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Hospitals in North Carolina with the best net Medicare quality adjustments

78 North Carolina hospitals ranked by net Medicare quality adjustment in the 2026 Medicare (CMS) data. Leading: Novant Health Mint Hill Medical Center, Cape Fear Valley Hoke Hospital, Novant Health Ballantyne Medical Center. Filter by type, ownership and size, choose the measures you care about, and sort by any column.

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78 hospitals ranked in North Carolina by net medicare quality adjustment; 42 more match but have no reported value.

Compare top 4 Download CSV
#HospitalNet Medicare quality adjustmenthigher is betterOverall star ratinghigher is betterPatient survey star ratinghigher is betterHeart attack death ratelower is betterHeart failure death ratelower is betterHospital-wide readmission ratelower is better · 2025 dataSerious complicationslower is betterTime in emergency departmentlower is betterMedicare spending per patientlower is betterTotal beds
National average−0.48%3.311.9%11.1%15.0%1.00162 min1.00
1Novant Health Mint Hill Medical CenterCharlotte, NC · Acute care+2.97%54—9.7%13.2%0.95190 min0.8636Compare
2Cape Fear Valley Hoke HospitalRaeford, NC · Acute care+2.08%44—9.1%15.3%0.94205 min0.7241Compare
3Novant Health Ballantyne Medical CenterCharlotte, NC · Acute care+1.61%—4—8.4%14.5%0.97192 min0.9236Compare
4AdventHealth HendersonvilleHendersonville, NC · Acute care+1.27%54—9.8%14.3%1.02164 min0.93103Compare
5Duke University HospitalDurham, NC · Acute care+1.05%5410.4%9.1%14.9%1.10317 min0.951,019Compare
6Novant Health Brunswick Medical CenterSupply, NC · Acute care+0.94%4412.1%12.6%14.7%0.88181 min0.9260Compare
7Randolph HospitalAsheboro, NC · Acute care+0.91%43—14.0%14.4%0.97216 min0.90145Compare
8Carolinas Medical Center-NortheastConcord, NC · Acute care+0.88%4312.5%8.2%14.6%0.99186 min0.90457Compare
9UNC RockinghamEden, NC · Acute care+0.81%44—11.7%14.9%0.95187 min0.92108Compare
10Northern Regional HospitalMount Airy, NC · Acute care+0.66%44—9.6%14.6%1.13192 min0.94112Compare
11Novant Health Matthews Medical CenterMatthews, NC · Acute care+0.62%5310.3%7.1%13.6%0.91244 min0.91102Compare
12UNC Lenoir Health CareKinston, NC · Acute care+0.55%4311.1%8.2%15.8%0.85194 min0.94235Compare
13Duke Regional HospitalDurham, NC · Acute care+0.52%5411.5%11.7%14.1%0.98255 min0.89391Compare
14Stanly Regional Medical CenterAlbemarle, NC · Acute care+0.50%3311.9%13.8%15.5%1.08144 min0.93109Compare
15Southeastern Regional Medical CenterLumberton, NC · Acute care+0.48%2313.4%11.6%16.1%0.90248 min0.89314Compare
16Novant Health Huntersville Medical CenterHuntersville, NC · Acute care+0.45%439.7%11.4%14.5%0.88204 min0.9475Compare
17FirstHealth Moore Regional HospitalPinehurst, NC · Acute care+0.41%4410.6%11.4%15.0%0.93201 min0.92395Compare
18Moses H. Cone The Memorial HospitalGreensboro, NC · Acute care+0.40%3311.9%10.4%13.9%1.08224 min0.941,232Compare
19Haywood Regional Medical CenterClyde, NC · Acute care+0.34%3310.5%12.6%15.1%0.94193 min0.98178Compare
20Atrium Health UnionMonroe, NC · Acute care+0.32%4310.6%9.5%14.1%1.18132 min0.91157Compare
21Carolinas Medical Center/Behavioral HealthCharlotte, NC · Acute care+0.32%438.7%9.4%14.8%0.88196 min0.98843Compare
22Carolina East Medical CenterNew Bern, NC · Acute care+0.31%4414.8%11.7%14.1%0.86216 min0.89314Compare
23Granville Health SystemsOxford, NC · Acute care+0.25%23—12.1%14.9%1.37191 min0.8962Compare
24Catawba Valley Medical CenterHickory, NC · Acute care+0.23%2414.9%17.3%14.2%0.93228 min0.96258Compare
25WakeMed, Raleigh CampusRaleigh, NC · Acute care+0.21%4413.7%11.4%13.9%0.99204 min0.97678Compare
26UNC HospitalsChapel Hill, NC · Acute care+0.17%5411.4%10.6%14.9%0.92268 min0.95724Compare
27Rex HospitalRaleigh, NC · Acute care+0.08%5410.5%8.2%14.7%1.19202 min0.93425Compare
28Pardee Hospital Henderson CountyHendersonville, NC · Acute care+0.03%5412.7%13.1%13.7%0.77158 min0.99222Compare
29Atrium Health University CityCharlotte, NC · Acute care+0.02%33—10.7%14.9%1.01148 min0.93130Compare
30Sentara Albemarle Medical CenterElizabeth City, NC · Acute care+0.02%3412.0%10.0%15.8%1.10148 min0.97182Compare
31Novant Health Rowan Medical CenterSalisbury, NC · Acute care+0.01%4311.3%14.1%14.1%0.78205 min0.97308Compare
32UNC Health NashRocky Mount, NC · Acute care+0.01%4311.6%11.4%14.8%0.96200 min0.95332Compare
33Cherokee Indian Hospital AuthorityCherokee, NC · Acute care0.00%————15.5%——0.9826Compare
34Watauga Medical CenterBoone, NC · Acute care−0.02%3411.9%9.3%15.1%0.96192 min0.95117Compare
35Atrium Health AnsonWadesboro, NC · Acute care−0.03%————14.8%—118 min0.9415Compare
36Harris Regional HospitalSylva, NC · Acute care−0.03%33—11.4%13.9%1.03174 min1.0686Compare
37Novant Health Thomasville Medical CenterThomasville, NC · Acute care−0.04%33—12.2%15.1%0.95176 min0.94149Compare
38Rutherford Regional Medical CenterRutherfordton, NC · Acute care−0.05%2311.7%11.7%15.5%1.06144 min0.94143Compare
39Atrium Health ClevelandShelby, NC · Acute care−0.07%3312.0%11.9%14.9%1.03160 min0.94241Compare
40Johnston HealthSmithfield, NC · Acute care−0.10%4411.9%12.9%15.2%0.80187 min0.95175Compare
41Novant Health Forsyth Medical CenterWinston-Salem, NC · Acute care−0.15%4310.8%10.9%14.2%0.93206 min0.95912Compare
42Novant Health Presbyterian Medical CenterCharlotte, NC · Acute care−0.18%5210.6%9.3%13.3%0.69162 min0.96877Compare
43Iredell Memorial Hospital IncStatesville, NC · Acute care−0.20%3313.8%11.4%14.9%0.98186 min0.93247Compare
44Novant Health New Hanover Regional Medical CenterWilmington, NC · Acute care−0.36%3212.9%13.6%13.7%1.01204 min0.94769Compare
45Blue Ridge Healthcare Hospitals, IncMorganton, NC · Acute care−0.40%4311.2%12.1%14.4%0.90173 min1.00204Compare
46Alamance Regional Medical CenterBurlington, NC · Acute care−0.44%3214.9%9.8%13.7%1.27228 min0.93238Compare
47WakeMed, Cary HospitalCary, NC · Acute care−0.44%5314.0%11.3%14.6%1.04196 min0.98156Compare
48Wilkes Regional Medical CenterNorth Wilkesboro, NC · Acute care−0.64%33—11.4%15.7%0.93164 min1.02120Compare
49Caromont Regional Medical CenterGastonia, NC · Acute care−0.64%4312.6%10.8%15.3%1.04192 min0.95442Compare
50Lexington Memorial Hospital IncLexington, NC · Acute care−0.65%23—11.3%15.1%0.95154 min0.8894Compare

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.

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..
Overall star rating
CMS overall hospital quality star rating (1-5).
Patient survey star rating
HCAHPS summary star rating (1-5).
Heart attack death rate
30-day death rate for heart attack patients.
Heart failure death rate
30-day death rate for heart failure patients.
Hospital-wide readmission rate
Rate of unplanned readmission within 30 days, all conditions. From 2025 CMS reports the Hybrid Hospital-Wide Readmission measure (claims plus EHR data), which replaced the claims-only measure; values are close but not strictly comparable across the change. CMS suppressed it for 2026.. Latest available: 2025 release.
Serious complications
Patient safety and adverse events composite (PSI 90; 1.0 = national value).
Time in emergency department
Median time patients spent in the emergency department before leaving.
Medicare spending per patient
Medicare spending per beneficiary episode relative to the national median (1.0 = national median).
Total beds
Total beds reported to CMS (Provider of Services file).