Rex Hospital

Raleigh, NC · UNC Health · State government

Rex Hospital is a 5-star state government hospital in Raleigh, NC, part of the UNC Health health system. It publishes prices for 64 common procedures, with cash prices ranging from $20 to $12,858. 80.0% of patients rated this hospital 9 or 10 out of 10.

You're looking at a state hospital that publishes its prices openly—that's genuinely helpful for your decision. Rex Hospital's gross charges run about 1.7 times their cash price, which is typical, but here's what matters: if you have Blue Cross Blue Shield, Aetna, or MEDCOST, your actual out-of-pocket cost (after insurance negotiates) will likely be much lower than the sticker price. If you have WellCare or UnitedHealthcare, you're looking at some of the best negotiated rates they list. The catch is your specific procedure may not be priced on their public list yet—call their billing department before you schedule and ask for the exact cash price and your insurance's negotiated rate for what your doctor ordered.

Rex also funds a substantial charity care program (over $20 million annually), so if you're uninsured or underinsured, ask billing explicitly whether you qualify for financial assistance based on your household income. Don't assume you don't—many people eligible for these discounts never apply because they don't know to ask. Get those two numbers (cash price and your insurance rate) in writing before your procedure date, and you'll know exactly where you stand.

Written from data as of 2026-07-30. Prices above are current; figures quoted in this summary reflect that date.

Quality ★★★★★ CMS 5-star rating
Patient experience 80.0% rated 9 or 10 out of 10
Safety Penalized bottom 25% for patient safety
Medicare cost -7% below national avg

Safety at this hospital, versus the national average

Safer than the national average across every metric we track.

MRSA 55% fewer infections than the national rate
C. diff 58% fewer infections than the national rate
Bloodstream 80% fewer infections than the national rate
Medicare quality 46 / 100 · above the national median of 38

Source: CMS Hospital Compare — Healthcare-Associated Infections, Mortality & Readmissions, Value-Based Purchasing (FY 2026). Bars show how this hospital compares to the national rate for each metric.

Address: 4420 Lake Boone Trail, Raleigh, NC 27607

Type: Hospital · 489 beds · Emergency services

What they charge

Every price below is published by Rex Hospital in their federally mandated machine-readable file. Click any procedure to compare with nearby hospitals. Prices as of Apr 2026.

Procedure Cash price Gross charge Markup
Chemotherapy Infusion First Hour Cancer Tell us what you paid → $646 $1,076 1.67x
Carotid Duplex Scan Cardiac Tell us what you paid → $692 $1,154 1.67x
Coronary Stent Placement Cardiac Tell us what you paid → $12,858 $21,430 1.67x
Echocardiogram Complete Cardiac Tell us what you paid → $1,337 $2,229 1.67x
Left Heart Catheterization Cardiac Tell us what you paid → $7,162 $11,937 1.67x
Stress Echocardiogram Cardiac Tell us what you paid → $607 $1,012 1.67x
Skin Biopsy Punch Dermatology Tell us what you paid → $189 $315 1.67x
Skin Biopsy Tangential Dermatology Tell us what you paid → $189 $315 1.67x
Emergency Room Visit — Critical (Level 5) Emergency Tell us what you paid → $1,900 $3,167 1.67x
Emergency Room Visit — High Acuity (Level 4) Emergency Tell us what you paid → $1,425 $2,375 1.67x
Emergency Room Visit — Moderate (Level 3) Emergency Tell us what you paid → $836 $1,393 1.67x
HPV High-Risk Test Gynecologic Tell us what you paid → $98 $164 1.67x
Pap Smear Liquid-Based Cytology Gynecologic Tell us what you paid → $119 $198 1.67x
Pap Smear with Physician Interpretation Gynecologic Tell us what you paid → $23 $39 1.67x
CT Abdomen and Pelvis with Contrast Imaging Tell us what you paid → $3,827 $6,379 1.67x
CT Abdomen and Pelvis without Contrast Imaging Tell us what you paid → $3,213 $5,355 1.67x
CT Angiography Chest Imaging Tell us what you paid → $2,324 $3,874 1.67x
CT Chest with Contrast Imaging Tell us what you paid → $1,755 $2,925 1.67x
CT Chest without Contrast Imaging Tell us what you paid → $1,399 $2,331 1.67x
CT Head without Contrast Imaging Tell us what you paid → $1,357 $2,261 1.67x
Chest X-Ray 2 Views Imaging Tell us what you paid → $224 $374 1.67x
DEXA Scan (Bone Density) Imaging Tell us what you paid → $547 $911 1.67x
Heart Calcium Score (Cardiac CT) Imaging Tell us what you paid → $2,411 $4,018 1.67x
MRI Brain with Contrast Imaging Tell us what you paid → $2,643 $4,405 1.67x
MRI Brain with and without Contrast Imaging Tell us what you paid → $3,118 $5,196 1.67x
MRI Brain without Contrast Imaging Tell us what you paid → $2,306 $3,843 1.67x
MRI Cervical Spine without Contrast Imaging Tell us what you paid → $2,414 $4,024 1.67x
MRI Knee with and without Contrast Imaging Tell us what you paid → $3,095 $5,158 1.67x
MRI Knee without Contrast Imaging Tell us what you paid → $2,205 $3,675 1.67x
MRI Lumbar Spine with and without Contrast Imaging Tell us what you paid → $3,272 $5,454 1.67x
MRI Lumbar Spine without Contrast Imaging Tell us what you paid → $2,114 $3,523 1.67x
MRI Shoulder without Contrast Imaging Tell us what you paid → $2,083 $3,472 1.67x
PET Scan Whole Body Imaging Tell us what you paid → $3,690 $6,150 1.67x
Screening Mammography Imaging Tell us what you paid → $224 $373 1.67x
Shoulder X-Ray Imaging Tell us what you paid → $277 $462 1.67x
Ultrasound Abdomen Complete Imaging Tell us what you paid → $685 $1,142 1.67x
Ultrasound Pregnancy Imaging Tell us what you paid → $495 $825 1.67x
Ultrasound Transvaginal Imaging Tell us what you paid → $580 $967 1.67x
Blood Draw / Venipuncture Lab Tell us what you paid → $20 $33 1.67x
CBC Complete Blood Count Lab Tell us what you paid → $90 $150 1.67x
Comprehensive Metabolic Panel Lab Tell us what you paid → $259 $431 1.67x
Ferritin Level Lab Tell us what you paid → $121 $201 1.67x
Hemoglobin A1C Lab Tell us what you paid → $39 $65 1.67x
Lipid Panel Lab Tell us what you paid → $152 $253 1.67x
PSA Prostate Screening Lab Tell us what you paid → $129 $215 1.67x
TSH Thyroid Test Lab Tell us what you paid → $114 $190 1.67x
Urinalysis with Microscopy Lab Tell us what you paid → $53 $88 1.67x
Vitamin D Level Lab Tell us what you paid → $100 $166 1.67x
Office Visit Established Patient Level 3 Office Tell us what you paid → $160 $267 1.67x
Office Visit Established Patient Level 4 Office Tell us what you paid → $244 $406 1.67x
Epidural Steroid Injection Pain Tell us what you paid → $1,862 $3,103 1.67x
Facet Joint Injection Pain Tell us what you paid → $950 $1,583 1.67x
Joint Injection Pain Tell us what you paid → $346 $577 1.67x
Transforaminal Epidural Injection Pain Tell us what you paid → $1,507 $2,511 1.67x
Neuromuscular Re-education Rehab Tell us what you paid → $77 $128 1.67x
Physical Therapy Manual Therapy Rehab Tell us what you paid → $98 $164 1.67x
Physical Therapy Therapeutic Exercise Rehab Tell us what you paid → $98 $163 1.67x
Therapeutic Activities Rehab Tell us what you paid → $96 $160 1.67x
Diagnostic Mammography Bilateral Screening Tell us what you paid → $275 $459 1.67x
Diagnostic Mammography Unilateral Screening Tell us what you paid → $235 $392 1.67x
Sleep Study Screening Tell us what you paid → $2,520 $4,200 1.67x
Spirometry Pulmonary Function Test Screening Tell us what you paid → $518 $864 1.67x
ESWL Shockwave Lithotripsy Urologic Tell us what you paid → $12,374 $20,624 1.67x
Prostate Biopsy Urologic Tell us what you paid → $3,755 $6,259 1.67x

What this price typically doesn't include

Procedure codes generally cover the procedure itself. Other services that often appear on the same bill are listed under separate codes — for example:

  • Anesthesia (CPT 00xxx)
  • Pathology, if a sample is taken (CPT 88xxx)
  • Drugs administered during the visit (J-codes)
  • Facility vs. professional split — one charge from the hospital, another from the doctor
  • Room and board, if the procedure is inpatient

Asking what other codes might appear on the bill is a useful follow-up so the total is not a surprise. Once you receive the bill, asking for an itemized statement listing each service code separately makes it easier to match against the disclosed prices above.

Observations about billing-code conventions. Not medical advice. Not legal advice.

Citing this price when you call

A way some patients have asked Rex Hospital to apply the disclosed cash price to a self-pay visit.

  1. Call billing. Use the billing or financial-services number listed on Rex Hospital's website.
  2. Cite the disclosed cash price. Reference the specific procedure from the table above. Each cash price was published by Rex Hospital in its federally-mandated machine-readable file under 45 CFR 180.50.
  3. Ask whether the disclosed price can be applied to your visit as a self-pay patient. Outcomes vary by hospital and by procedure.

The cash prices above are published by Rex Hospital as part of federal price-transparency rules. Patients have asked billing departments to apply them; results differ. If a different price ends up on your bill, the disclosed amount stays on this page for your reference. You can share what happened on /report-price — it helps the next person.

Not medical advice. Not legal advice. The cash prices shown are published by the hospital under 45 CFR 180; HospitalCost displays them as published.

What your insurance pays here

Average negotiated rates by insurance plan. If the cash price above is lower and you haven't met your deductible, ask billing about paying cash.

Insurance plan Procedures covered Avg negotiated rate Rate range
Blue Cross Blue Shield
BLUE HOME		 64 $572 $9 — $4,695
Blue Cross Blue Shield
OPTION PPO		 64 $1,347 $23 — $11,561
MedCost
PPO		 64 $1,599 $20 — $13,072
MedCost
ULTRA		 64 $1,338 $16 — $10,929
ALLIANCE
MANAGED MEDICAID		 63 $589 $4 — $4,766
AMERIHEALTH CARITAS NORTH CAROLINA
MANAGED MEDICAID		 63 $589 $4 — $4,766
Aetna
CHOICE POS		 63 $1,376 $9 — $14,643
Aetna
STATE HEALTH PLAN		 63 $1,454 $9 — $14,643
CAROLINA COMPLETE HEALTH
MANAGED MEDICAID		 63 $589 $4 — $4,766
Cigna
CHOICE		 63 $2,279 $6 — $27,871

The financial picture

What this hospital earns, spends on charity care, and pays its executives.

Patient revenue $4.7B CMS cost report
Charity care $20.8M 0.44% of revenue
Charge-to-payment 3.4x charges vs Medicare payment
Net income $79.0M CMS cost report
Beds 489 licensed beds

Compare these procedures near Raleigh

See how Rex Hospital's prices compare to other hospitals in the Raleigh area for the same procedure.

Chemotherapy Infusion First Hour Rex Hospital: $646 Compare in Raleigh → Carotid Duplex Scan Rex Hospital: $692 Compare in Raleigh → Coronary Stent Placement Rex Hospital: $12,858 Compare in Raleigh → Echocardiogram Complete Rex Hospital: $1,337 Compare in Raleigh → Left Heart Catheterization Rex Hospital: $7,162 Compare in Raleigh → Stress Echocardiogram Rex Hospital: $607 Compare in Raleigh → Skin Biopsy Punch Rex Hospital: $189 Compare in Raleigh → Skin Biopsy Tangential Rex Hospital: $189 Compare in Raleigh →

Other UNC Health hospitals

Other hospitals in the UNC Health health system that publish prices.

Unc Hospitals Chapel Hill, NC
5★ CMS
View profile → High Point Regional Health System High Point, NC
2★ CMS
View profile →

Other hospitals to compare in NC

Before you schedule, see how Rex Hospital stacks up against these nearby options by price and quality.

Wakemed, Raleigh Campus Raleigh, NC
4★ CMS 71% satisfaction $909 avg price
View profile → Novant Health Medical Park Hospital Winston-Salem, NC
4★ CMS 92% satisfaction $255 avg price
View profile → Novant Health Pender Medical Center Burgaw, NC
$524 avg price
View profile → J Arthur Dosher Memorial Hospital Southport, NC
85% satisfaction $549 avg price
View profile → Novant Health Kernersville Medical Center Kernersville, NC
$617 avg price
View profile → Novant Health Mint Hill Medical Center Charlotte, NC
4★ CMS 81% satisfaction $645 avg price
View profile →

Help us ground-truth published prices

Did you have a procedure at Rex Hospital? Tell us what you actually paid — anonymously. We use patient-reported prices alongside published rates so the next reader gets a clearer picture.

Tell us what you paid →

Prices from Rex Hospital's published machine-readable file, dated Apr 2026. Quality and financial data from CMS Hospital Compare, Cost Reports, and IRS Form 990 via ProPublica, compiled August 2026. Full methodology →