facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in North Carolina: 16 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in North Carolina

What 16 hospitals in North Carolina charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $200,096 Hospital list price billed
Average payment $43,380 Medicare + patient + other payers
Medicare paid $35,817 Average per stay
State rank #17 of 36 1 = lowest average payment

Hospitals in North Carolina billed an average of $200,096 for coronary bypass with cardiac catheterization or open ablation without major complications, about 4.6 times the average total payment of $43,380. That payment is 5% below the U.S. average of $45,866.

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 $43,380Billed $200,096

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: coronary bypass with cardiac catheterization or open ablation 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
Carolina East Medical CenterNew Bern 42 $147,966 $43,928 $42,412
Memorial Mission Hospital and Asheville Surgery CeAsheville 38 $263,972 $45,277 $32,988
Wakemed, Raleigh CampusRaleigh 38 $197,116 $42,550 $34,701
Forsyth Memorial HospitalWinston-Salem 33 $174,853 $40,890 $32,468
New Hanover Regional Medical CenterWilmington 31 $193,808 $45,564 $40,219
Rex HospitalRaleigh 29 $136,201 $35,571 $33,946
ECU Health Medical CenterGreenville 24 $144,279 $42,746 $37,103
Duke University Medical CenterDurham 20 $176,453 $54,052 $43,748
North Carolina Baptist HospitalWinston-Salem 19 $231,399 $63,271 $37,755
Presbyterian HospitalCharlotte 18 $221,582 $38,657 $31,994
Moses H Cone Memorial Hospital, theGreensboro 14 $178,612 $44,864 $34,984
Firsthealth Moore Regional HospitalPinehurst 13 $213,031 $36,681 $29,413
Frye Regional Medical CenterHickory 13 $356,314 $34,697 $33,441
Caromont Regional Medical CenterGastonia 12 $162,267 $45,230 $27,242
Atrium Health PinevilleCharlotte 12 $295,364 $36,415 $34,919
Carolinas Medical Center-NortheastConcord 11 $290,971 $36,712 $34,290
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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$34,697
Rex HospitalRaleigh, NC$35,571
Atrium Health PinevilleCharlotte, NC$36,415
Firsthealth Moore Regional HospitalPinehurst, NC$36,681
Carolinas Medical Center-NortheastConcord, NC$36,712

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 16 hospitals in North Carolina was billed at $200,096 on average, while the average total payment was $43,380, of which Medicare paid $35,817. 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.