Comprehensive Observation Services in North Carolina
What 79 hospitals in North Carolina charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$18,779
Hospital list price billed
Average allowed
$2,426
Medicare's payment + patient's share
Medicare paid
$1,926
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $18,779 for comprehensive observation services, about 7.7 times the average medicare-allowed amount of $2,426. That payment is 8% below the U.S. average of $2,634.
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 $2,426Billed $18,779
About 13¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: comprehensive observation services
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Wakemed, Raleigh CampusRaleigh | 1,205 | $22,418 | $2,449 | $1,947 |
| ECU Health Medical CenterGreenville | 985 | $17,158 | $2,356 | $1,871 |
| Firsthealth Moore Regional HospitalPinehurst | 900 | $23,179 | $2,386 | $1,895 |
| Atrium Health PinevilleCharlotte | 739 | $23,485 | $2,426 | $1,925 |
| Rex HospitalRaleigh | 724 | $14,986 | $2,421 | $1,920 |
| Carolina East Medical CenterNew Bern | 686 | $14,811 | $2,540 | $2,020 |
| Moses H Cone Memorial Hospital, theGreensboro | 666 | $14,564 | $2,396 | $1,904 |
| Cape Fear Valley Medical CenterFayetteville | 635 | $20,003 | $2,393 | $1,901 |
| Duke University Medical CenterDurham | 633 | $16,085 | $2,419 | $1,923 |
| Carolinas Medical Center-NortheastConcord | 618 | $22,785 | $2,416 | $1,915 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 609 | $19,243 | $2,366 | $1,881 |
| Forsyth Memorial HospitalWinston-Salem | 591 | $15,494 | $2,449 | $1,943 |
| North Carolina Baptist HospitalWinston-Salem | 491 | $17,013 | $2,444 | $1,935 |
| Wakemed, Cary HospitalCary | 472 | $22,272 | $2,451 | $1,949 |
| Carolinas Medical Center/Behav HealthCharlotte | 462 | $20,743 | $2,434 | $1,933 |
| New Hanover Regional Medical CenterWilmington | 447 | $15,924 | $2,502 | $1,990 |
| Caromont Regional Medical CenterGastonia | 396 | $23,300 | $2,368 | $1,871 |
| Carolinas Medical Center-UnionMonroe | 386 | $23,424 | $2,440 | $1,939 |
| Duke Regional HospitalDurham | 290 | $12,237 | $2,436 | $1,940 |
| UNC HospitalsChapel Hill | 289 | $13,130 | $2,449 | $1,943 |
| High Point Regional Hlth SystHigh Point | 285 | $15,551 | $2,392 | $1,895 |
| Southeastern Regional Medical CenterLumberton | 283 | $12,573 | $2,521 | $2,003 |
| Albemarle Hospital AuthorityElizabeth City | 282 | $14,579 | $2,529 | $2,011 |
| Onslow Memorial HospitalJacksonville | 272 | $15,360 | $2,509 | $1,990 |
| Brunswick Community HospitalSupply | 269 | $17,791 | $2,368 | $1,884 |
| Carteret General HospitalMorehead City | 266 | $8,095 | $2,539 | $2,020 |
| Northern Hospital of Surry CountyMt Airy | 262 | $9,479 | $2,375 | $1,890 |
| Frye Regional Medical CenterHickory | 261 | $35,083 | $2,406 | $1,911 |
| Presbyterian Hospital HuntersvilleHuntersville | 245 | $18,744 | $2,412 | $1,912 |
| Johnston Memorial HospitalSmithfield | 234 | $20,980 | $2,430 | $1,930 |
| Presbyterian Hospital-MatthewsMatthews | 234 | $19,883 | $2,418 | $1,918 |
| Lake Norman Regional Medical CenterMooresville | 225 | $21,971 | $2,433 | $1,934 |
| Scotland Memorial HospitalLaurinburg | 217 | $25,394 | $2,379 | $1,883 |
| Presbyterian HospitalCharlotte | 214 | $17,348 | $2,423 | $1,922 |
| Iredell Memorial Hospital INCStatesville | 211 | $14,264 | $2,423 | $1,921 |
| Catawba Valley Medical CenterHickory | 211 | $19,339 | $2,392 | $1,900 |
| Carolinas Med Ctr-UniversityCharlotte | 208 | $21,371 | $2,381 | $1,879 |
| Carolinas Medical Center-LincolnLincolnton | 201 | $23,295 | $2,421 | $1,921 |
| Columbus Regional Healthcare SystemWhiteville | 193 | $13,853 | $2,372 | $1,888 |
| Grace Hospital INCMorganton | 189 | $22,506 | $2,319 | $1,838 |
| Betsy Johnson Regional HospitalDunn | 187 | $23,046 | $2,352 | $1,865 |
| Watauga Medical CenterBoone | 186 | $11,134 | $2,518 | $2,000 |
| Margaret R Pardee Mem HospitalHendersonville | 180 | $14,037 | $2,350 | $1,866 |
| Alamance Regional Medical CenterBurlington | 177 | $14,856 | $2,473 | $1,968 |
| Randolph HospitalAsheboro | 163 | $24,615 | $2,426 | $1,920 |
| Novant Health Mint Hill Medical CenterCharlotte | 162 | $19,791 | $2,450 | $1,947 |
| Novant Health Ballantyne Medical CenterCharlotte | 159 | $20,472 | $2,424 | $1,926 |
| Haywood Regional Medical CenterClyde | 158 | $26,023 | $2,358 | $1,872 |
| Wilson Medical CenterWilson | 153 | $34,872 | $2,420 | $1,926 |
| Cleveland Regional Medical CenterShelby | 145 | $22,974 | $2,368 | $1,871 |
| Nash General HospitalRocky Mount | 144 | $15,882 | $2,355 | $1,862 |
| Stanly Regional Medical CenterAlbemarle | 142 | $19,492 | $2,446 | $1,946 |
| Roanoke Chowan HospitalAhoskie | 131 | $12,398 | $2,551 | $2,031 |
| Person Memorial HospitalRoxboro | 128 | $32,145 | $2,469 | $1,964 |
| Lenoir Memorial HospitalKinston | 124 | $11,235 | $2,620 | $2,088 |
| Rowan Regional Medical CenterSalisbury | 123 | $17,718 | $2,418 | $1,918 |
| Rutherford Hospital INCRutherfordton | 122 | $27,356 | $2,493 | $1,979 |
| Hugh Chatham Memorial HospitalElkin | 118 | $14,098 | $2,346 | $1,866 |
| Wayne Memorial HospitalGoldsboro | 116 | $13,026 | $2,712 | $2,145 |
| Lexington Memorial Hospital INCLexington | 110 | $12,316 | $2,477 | $1,968 |
| Sampson Regional Medical CenterClinton | 104 | $13,266 | $2,327 | $1,843 |
| Duke Health Raleigh HospitalRaleigh | 93 | $12,814 | $2,380 | $1,884 |
| Duplin General HospitalKenansville | 93 | $12,917 | $2,410 | $1,915 |
| Central Carolina HospitalSanford | 82 | $24,516 | $2,397 | $1,902 |
| Adventhealth HendersonvilleFletcher | 80 | $20,906 | $2,382 | $1,895 |
| Cape Fear Valley Hoke HospitalRaeford | 76 | $22,467 | $2,357 | $1,871 |
| Granville Medical CenterOxford | 75 | $21,770 | $2,469 | $1,967 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 65 | $14,309 | $2,356 | $1,868 |
| McDowell HospitalMarion | 60 | $18,688 | $2,435 | $1,938 |
| Vidant Edgecombe HospitalTarboro | 55 | $19,390 | $2,347 | $1,863 |
| ECU Health North HospitalRoanoke Rapids | 55 | $11,403 | $2,516 | $1,996 |
| Caldwell Memorial HospitalLenoir | 52 | $16,468 | $2,382 | $1,898 |
| Thomasville Medical CenterThomasville | 50 | $17,595 | $2,495 | $1,988 |
| Maria Parham HospitalHenderson | 43 | $28,455 | $2,327 | $1,849 |
| Anson Community HospitalWadesboro | 31 | $16,066 | $2,460 | $1,959 |
| Davie Medical CenterBermuda Run | 31 | $13,740 | $2,495 | $1,987 |
| C J Harris Community HospitalSylva | 25 | $26,253 | $2,382 | $1,898 |
| UNC RockinghamEden | 23 | $9,127 | $2,382 | $1,898 |
| Medical Park HospitalWinston-Salem | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Grace Hospital INCMorganton, NC | $2,319 |
|---|---|
| Maria Parham HospitalHenderson, NC | $2,327 |
| Sampson Regional Medical CenterClinton, NC | $2,327 |
| Hugh Chatham Memorial HospitalElkin, NC | $2,346 |
| Vidant Edgecombe HospitalTarboro, NC | $2,347 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $2,712 |
|---|---|
| Lenoir Memorial HospitalKinston, NC | $2,620 |
| Roanoke Chowan HospitalAhoskie, NC | $2,551 |
| Carolina East Medical CenterNew Bern, NC | $2,540 |
| Carteret General HospitalMorehead City, NC | $2,539 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in North Carolina?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 79 hospitals in North Carolina was billed at $18,779 on average, while the average medicare-allowed amount was $2,426, of which Medicare paid $1,926. 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 service in North Carolina, average charges were 7.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.