facebook tracking Circulatory disorders except AMI, with cardiac catheterization without major complications cost in North Carolina: 31 hospitals compared (DRG 287)

Circulatory disorders except AMI, with cardiac catheterization without major complications in North Carolina

What 31 hospitals in North Carolina charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287), from 2024 Medicare claims.

DRG 287 Inpatient 2024 Medicare data
Average charge $46,497 Hospital list price billed
Average payment $10,202 Medicare + patient + other payers
Medicare paid $7,325 Average per stay
State rank #29 of 45 1 = lowest average payment

Hospitals in North Carolina billed an average of $46,497 for circulatory disorders except ami, with cardiac catheterization without major complications, about 4.6 times the average total payment of $10,202. That payment is 2% below the U.S. average of $10,394.

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 $10,202Billed $46,497

About 22¢ 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 without 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
Rex HospitalRaleigh 95 $35,546 $7,951 $6,139
Duke University Medical CenterDurham 74 $47,223 $13,831 $9,125
New Hanover Regional Medical CenterWilmington 70 $40,420 $9,217 $7,267
Memorial Mission Hospital and Asheville Surgery CeAsheville 69 $66,887 $9,623 $6,721
ECU Health Medical CenterGreenville 60 $43,717 $10,813 $7,877
Wakemed, Raleigh CampusRaleigh 55 $45,594 $11,409 $7,730
Forsyth Memorial HospitalWinston-Salem 46 $40,092 $9,915 $6,747
Wayne Memorial HospitalGoldsboro 40 $37,167 $9,205 $7,312
Carolinas Medical Center/Behav HealthCharlotte 34 $67,603 $13,197 $8,603
Caromont Regional Medical CenterGastonia 33 $55,602 $8,643 $7,162
North Carolina Baptist HospitalWinston-Salem 33 $51,475 $15,799 $9,003
Presbyterian Hospital-MatthewsMatthews 33 $49,896 $8,363 $6,359
Johnston Memorial HospitalSmithfield 32 $39,755 $8,603 $6,410
Frye Regional Medical CenterHickory 32 $70,787 $7,769 $6,239
UNC HospitalsChapel Hill 30 $40,320 $15,564 $10,563
Margaret R Pardee Mem HospitalHendersonville 29 $39,310 $7,931 $6,621
Cape Fear Valley Medical CenterFayetteville 29 $48,739 $10,800 $7,697
Carolina East Medical CenterNew Bern 29 $43,281 $10,247 $7,468
Carolinas Medical Center-NortheastConcord 28 $65,904 $11,912 $6,526
Moses H Cone Memorial Hospital, theGreensboro 25 $40,384 $11,063 $7,489
Firsthealth Moore Regional HospitalPinehurst 24 $47,626 $8,238 $6,852
Nash General HospitalRocky Mount 23 $40,390 $8,468 $5,725
Watauga Medical CenterBoone 19 $31,964 $9,989 $8,515
Presbyterian HospitalCharlotte 19 $55,662 $8,932 $7,611
Albemarle Hospital AuthorityElizabeth City 17 $35,650 $9,261 $8,109
Duke Regional HospitalDurham 17 $33,751 $9,722 $8,158
Atrium Health PinevilleCharlotte 16 $59,688 $10,330 $4,866
Presbyterian Hospital HuntersvilleHuntersville 16 $47,278 $9,026 $6,562
Wakemed, Cary HospitalCary 15 $39,701 $7,794 $5,178
Lenoir Memorial HospitalKinston 11 $27,279 $8,326 $6,991
Carteret General HospitalMorehead City 11 $25,631 $9,216 $7,862
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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

Frye Regional Medical CenterHickory, NC$7,769
Wakemed, Cary HospitalCary, NC$7,794
Margaret R Pardee Mem HospitalHendersonville, NC$7,931
Rex HospitalRaleigh, NC$7,951
Firsthealth Moore Regional HospitalPinehurst, NC$8,238

Highest

North Carolina Baptist HospitalWinston-Salem, NC$15,799
UNC HospitalsChapel Hill, NC$15,564
Duke University Medical CenterDurham, NC$13,831
Carolinas Medical Center/Behav HealthCharlotte, NC$13,197
Carolinas Medical Center-NortheastConcord, NC$11,912

Circulatory disorders except AMI, with cardiac catheterization without major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization without major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287) at 31 hospitals in North Carolina was billed at $46,497 on average, while the average total payment was $10,202, of which Medicare paid $7,325. 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 4.6 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.