Circulatory disorders except AMI, with cardiac catheterization with major complications in North Carolina
What 32 hospitals in North Carolina charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.
Average charge
$76,970
Hospital list price billed
Average payment
$20,863
Medicare + patient + other payers
Medicare paid
$16,283
Average per stay
State rank
#30 of 47
1 = lowest average payment
Hospitals in North Carolina billed an average of $76,970 for circulatory disorders except ami, with cardiac catheterization with major complications, about 3.7 times the average total payment of $20,863. That payment is 5% below the U.S. average of $21,968.
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 $20,863Billed $76,970
About 27¢ 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: circulatory disorders except ami, with cardiac catheterization 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 |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 134 | $98,496 | $34,104 | $24,556 |
| New Hanover Regional Medical CenterWilmington | 80 | $68,458 | $19,178 | $16,590 |
| Rex HospitalRaleigh | 69 | $48,324 | $16,122 | $13,152 |
| ECU Health Medical CenterGreenville | 68 | $58,190 | $21,675 | $15,466 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 64 | $87,708 | $17,309 | $14,608 |
| Carolinas Medical Center-NortheastConcord | 61 | $96,740 | $17,994 | $14,278 |
| Wakemed, Raleigh CampusRaleigh | 53 | $72,382 | $17,648 | $15,828 |
| Moses H Cone Memorial Hospital, theGreensboro | 51 | $71,453 | $18,923 | $13,771 |
| Carolinas Medical Center/Behav HealthCharlotte | 49 | $124,152 | $27,759 | $18,657 |
| UNC HospitalsChapel Hill | 42 | $95,675 | $34,050 | $22,841 |
| Forsyth Memorial HospitalWinston-Salem | 38 | $67,692 | $18,646 | $14,700 |
| Caromont Regional Medical CenterGastonia | 33 | $92,381 | $19,543 | $13,374 |
| Firsthealth Moore Regional HospitalPinehurst | 33 | $86,483 | $15,242 | $13,491 |
| Cape Fear Valley Medical CenterFayetteville | 31 | $59,383 | $18,090 | $16,595 |
| Nash General HospitalRocky Mount | 29 | $58,971 | $15,953 | $12,612 |
| Presbyterian HospitalCharlotte | 28 | $71,194 | $17,154 | $14,635 |
| Carolina East Medical CenterNew Bern | 28 | $49,087 | $18,192 | $17,026 |
| North Carolina Baptist HospitalWinston-Salem | 26 | $69,262 | $28,791 | $17,495 |
| Duke Regional HospitalDurham | 26 | $58,842 | $16,654 | $14,789 |
| Atrium Health PinevilleCharlotte | 25 | $103,314 | $18,327 | $11,979 |
| Wayne Memorial HospitalGoldsboro | 24 | $45,002 | $17,904 | $16,476 |
| Presbyterian Hospital-MatthewsMatthews | 23 | $70,812 | $14,200 | $13,135 |
| Albemarle Hospital AuthorityElizabeth City | 20 | $70,151 | $19,235 | $18,012 |
| Frye Regional Medical CenterHickory | 18 | $117,966 | $15,399 | $14,131 |
| Duke Health Raleigh HospitalRaleigh | 17 | $49,387 | $15,626 | $14,309 |
| Catawba Valley Medical CenterHickory | 17 | $65,219 | $14,689 | $13,541 |
| Wakemed, Cary HospitalCary | 15 | $64,462 | $13,599 | $11,967 |
| Alamance Regional Medical CenterBurlington | 14 | $65,372 | $19,072 | $14,500 |
| Johnston Memorial HospitalSmithfield | 14 | $58,921 | $15,894 | $13,370 |
| Presbyterian Hospital HuntersvilleHuntersville | 14 | $80,452 | $17,556 | $12,925 |
| Margaret R Pardee Mem HospitalHendersonville | 12 | $40,108 | $15,123 | $14,180 |
| Carolinas Medical Center-UnionMonroe | 11 | $86,926 | $17,885 | $13,416 |
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
| Wakemed, Cary HospitalCary, NC | $13,599 |
|---|---|
| Presbyterian Hospital-MatthewsMatthews, NC | $14,200 |
| Catawba Valley Medical CenterHickory, NC | $14,689 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $15,123 |
| Firsthealth Moore Regional HospitalPinehurst, NC | $15,242 |
Highest
| Duke University Medical CenterDurham, NC | $34,104 |
|---|---|
| UNC HospitalsChapel Hill, NC | $34,050 |
| North Carolina Baptist HospitalWinston-Salem, NC | $28,791 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $27,759 |
| ECU Health Medical CenterGreenville, NC | $21,675 |
Circulatory disorders except AMI, with cardiac catheterization with major complications in other states
Questions
How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 32 hospitals in North Carolina was billed at $76,970 on average, while the average total payment was $20,863, of which Medicare paid $16,283. 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 3.7 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.