Hospital rankings
Hospitals in North Carolina with the lowest hospital-acquired condition score
79 North Carolina hospitals ranked by hospital-acquired condition score in the 2026 Medicare (CMS) data. Filter by type, ownership and size, choose the measures you care about, and sort by any column.
| # | Hospital | Hospital-acquired condition scorelower is better | Net Medicare quality adjustmenthigher is better | Readmissions penaltyhigher is better | Value-based purchasing scorehigher is better | Value-based purchasing adjustmenthigher is better | Compare |
|---|---|---|---|---|---|---|---|
| National average | 0.00 | −0.48% | −0.34% | 31 | +0.13% | ||
| 51 | Watauga Medical Center | +0.28, 31st percentile | −0.02%, 65th percentile | −0.49%, 25th percentile | 36, 71st percentile | +0.47%, 71st percentile | Compare Watauga Medical Center |
| 52 | Sentara Albemarle Medical Center | +0.30, 30th percentile | +0.02%, 74th percentile | −0.26%, 43rd percentile | 33, 63rd percentile | +0.28%, 63rd percentile | Compare Sentara Albemarle Medical Center |
| 53 | Rutherford Regional Medical Center | +0.33, 28th percentile | −0.05%, 64th percentile | −0.09%, 62nd percentile | 30, 51st percentile | +0.04%, 51st percentile | Compare Rutherford Regional Medical Center |
| 54 | Johnston Health | +0.34, 27th percentile | −0.10%, 62nd percentile | −0.34%, 36th percentile | 32, 61st percentile | +0.24%, 61st percentile | Compare Johnston Health |
| 55 | Novant Health New Hanover Regional Medical Center | +0.35, 27th percentile | −0.36%, 52nd percentile | −0.06%, 67th percentile | 25, 33rd percentile | −0.30%, 33rd percentile | Compare Novant Health New Hanover Regional Medical Center |
| 56 | UNC Health Nash | +0.35, 27th percentile | +0.01%, 74th percentile | −0.43%, 29th percentile | 35, 70th percentile | +0.44%, 70th percentile | Compare UNC Health Nash |
| 57 | Duke University Hospital | +0.35, 27th percentile | +1.05%, 93rd percentile | −0.01%, 77th percentile | 44, 88th percentile | +1.06%, 88th percentile | Compare Duke University Hospital |
| 58 | UNC Hospitals | +0.37, 26th percentile | +0.17%, 78th percentile | −0.08%, 64th percentile | 33, 62nd percentile | +0.25%, 62nd percentile | Compare UNC Hospitals |
| 59 | UNC Lenoir Health Care | +0.38, 25th percentile | +0.55%, 86th percentile | −0.17%, 52nd percentile | 40, 79th percentile | +0.72%, 79th percentile | Compare UNC Lenoir Health Care |
| 60 | High Point Regional Health System | +0.38, 25th percentile | −2.02%, 8th percentile | −0.27%, 42nd percentile | 18, 11th percentile | −0.75%, 11th percentile | Compare High Point Regional Health System |
| 61 | Sampson Regional Medical Center | +0.43, 23rd percentile | −1.75%, 11th percentile | −0.99%, 8th percentile | 33, 62nd percentile | +0.24%, 61st percentile | Compare Sampson Regional Medical Center |
| 62 | Atrium Health Lincoln | +0.49, 20th percentile | −0.97%, 31st percentile | −0.33%, 37th percentile | 34, 67th percentile | +0.36%, 67th percentile | Compare Atrium Health Lincoln |
| 63 | Vidant Edgecombe Hospital | +0.51, 19th percentile | −1.77%, 11th percentile | −0.57%, 21st percentile | 26, 38th percentile | −0.20%, 38th percentile | Compare Vidant Edgecombe Hospital |
| 64 | UNC Health Care Wayne | +0.52, 19th percentile | −1.07%, 26th percentile | 0.00%, 89th percentile | 28, 45th percentile | −0.07%, 45th percentile | Compare UNC Health Care Wayne |
| 65 | Wilkes Regional Medical Center | +0.58, 17th percentile | −0.64%, 41st percentile | −0.19%, 50th percentile | 37, 74th percentile | +0.55%, 74th percentile | Compare Wilkes Regional Medical Center |
| 66 | Rex Hospital | +0.59, 16th percentile | +0.08%, 76th percentile | −0.12%, 58th percentile | 46, 90th percentile | +1.20%, 90th percentile | Compare Rex Hospital |
| 67 | Betsy Johnson Regional Hospital | +0.61, 16th percentile | −1.29%, 20th percentile | −0.22%, 46th percentile | 28, 45th percentile | −0.07%, 45th percentile | Compare Betsy Johnson Regional Hospital |
| 68 | North Carolina Baptist Hospital | +0.61, 16th percentile | −1.29%, 20th percentile | −0.19%, 50th percentile | 28, 43rd percentile | −0.10%, 43rd percentile | Compare North Carolina Baptist Hospital |
| 69 | Scotland Memorial Hospital | +0.64, 15th percentile | −0.89%, 33rd percentile | −0.34%, 36th percentile | 36, 70th percentile | +0.45%, 70th percentile | Compare Scotland Memorial Hospital |
| 70 | Lexington Memorial Hospital Inc | +0.67, 13th percentile | −0.65%, 41st percentile | −0.28%, 41st percentile | 38, 76th percentile | +0.63%, 76th percentile | Compare Lexington Memorial Hospital Inc |
| 71 | Vidant Duplin Hospital | +0.78, 10th percentile | −1.79%, 11th percentile | −0.46%, 27th percentile | 24, 31st percentile | −0.33%, 31st percentile | Compare Vidant Duplin Hospital |
| 72 | Cape Fear Valley Medical Center | +0.81, 10th percentile | −2.40%, 4th percentile | −0.57%, 21st percentile | 17, 8th percentile | −0.83%, 8th percentile | Compare Cape Fear Valley Medical Center |
| 73 | Granville Health Systems | +0.82, 10th percentile | +0.25%, 80th percentile | −0.20%, 49th percentile | 50, 93rd percentile | +1.45%, 93rd percentile | Compare Granville Health Systems |
| 74 | Wilson Medical Center | +0.83, 9th percentile | −1.90%, 9th percentile | −0.90%, 10th percentile | — | — | Compare Wilson Medical Center |
| 75 | Caldwell Memorial Hospital | +0.90, 8th percentile | −2.16%, 6th percentile | −0.61%, 19th percentile | 21, 20th percentile | −0.55%, 20th percentile | Compare Caldwell Memorial Hospital |
| 76 | Columbus Regional Healthcare System | +0.93, 7th percentile | −2.54%, 3rd percentile | −0.72%, 15th percentile | 17, 9th percentile | −0.82%, 9th percentile | Compare Columbus Regional Healthcare System |
| 77 | The McDowell Hospital | +1.24, 3rd percentile | −2.02%, 8th percentile | −0.39%, 32nd percentile | 20, 16th percentile | −0.63%, 16th percentile | Compare The McDowell Hospital |
| 78 | Carteret General Hospital | +1.40, 2nd percentile | −1.25%, 21st percentile | −1.10%, 6th percentile | 41, 82nd percentile | +0.85%, 82nd percentile | Compare Carteret General Hospital |
| 79 | Wilmington Treatment Center | +2.21, 0th percentile | — | — | — | — | Compare Wilmington Treatment Center |
About these rankings
Rankings use the 2026 release of CMS Care Compare data. Hospitals share a rank (“T”) when their values are equal, and only hospitals with a reported value for the sorted measure are ranked. Shading compares each value with every hospital in the country, so it doesn’t change with your filters. Small differences are often not statistically meaningful; use the methodology and glossary for context.
- Hospital-acquired condition score
- Total score in the Hospital-Acquired Condition Reduction Program, from patient safety events and infections (weighted z-scores; 0 is about average, higher is worse). Medicare cuts payments 1% for the worst-scoring quarter of hospitals..
- Net Medicare quality adjustment
- Approximate combined change to the hospital's Medicare inpatient payments from the three pay-for-performance programs, added together: the readmissions penalty, the value-based purchasing bonus or penalty, and the 1% cut for hospital-acquired conditions. Inpatient prospective payment system hospitals only; Maryland hospitals are exempt..
- Readmissions penalty
- Change to Medicare payments under the Hospital Readmissions Reduction Program, which cuts payments (by up to 3%) to hospitals with more readmissions than expected. 0% means no penalty..
- Value-based purchasing score
- Hospital Value-Based Purchasing Total Performance Score (0-100), from outcomes, safety, patient experience and efficiency. It sets a Medicare bonus or penalty..
- Value-based purchasing adjustment
- Change to Medicare payments under Hospital Value-Based Purchasing: a bonus (positive) or penalty (negative, up to 2%) based on the Total Performance Score..