facebook tracking Cranial and peripheral nerve disorders without major complications cost in North Carolina: 8 hospitals compared (DRG 074)

Cranial and peripheral nerve disorders without major complications in North Carolina

What 8 hospitals in North Carolina charged and were paid for a Medicare hospital stay for cranial and peripheral nerve disorders without major complications (DRG 074), from 2024 Medicare claims.

DRG 074 Inpatient 2024 Medicare data
Average charge $37,935 Hospital list price billed
Average payment $10,424 Medicare + patient + other payers
Medicare paid $7,568 Average per stay
State rank #14 of 31 1 = lowest average payment

Hospitals in North Carolina billed an average of $37,935 for cranial and peripheral nerve disorders without major complications, about 3.6 times the average total payment of $10,424. That payment is 6% below the U.S. average of $11,098.

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 $10,424Billed $37,935

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: cranial and peripheral nerve disorders 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
ECU Health Medical CenterGreenville 20 $29,022 $10,283 $8,113
Duke University Medical CenterDurham 19 $44,254 $13,400 $8,871
Memorial Mission Hospital and Asheville Surgery CeAsheville 15 $32,204 $8,404 $7,032
Cape Fear Valley Medical CenterFayetteville 14 $22,995 $9,281 $7,881
Carolinas Medical Center/Behav HealthCharlotte 13 $57,059 $14,477 $9,213
Atrium Health PinevilleCharlotte 12 $49,352 $8,852 $5,670
Wakemed, Raleigh CampusRaleigh 11 $47,019 $9,736 $6,516
Rex HospitalRaleigh 11 $25,915 $7,358 $5,839
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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

Rex HospitalRaleigh, NC$7,358
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$8,404
Atrium Health PinevilleCharlotte, NC$8,852
Cape Fear Valley Medical CenterFayetteville, NC$9,281
Wakemed, Raleigh CampusRaleigh, NC$9,736

Highest

Carolinas Medical Center/Behav HealthCharlotte, NC$14,477
Duke University Medical CenterDurham, NC$13,400
ECU Health Medical CenterGreenville, NC$10,283
Wakemed, Raleigh CampusRaleigh, NC$9,736
Cape Fear Valley Medical CenterFayetteville, NC$9,281

Cranial and peripheral nerve disorders without major complications in other states

Questions

How much does cranial and peripheral nerve disorders without major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for cranial and peripheral nerve disorders without major complications (DRG 074) at 8 hospitals in North Carolina was billed at $37,935 on average, while the average total payment was $10,424, of which Medicare paid $7,568. 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 3.6 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.