facebook tracking Cervical spinal fusion with complications cost in North Carolina: 14 hospitals compared (DRG 472)

Cervical spinal fusion with complications in North Carolina

What 14 hospitals in North Carolina charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.

DRG 472 Inpatient 2024 Medicare data
Average charge $109,422 Hospital list price billed
Average payment $26,422 Medicare + patient + other payers
Medicare paid $21,208 Average per stay
State rank #23 of 38 1 = lowest average payment

Hospitals in North Carolina billed an average of $109,422 for cervical spinal fusion with complications, about 4.1 times the average total payment of $26,422. That payment is 6% below the U.S. average of $28,116.

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 $26,422Billed $109,422

About 24¢ 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: cervical spinal fusion 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
Carolinas Medical Center/Behav HealthCharlotte 57 $139,547 $28,715 $22,580
New Hanover Regional Medical CenterWilmington 52 $117,236 $24,564 $22,841
Duke University Medical CenterDurham 42 $88,751 $30,805 $25,296
Memorial Mission Hospital and Asheville Surgery CeAsheville 29 $151,938 $23,314 $19,556
Duke Regional HospitalDurham 25 $98,108 $24,921 $20,064
North Carolina Baptist HospitalWinston-Salem 23 $148,517 $32,750 $21,042
Wakemed, Raleigh CampusRaleigh 22 $113,521 $27,642 $18,859
ECU Health Medical CenterGreenville 19 $86,107 $27,770 $18,949
Carolina East Medical CenterNew Bern 17 $40,323 $24,790 $23,254
Forsyth Memorial HospitalWinston-Salem 16 $90,355 $20,147 $18,572
Rex HospitalRaleigh 16 $90,912 $21,664 $17,583
Duke Health Raleigh HospitalRaleigh 15 $73,644 $21,535 $19,973
Presbyterian HospitalCharlotte 13 $117,593 $26,829 $16,874
Moses H Cone Memorial Hospital, theGreensboro 13 $67,479 $25,165 $19,692
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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

Forsyth Memorial HospitalWinston-Salem, NC$20,147
Duke Health Raleigh HospitalRaleigh, NC$21,535
Rex HospitalRaleigh, NC$21,664
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$23,314
New Hanover Regional Medical CenterWilmington, NC$24,564

Highest

North Carolina Baptist HospitalWinston-Salem, NC$32,750
Duke University Medical CenterDurham, NC$30,805
Carolinas Medical Center/Behav HealthCharlotte, NC$28,715
ECU Health Medical CenterGreenville, NC$27,770
Wakemed, Raleigh CampusRaleigh, NC$27,642

Cervical spinal fusion with complications in other states

Questions

How much does cervical spinal fusion with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 14 hospitals in North Carolina was billed at $109,422 on average, while the average total payment was $26,422, of which Medicare paid $21,208. 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 4.1 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.