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Hospitals in North Carolina with the largest Medicare value-based purchasing bonuses

73 North Carolina hospitals ranked by value-based purchasing adjustment in the 2026 Medicare (CMS) data. Filter by type, ownership and size, choose the measures you care about, and sort by any column.

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73 hospitals ranked in North Carolina by value-based purchasing adjustment; 47 more match but have no reported value.

Compare top 4 Download CSV
#HospitalValue-based purchasing 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+0.13%3.311.9%11.1%15.0%1.00162 min1.00
51Novant Health Forsyth Medical CenterWinston-Salem, NC · Acute care−0.13%4310.8%10.9%14.2%0.93206 min0.95912Compare
52Person Memorial HospitalRoxboro, NC · Acute care−0.16%3——12.8%14.7%1.17192 min0.9250Compare
53Novant Health Presbyterian Medical CenterCharlotte, NC · Acute care−0.18%5210.6%9.3%13.3%0.69162 min0.96877Compare
54Vidant Edgecombe HospitalTarboro, NC · Acute care−0.20%34—16.2%15.8%1.02239 min0.9983Compare
55Atrium Health PinevilleCharlotte, NC · Acute care−0.25%3311.9%11.1%15.5%1.04160 min0.94344Compare
56Novant Health New Hanover Regional Medical CenterWilmington, NC · Acute care−0.30%3212.9%13.6%13.7%1.01204 min0.94769Compare
57Vidant Duplin HospitalKenansville, NC · Acute care−0.33%34—13.4%14.9%0.96170 min0.97101Compare
T58WakeMed, Cary HospitalCary, NC · Acute care−0.40%5314.0%11.3%14.6%1.04196 min0.98156Compare
T58Blue Ridge Healthcare Hospitals, IncMorganton, NC · Acute care−0.40%4311.2%12.1%14.4%0.90173 min1.00204Compare
60Maria Parham Medical CenterHenderson, NC · Acute care−0.43%2211.1%9.5%15.5%0.97168 min1.01102Compare
61Vidant Roanoke Chowan HospitalAhoskie, NC · Acute care−0.48%23—14.4%16.2%1.06140 min0.95124Compare
62Caldwell Memorial HospitalLenoir, NC · Acute care−0.55%3312.2%11.4%14.3%1.08205 min1.03110Compare
63Frye Regional Medical CenterHickory, NC · Acute care−0.59%2311.8%14.6%15.6%1.03174 min1.04338Compare
64ECU Health North HospitalRoanoke Rapids, NC · Acute care−0.60%2211.7%9.5%14.6%0.92212 min0.99206Compare
65The McDowell HospitalMarion, NC · Acute care−0.63%34—14.5%15.2%0.94144 min0.9665Compare
66Duke Health Lake Norman HospitalMooresville, NC · Acute care−0.70%1212.5%12.4%15.3%0.86190 min0.94105Compare
67Central Carolina HospitalSanford, NC · Acute care−0.74%22—9.7%15.5%0.92172 min0.96137Compare
68High Point Regional Health SystemHigh Point, NC · Acute care−0.75%2311.1%10.4%15.5%0.93247 min0.95354Compare
69Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · Acute care−0.77%3211.2%12.2%13.8%0.68163 min0.99735Compare
70Onslow Memorial HospitalJacksonville, NC · Acute care−0.79%12—11.6%16.4%1.19187 min1.00150Compare
71Columbus Regional Healthcare SystemWhiteville, NC · Acute care−0.82%12—9.7%14.5%1.07177 min1.01166Compare
72Cape Fear Valley Medical CenterFayetteville, NC · Acute care−0.83%2313.4%10.2%15.4%1.06216 min0.98600Compare
73ECU Health Medical CenterGreenville, NC · Acute care−0.97%2313.0%13.4%15.9%0.88289 min0.99909Compare

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.

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..
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).