—	$13.01	$70.5	$11,750
Major joint replacement w MCC	MS-DRG	469	22	—	—	$46	$76.5	$81,666
Major joint replacement w/o MCC	MS-DRG	470	22	—	—	$46	$75	$49,815
Laparoscopic cholecystectomy	CPT	47562	22	—	—	$13.01	$70.5	$11,750
Lap cholecystectomy with cholangiography	CPT	47563	22	—	—	$13.01	$70.5	$11,750
Hip & femur procedures except major joint w MCC	MS-DRG	480	22	—	—	$46	$76.5	$61,924
Hip & femur procedures except major joint w CC	MS-DRG	481	22	—	—	$46	$76.5	$44,535
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	22	—	—	$46	$76.5	$34,680
Lap inguinal hernia repair	CPT	49650	22	—	—	$13.01	$70.5	$11,750
Total abdominal hysterectomy	CPT	58150	20	—	—	$13.01	$62	$97
Vaginal hysterectomy	CPT	58260	22	—	—	$13.01	$70.5	$9,722.38
Lap-assisted vaginal hysterectomy	CPT	58550	22	—	—	$13.01	$70.5	$11,750
Lap-assisted vaginal hysterectomy >250g	CPT	58552	22	—	—	$13.01	$70.5	$20,659
Lap salpingo-oophorectomy	CPT	58661	22	—	—	$13.01	$70.5	$11,750
OR procedure for obesity w MCC	MS-DRG	619	22	—	—	$46	$80	$61,395
OR procedure for obesity w CC	MS-DRG	620	22	—	—	$46	$80	$34,027
OR procedure for obesity w/o CC/MCC	MS-DRG	621	22	—	—	$46	$80	$32,073
Complex cataract surgery	CPT	66982	22	—	—	$13.01	$70.5	$4,485.3
Cataract surgery with lens implant	CPT	66984	22	—	—	$13.01	$70.5	$4,485.3
Intravitreal injection	CPT	67028	22	—	—	$13.01	$70.5	$641.96
Vitrectomy mechanical	CPT	67042	22	—	—	$13.01	$70.5	$8,033.4
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	22	—	—	$46	$76.5	$26,381
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	22	—	—	$46	$76.5	$43,570
PCI single major coronary artery	CPT	92920	22	—	—	$13.01	$70.5	$11,062
PCI with drug-eluting stent	CPT	92928	22	—	—	$13.01	$70.5	$22,436
PCI bypass graft	CPT	92937	22	—	—	$13.01	$70.5	$22,436
Left heart catheterization	CPT	93452	22	—	—	$13.01	$70.5	$6,300.76
Coronary angiography with cath	CPT	93455	22	—	—	$13.01	$70.5	$6,300.76
Coronary angiography with bypass cath	CPT	93458	22	—	—	$13.01	$70.5	$6,300.76

Payer mix (top 22)

Payer	Codes covered	Median rate
Aetna	194	$80
amerihealth	194	$17.38
amps	194	$55
atlantic corporation dba atlantic packaging	194	$46
bcbsfl	194	$72
Blue Cross Blue Shield	194	$101.59
CareSource	194	$43.23
carolina complete	194	$17.04
Cigna	194	$175.56
employers choice network	194	$97
Humana	194	$101.59
UnitedHealthcare	194	$148.88
WellCare	194	$17.38
medcost	194	$75
Multiplan	194	$75
nc department of public safety	194	$285.05
phcs	194	$75
plotkin health	194	$60
primary physician care	194	$74
three rivers provider network	194	$97
liberty health	163	$355.97
pace of the southern piedmont	163	$339.02