facebook tracking Carotid artery stent procedures without complications cost in North Carolina: 8 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in North Carolina

What 8 hospitals in North Carolina charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $71,933 Hospital list price billed
Average payment $15,282 Medicare + patient + other payers
Medicare paid $13,727 Average per stay
State rank #19 of 33 1 = lowest average payment

Hospitals in North Carolina billed an average of $71,933 for carotid artery stent procedures without complications, about 4.7 times the average total payment of $15,282. That payment is 3% below the U.S. average of $15,778.

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 $15,282Billed $71,933

About 21¢ was paid for every $1 hospitals in North Carolina billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in North Carolina:

North Carolina hospitals: carotid artery stent procedures without 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
New Hanover Regional Medical CenterWilmington 39 $65,806 $15,559 $13,343
Wakemed, Raleigh CampusRaleigh 32 $97,133 $15,242 $14,291
Forsyth Memorial HospitalWinston-Salem 17 $58,565 $13,682 $12,994
Moses H Cone Memorial Hospital, theGreensboro 16 $60,718 $15,071 $14,195
Rex HospitalRaleigh 15 $44,087 $12,638 $11,317
Memorial Mission Hospital and Asheville Surgery CeAsheville 13 $95,284 $13,802 $12,497
Carolinas Medical Center/Behav HealthCharlotte 13 $91,270 $16,890 $14,675
UNC HospitalsChapel Hill 12 $47,103 $20,203 $17,208
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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

Rex HospitalRaleigh, NC$12,638
Forsyth Memorial HospitalWinston-Salem, NC$13,682
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$13,802
Moses H Cone Memorial Hospital, theGreensboro, NC$15,071
Wakemed, Raleigh CampusRaleigh, NC$15,242

Highest

UNC HospitalsChapel Hill, NC$20,203
Carolinas Medical Center/Behav HealthCharlotte, NC$16,890
New Hanover Regional Medical CenterWilmington, NC$15,559
Wakemed, Raleigh CampusRaleigh, NC$15,242
Moses H Cone Memorial Hospital, theGreensboro, NC$15,071

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 8 hospitals in North Carolina was billed at $71,933 on average, while the average total payment was $15,282, of which Medicare paid $13,727. 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 4.7 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.