facebook tracking Craniotomy and endovascular intracranial procedures with complications cost in North Carolina: 9 hospitals compared (DRG 026)

Craniotomy and endovascular intracranial procedures with complications in North Carolina

What 9 hospitals in North Carolina charged and were paid for a Medicare hospital stay for craniotomy and endovascular intracranial procedures with complications (DRG 026), from 2024 Medicare claims.

DRG 026 Inpatient 2024 Medicare data
Average charge $113,331 Hospital list price billed
Average payment $30,118 Medicare + patient + other payers
Medicare paid $22,879 Average per stay
State rank #8 of 23 1 = lowest average payment

Hospitals in North Carolina billed an average of $113,331 for craniotomy and endovascular intracranial procedures with complications, about 3.8 times the average total payment of $30,118. That payment is 10% below the U.S. average of $33,406.

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 $30,118Billed $113,331

About 27¢ was paid for every $1 hospitals in North Carolina billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in North Carolina:

North Carolina hospitals: craniotomy and endovascular intracranial procedures with 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 47 $67,246 $31,251 $24,284
Carolinas Medical Center/Behav HealthCharlotte 33 $179,535 $35,376 $22,591
North Carolina Baptist HospitalWinston-Salem 21 $107,618 $29,856 $21,911
UNC HospitalsChapel Hill 21 $66,488 $32,552 $21,287
New Hanover Regional Medical CenterWilmington 18 $117,032 $26,630 $25,192
Memorial Mission Hospital and Asheville Surgery CeAsheville 15 $168,457 $29,831 $22,823
Wakemed, Raleigh CampusRaleigh 15 $177,329 $27,484 $22,933
ECU Health Medical CenterGreenville 13 $87,672 $25,217 $22,337
Forsyth Memorial HospitalWinston-Salem 11 $73,783 $20,843 $19,481
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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

Forsyth Memorial HospitalWinston-Salem, NC$20,843
ECU Health Medical CenterGreenville, NC$25,217
New Hanover Regional Medical CenterWilmington, NC$26,630
Wakemed, Raleigh CampusRaleigh, NC$27,484
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$29,831

Highest

Craniotomy and endovascular intracranial procedures with complications in other states

Questions

How much does craniotomy and endovascular intracranial procedures with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for craniotomy and endovascular intracranial procedures with complications (DRG 026) at 9 hospitals in North Carolina was billed at $113,331 on average, while the average total payment was $30,118, of which Medicare paid $22,879. 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 3.8 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.