facebook tracking Craniotomy and endovascular intracranial procedures with major complications cost in North Carolina: 14 hospitals compared (DRG 025)

Craniotomy and endovascular intracranial procedures with major complications in North Carolina

What 14 hospitals in North Carolina charged and were paid for a Medicare hospital stay for craniotomy and endovascular intracranial procedures with major complications (DRG 025), from 2024 Medicare claims.

DRG 025 Inpatient 2024 Medicare data
Average charge $143,347 Hospital list price billed
Average payment $39,785 Medicare + patient + other payers
Medicare paid $32,958 Average per stay
State rank #19 of 41 1 = lowest average payment

Hospitals in North Carolina billed an average of $143,347 for craniotomy and endovascular intracranial procedures with major complications, about 3.6 times the average total payment of $39,785. That payment is 13% below the U.S. average of $45,498.

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 $39,785Billed $143,347

About 28¢ 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 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
Carolinas Medical Center/Behav HealthCharlotte 90 $162,088 $41,732 $32,615
Duke University Medical CenterDurham 88 $114,445 $45,701 $36,850
North Carolina Baptist HospitalWinston-Salem 56 $158,505 $47,168 $35,254
Memorial Mission Hospital and Asheville Surgery CeAsheville 49 $168,598 $31,875 $27,916
UNC HospitalsChapel Hill 45 $112,860 $43,752 $34,881
ECU Health Medical CenterGreenville 40 $130,406 $40,875 $32,267
New Hanover Regional Medical CenterWilmington 40 $164,687 $39,368 $37,589
Wakemed, Raleigh CampusRaleigh 35 $208,465 $38,944 $35,171
Presbyterian HospitalCharlotte 29 $131,644 $29,978 $28,560
Forsyth Memorial HospitalWinston-Salem 26 $112,206 $31,668 $30,252
Rex HospitalRaleigh 20 $94,064 $30,400 $28,828
Firsthealth Moore Regional HospitalPinehurst 19 $147,007 $29,748 $27,398
Caromont Regional Medical CenterGastonia 15 $154,607 $42,040 $23,927
Cape Fear Valley Medical CenterFayetteville 12 $95,294 $34,976 $33,544
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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

Firsthealth Moore Regional HospitalPinehurst, NC$29,748
Presbyterian HospitalCharlotte, NC$29,978
Rex HospitalRaleigh, NC$30,400
Forsyth Memorial HospitalWinston-Salem, NC$31,668
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$31,875

Highest

North Carolina Baptist HospitalWinston-Salem, NC$47,168
Duke University Medical CenterDurham, NC$45,701
UNC HospitalsChapel Hill, NC$43,752
Caromont Regional Medical CenterGastonia, NC$42,040
Carolinas Medical Center/Behav HealthCharlotte, NC$41,732

Craniotomy and endovascular intracranial procedures with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for craniotomy and endovascular intracranial procedures with major complications (DRG 025) at 14 hospitals in North Carolina was billed at $143,347 on average, while the average total payment was $39,785, of which Medicare paid $32,958. 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.