facebook tracking Acute leukemia with major complications cost in North Carolina: 4 hospitals compared (DRG 834)

Acute leukemia with major complications in North Carolina

What 4 hospitals in North Carolina charged and were paid for a Medicare hospital stay for acute leukemia with major complications (DRG 834), from 2024 Medicare claims.

DRG 834 Inpatient 2024 Medicare data
Average charge $234,571 Hospital list price billed
Average payment $81,876 Medicare + patient + other payers
Medicare paid $57,432 Average per stay
State rank #7 of 12 1 = lowest average payment

Hospitals in North Carolina billed an average of $234,571 for acute leukemia with major complications, about 2.9 times the average total payment of $81,876. That payment is 4% above the U.S. average of $78,977.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $81,876Billed $234,571

About 35¢ was paid for every $1 hospitals in North Carolina billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in North Carolina:

North Carolina hospitals: acute leukemia with major complications

Every North Carolina hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
UNC HospitalsChapel Hill 29 $145,279 $70,580 $55,462
Duke University Medical CenterDurham 28 $323,241 $99,273 $75,888
North Carolina Baptist HospitalWinston-Salem 19 $270,213 $86,190 $48,311
Carolinas Medical Center/Behav HealthCharlotte 19 $204,543 $69,165 $42,362
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Lowest and highest payments in North Carolina

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Carolinas Medical Center/Behav HealthCharlotte, NC$69,165
UNC HospitalsChapel Hill, NC$70,580
North Carolina Baptist HospitalWinston-Salem, NC$86,190
Duke University Medical CenterDurham, NC$99,273

Highest

Duke University Medical CenterDurham, NC$99,273
North Carolina Baptist HospitalWinston-Salem, NC$86,190
UNC HospitalsChapel Hill, NC$70,580
Carolinas Medical Center/Behav HealthCharlotte, NC$69,165

Acute leukemia with major complications in other states

Questions

How much does acute leukemia with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for acute leukemia with major complications (DRG 834) at 4 hospitals in North Carolina was billed at $234,571 on average, while the average total payment was $81,876, of which Medicare paid $57,432. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in North Carolina, average charges were 2.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.