Hospital rankings
Hospitals in North Carolina with the smallest Medicare readmissions penalties
78 North Carolina hospitals ranked by readmissions penalty in the 2026 Medicare (CMS) data. Filter by type, ownership and size, choose the measures you care about, and sort by any column.
| # | Hospital | Readmissions penaltyhigher is better | Net Medicare quality adjustmenthigher is better | Hospital-acquired condition scorelower is better | Value-based purchasing scorehigher is better | Value-based purchasing adjustmenthigher is better | Compare |
|---|---|---|---|---|---|---|---|
| National average | −0.34% | −0.48% | 0.00 | 31 | +0.13% | ||
| 51 | The McDowell Hospital | −0.39%, 32nd percentile | −2.02%, 8th percentile | +1.24, 3rd percentile | 20, 16th percentile | −0.63%, 16th percentile | Compare The McDowell Hospital |
| 52 | Atrium Health Union | −0.40%, 31st percentile | +0.32%, 82nd percentile | +0.04, 45th percentile | 39, 79th percentile | +0.72%, 79th percentile | Compare Atrium Health Union |
| 53 | Southeastern Regional Medical Center | −0.42%, 30th percentile | +0.48%, 85th percentile | −0.12, 56th percentile | 42, 84th percentile | +0.90%, 84th percentile | Compare Southeastern Regional Medical Center |
| T54 | UNC Health Nash | −0.43%, 29th percentile | +0.01%, 74th percentile | +0.35, 27th percentile | 35, 70th percentile | +0.44%, 70th percentile | Compare UNC Health Nash |
| T54 | Vidant Roanoke Chowan Hospital | −0.43%, 29th percentile | −0.91%, 32nd percentile | +0.27, 31st percentile | 22, 24th percentile | −0.48%, 24th percentile | Compare Vidant Roanoke Chowan Hospital |
| T56 | Vidant Duplin Hospital | −0.46%, 27th percentile | −1.79%, 11th percentile | +0.78, 10th percentile | 24, 31st percentile | −0.33%, 31st percentile | Compare Vidant Duplin Hospital |
| T56 | ECU Health North Hospital | −0.46%, 27th percentile | −1.06%, 26th percentile | 0.00, 47th percentile | 20, 17th percentile | −0.60%, 17th percentile | Compare ECU Health North Hospital |
| 58 | Watauga Medical Center | −0.49%, 25th percentile | −0.02%, 65th percentile | +0.28, 31st percentile | 36, 71st percentile | +0.47%, 71st percentile | Compare Watauga Medical Center |
| 59 | Person Memorial Hospital | −0.53%, 23rd percentile | −0.69%, 40th percentile | −0.10, 54th percentile | 27, 40th percentile | −0.16%, 40th percentile | Compare Person Memorial Hospital |
| 60 | Central Carolina Hospital | −0.55%, 22nd percentile | −1.29%, 20th percentile | −0.02, 48th percentile | 18, 11th percentile | −0.74%, 11th percentile | Compare Central Carolina Hospital |
| T61 | Vidant Edgecombe Hospital | −0.57%, 21st percentile | −1.77%, 11th percentile | +0.51, 19th percentile | 26, 38th percentile | −0.20%, 38th percentile | Compare Vidant Edgecombe Hospital |
| T61 | Cape Fear Valley Medical Center | −0.57%, 21st percentile | −2.40%, 4th percentile | +0.81, 10th percentile | 17, 8th percentile | −0.83%, 8th percentile | Compare Cape Fear Valley Medical Center |
| T63 | FirstHealth Moore Regional Hospital | −0.58%, 20th percentile | +0.41%, 84th percentile | −0.50, 80th percentile | 43, 86th percentile | +0.99%, 86th percentile | Compare FirstHealth Moore Regional Hospital |
| T63 | Atrium Health Pineville | −0.58%, 20th percentile | −0.83%, 35th percentile | −0.07, 52nd percentile | 25, 35th percentile | −0.25%, 35th percentile | Compare Atrium Health Pineville |
| 65 | Caldwell Memorial Hospital | −0.61%, 19th percentile | −2.16%, 6th percentile | +0.90, 8th percentile | 21, 20th percentile | −0.55%, 20th percentile | Compare Caldwell Memorial Hospital |
| 66 | Cape Fear Valley Hoke Hospital | −0.62%, 18th percentile | +2.08%, 99th percentile | −0.15, 58th percentile | 68, 99th percentile | +2.70%, 99th percentile | Compare Cape Fear Valley Hoke Hospital |
| 67 | ECU Health Medical Center | −0.67%, 17th percentile | −1.64%, 13th percentile | +0.05, 44th percentile | 15, 5th percentile | −0.97%, 5th percentile | Compare ECU Health Medical Center |
| 68 | Alamance Regional Medical Center | −0.68%, 16th percentile | −0.44%, 49th percentile | +0.19, 36th percentile | 33, 62nd percentile | +0.24%, 61st percentile | Compare Alamance Regional Medical Center |
| 69 | Columbus Regional Healthcare System | −0.72%, 15th percentile | −2.54%, 3rd percentile | +0.93, 7th percentile | 17, 9th percentile | −0.82%, 9th percentile | Compare Columbus Regional Healthcare System |
| 70 | Frye Regional Medical Center | −0.76%, 14th percentile | −1.35%, 19th percentile | +0.25, 32nd percentile | 20, 18th percentile | −0.59%, 18th percentile | Compare Frye Regional Medical Center |
| 71 | Caromont Regional Medical Center | −0.85%, 11th percentile | −0.64%, 41st percentile | −0.53, 82nd percentile | 32, 60th percentile | +0.21%, 60th percentile | Compare Caromont Regional Medical Center |
| 72 | Wilson Medical Center | −0.90%, 10th percentile | −1.90%, 9th percentile | +0.83, 9th percentile | — | — | Compare Wilson Medical Center |
| 73 | Onslow Memorial Hospital | −0.91%, 10th percentile | −1.70%, 12th percentile | +0.18, 36th percentile | 18, 10th percentile | −0.79%, 10th percentile | Compare Onslow Memorial Hospital |
| 74 | Hugh Chatham Memorial Hospital | −0.92%, 10th percentile | −0.92%, 32nd percentile | −0.17, 59th percentile | — | — | Compare Hugh Chatham Memorial Hospital |
| 75 | Sampson Regional Medical Center | −0.99%, 8th percentile | −1.75%, 11th percentile | +0.43, 23rd percentile | 33, 62nd percentile | +0.24%, 61st percentile | Compare Sampson Regional Medical Center |
| 76 | Carteret General Hospital | −1.10%, 6th percentile | −1.25%, 21st percentile | +1.40, 2nd percentile | 41, 82nd percentile | +0.85%, 82nd percentile | Compare Carteret General Hospital |
| 77 | Duke Health Lake Norman Hospital | −1.15%, 6th percentile | −1.85%, 10th percentile | −0.42, 75th percentile | 19, 13th percentile | −0.70%, 13th percentile | Compare Duke Health Lake Norman Hospital |
| 78 | North Carolina Specialty Hospital | −1.29%, 5th percentile | −1.29%, 20th percentile | −0.95, 95th percentile | — | — | Compare North Carolina Specialty Hospital |
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.
- 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..
- 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..
- 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..
- 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..