Cheapest hospitals in North Carolina without insurance
Of 61 hospitals in North Carolina we can compare, Northern Regional Hospital (Mount Airy) has the lowest cash prices: its typical outpatient price is 60% below the North Carolina median across 334 procedures. The ranking compares each hospital's own cash price with the median of all North Carolina hospitals, procedure by procedure.
Collected Nov 11, 2026 Hospitals with at least 30 comparable procedures
| Hospital | Typical price | Below median | Above median |
|---|---|---|---|
| 1. Northern Regional Hospital Mount Airy | 60% below | 320 of 334 | 13 of 334 |
| 2. Iredell Memorial Hospital Statesville | 60% below | 294 of 323 | 26 of 323 |
| 3. Duke Regional Hospital Durham | 52% below | 355 of 383 | 13 of 383 |
| 4. Duke University Hospital Durham | 49% below | 393 of 435 | 21 of 435 |
| 5. Duke Health Raleigh Hospital Raleigh | 49% below | 393 of 435 | 21 of 435 |
| 6. Alleghany County Memorial Hospital Sparta | 37% below | 226 of 308 | 77 of 308 |
| 7. Randolph Health Asheboro | 35% below | 246 of 304 | 53 of 304 |
| 8. WakeMed Raleigh Campus Raleigh | 35% below | 359 of 410 | 43 of 410 |
| 9. WakeMed Cary Hospital Cary | 35% below | 358 of 410 | 43 of 410 |
| 10. Sentara Albemarle Regional Medical Center Elizabeth City | 25% below | 281 of 382 | 97 of 382 |
| 11. Wilkes Regional Medical Center North Wilkesboro | 23% below | 274 of 331 | 50 of 331 |
| 12. Hugh Chatham Memorial Hospital Elkin | 20% below | 259 of 334 | 69 of 334 |
| 13. Harris Regional Hospital Sylva | 17% below | 272 of 431 | 150 of 431 |
| 14. ECU Health Bertie Hospital Windsor | 14% below | 206 of 349 | 135 of 349 |
| 15. North Carolina Baptist Hospital Winston Salem | 12% below | 278 of 419 | 126 of 419 |
| 16. Lexington Medical Center Lexington | 11% below | 238 of 357 | 106 of 357 |
| 17. High Point Regional Health High Point | 8% below | 205 of 339 | 126 of 339 |
| 18. North Carolina Baptist Hospital Bermuda Run | 7% below | 253 of 422 | 150 of 422 |
| 19. Cape Fear Valley Medical Center Fayetteville | 7% below | 267 of 464 | 124 of 464 |
| 20. Betsy Johnson Hospital Dunn | 7% below | 263 of 462 | 123 of 462 |
| 21. Cape Fear Valley - Hoke Hospital Raeford | 5% below | 232 of 429 | 124 of 429 |
| 22. Highsmith-Rainey Specialty Hospital Fayetteville | 4% below | 222 of 413 | 121 of 413 |
| 23. Scotland Memorial Hospital and Edwin Morgan Center Laurinburg | 4% below | 206 of 352 | 137 of 352 |
| 24. Duke Health Lake Norman Hospital Mooresville | 4% below | 174 of 329 | 151 of 329 |
| 25. Cape Fear Valley - Bladen County Hospital Elizabethtown | 3% below | 227 of 425 | 125 of 425 |
| 26. Atrium Health Anson Wadesboro | at median | 111 of 435 | 198 of 435 |
| 27. Atrium Health Cleveland Shelby | at median | 111 of 435 | 198 of 435 |
| 28. Atrium Health Lincoln Lincolnton | at median | 111 of 435 | 198 of 435 |
| 29. Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte | at median | 111 of 435 | 198 of 435 |
| 30. Atrium Health Pineville Charlotte | at median | 111 of 435 | 198 of 435 |
| 31. Atrium Health Union Monroe | at median | 111 of 435 | 198 of 435 |
| 32. Atrium Health University City Charlotte | at median | 111 of 435 | 198 of 435 |
| 33. Carolinas Medical Center Charlotte | at median | 111 of 435 | 198 of 435 |
| 34. Carolinas Medical Center-Northeast Concord | at median | 111 of 435 | 198 of 435 |
| 35. Stanly Regional Medical Center Albermarle | at median | 111 of 435 | 198 of 435 |
| 36. ECU Health Duplin Hospital Kenansville | 2% above | 156 of 335 | 171 of 335 |
| 37. Rutherford Regional Medical Center Rutherfordton | 2% above | 168 of 375 | 203 of 375 |
| 38. Erlanger Murphy Medical Center Murphy | 3% above | 166 of 356 | 185 of 356 |
| 39. ECU Health North Hospital Roanoke Rapids | 4% above | 155 of 344 | 179 of 344 |
| 40. ECU Health Edgecombe Hospital Tarboro | 6% above | 155 of 363 | 199 of 363 |
| 41. The Outer Banks Hospital Nags Head | 9% above | 148 of 341 | 186 of 341 |
| 42. ECU Health Chowan Hospital Edenton | 9% above | 154 of 360 | 199 of 360 |
| 43. Sampson Regional Medical Center Clinton | 11% above | 109 of 306 | 195 of 306 |
| 44. Columbus Regional Healthcare System Whiteville | 11% above | 135 of 365 | 223 of 365 |
| 45. East Carolina Health Ahoskie | 12% above | 154 of 362 | 202 of 362 |
| 46. Wilson Medical Center Wilson | 15% above | 132 of 388 | 252 of 388 |
| 47. ECU Health Beaufort Hospital Washington | 15% above | 166 of 409 | 234 of 409 |
| 48. ECU Health Medical Center Greenville | 15% above | 166 of 409 | 234 of 409 |
| 49. Frye Regional Medical Center Hickory | 33% above | 64 of 358 | 284 of 358 |
| 50. Person Memorial Hospital Roxboro | 47% above | 70 of 344 | 270 of 344 |
| 51. AdventHealth Polk Columbus | 69% above | 19 of 344 | 321 of 344 |
| 52. AdventHealth Hendersonville Hendersonville | 85% above | 32 of 377 | 345 of 377 |
| 53. CaroMont Regional Medical Center - Gastonia Gastonia | 101% above | 13 of 405 | 378 of 405 |
| 54. Gaston Memorial Hospital Mount Holly | 101% above | 13 of 405 | 378 of 405 |
| 55. Gaston Memorial Hospital Belmont | 101% above | 13 of 405 | 378 of 405 |
| 56. Highlands-Cashiers Hospital Highlands | 140% above | 19 of 199 | 180 of 199 |
| 57. Mission Hospital McDowell Marion | 154% above | 8 of 202 | 194 of 202 |
| 58. Blue Ridge Regional Hospital Spruce Pine | 156% above | 13 of 200 | 187 of 200 |
| 59. Angel Medical Center Franklin | 156% above | 10 of 202 | 192 of 202 |
| 60. Transylvania Regional Hospital Brevard | 160% above | 5 of 67 | 62 of 67 |
| 61. Mission Hospital Asheville | 160% above | 18 of 243 | 224 of 243 |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Typical price The median of this hospital's cash prices divided by the state median for the same codes: below means cheaper than a typical hospital in the state.
Below median For how many of the compared procedures this hospital is cheaper than the state median.
Above median For how many of the compared procedures this hospital is more expensive than the state median.
Not in the ranking: Central Carolina Hospital (Sanford) — its price file lists no cash price (all US hospitals without one).
Procedure costs in North Carolina
- MRI cost
- CT scan cost
- X-ray cost
- Ultrasound cost
- ER visit cost
- Blood test cost
- STD test cost
- Colonoscopy cost
- Doctor visit cost
- Annual physical cost
- Physical therapy cost
- Mammogram cost
- Heart test cost
- Therapy session cost
- Sleep study cost
- Flu shot cost
- COVID-19 vaccine cost
- Vaccine cost
- Childhood vaccine cost
- Stitches cost
- Mole removal cost
- Cortisone shot cost
- Hysterectomy cost
- Joint replacement cost
- Knee arthroscopy cost
- Shoulder surgery cost
- Cataract surgery cost
- Hernia repair cost
- Gallbladder removal cost
- Appendectomy cost
- Tonsillectomy cost
- Upper endoscopy cost
- Sinus surgery cost
- Thyroid surgery cost
- Hand surgery cost
- Coronary calcium score cost
- Nuclear stress test cost
- Vasectomy cost
- Circumcision cost
- Septoplasty cost
- Strep test cost
- Earwax removal cost
- Bone density scan cost
- Cholesterol test (lipid panel) cost
- Complete blood count (CBC) cost
- Cardioversion cost
Cheapest hospitals by metro area in North Carolina
How the ranking works
- For every procedure, we take the hospital's lowest outpatient cash price and compare it with the median of all North Carolina hospitals that publish a cash price for the same code (only codes with at least three hospitals in the state).
- "Typical price" is the middle of those comparisons: half of the hospital's procedures are cheaper than that, half are dearer. One expensive surgery does not outweigh a hundred cheap lab tests, and the other way round.
- Hospitals with fewer than 30 comparable procedures are left out: with a handful of codes the place would be decided by chance.
- Prices far below every other hospital are worth a phone call: some price files list only part of a service (for example the facility fee without the doctor's fee), or a discount that depends on income.
- A low rank does not mean every price is low. Open the hospital to see the procedure you need, then ask its billing office for a Good Faith Estimate in writing.