facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in North Carolina: 18 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in North Carolina

What 18 hospitals in North Carolina charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $62,026 Hospital list price billed
Average payment $18,590 Medicare + patient + other payers
Medicare paid $13,341 Average per stay
State rank #17 of 29 1 = lowest average payment

Hospitals in North Carolina billed an average of $62,026 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 3.3 times the average total payment of $18,590. That payment is 2% below the U.S. average of $18,910.

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 $18,590Billed $62,026

About 30¢ 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: amputation of lower limb for endocrine, nutritional and metabolic disorders with 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
Forsyth Memorial HospitalWinston-Salem 30 $56,326 $14,138 $12,913
ECU Health Medical CenterGreenville 30 $40,793 $18,939 $13,611
Memorial Mission Hospital and Asheville Surgery CeAsheville 24 $72,366 $16,007 $12,970
New Hanover Regional Medical CenterWilmington 19 $58,906 $16,912 $15,079
Firsthealth Moore Regional HospitalPinehurst 15 $53,252 $16,558 $10,946
Caromont Regional Medical CenterGastonia 14 $79,706 $19,925 $11,351
Moses H Cone Memorial Hospital, theGreensboro 14 $43,800 $18,817 $12,176
Rex HospitalRaleigh 14 $53,402 $14,908 $9,415
Duke University Medical CenterDurham 13 $66,212 $23,797 $15,842
Wakemed, Raleigh CampusRaleigh 13 $57,560 $17,538 $13,723
Carolinas Medical Center/Behav HealthCharlotte 13 $108,483 $23,337 $16,845
Carolina East Medical CenterNew Bern 13 $55,927 $16,619 $15,489
Duke Regional HospitalDurham 13 $54,537 $16,028 $12,375
Cape Fear Valley Medical CenterFayetteville 12 $37,754 $17,678 $12,570
UNC HospitalsChapel Hill 12 $126,186 $44,870 $21,634
Wakemed, Cary HospitalCary 12 $62,292 $13,181 $11,957
Carolinas Medical Center-NortheastConcord 11 $88,783 $22,426 $10,159
Nash General HospitalRocky Mount 11 $32,863 $13,005 $11,410
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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

Nash General HospitalRocky Mount, NC$13,005
Wakemed, Cary HospitalCary, NC$13,181
Forsyth Memorial HospitalWinston-Salem, NC$14,138
Rex HospitalRaleigh, NC$14,908
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$16,007

Highest

UNC HospitalsChapel Hill, NC$44,870
Duke University Medical CenterDurham, NC$23,797
Carolinas Medical Center/Behav HealthCharlotte, NC$23,337
Carolinas Medical Center-NortheastConcord, NC$22,426
Caromont Regional Medical CenterGastonia, NC$19,925

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 18 hospitals in North Carolina was billed at $62,026 on average, while the average total payment was $18,590, of which Medicare paid $13,341. 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 3.3 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.