Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in North Carolina
What 12 hospitals in North Carolina charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$186,782
Hospital list price billed
Average payment
$51,217
Medicare + patient + other payers
Medicare paid
$42,383
Average per stay
State rank
#21 of 38
1 = lowest average payment
Hospitals in North Carolina billed an average of $186,782 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 3.6 times the average total payment of $51,217. That payment is 10% below the U.S. average of $56,603.
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 $51,217Billed $186,782
About 27¢ was paid for every $1 hospitals in North Carolina billed for this stay.
North Carolina hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 | 67 | $211,439 | $54,158 | $41,722 |
| ECU Health Medical CenterGreenville | 43 | $139,938 | $48,783 | $38,987 |
| Duke University Medical CenterDurham | 38 | $196,540 | $61,589 | $51,282 |
| New Hanover Regional Medical CenterWilmington | 38 | $166,746 | $46,226 | $44,340 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 34 | $191,290 | $42,701 | $37,149 |
| Forsyth Memorial HospitalWinston-Salem | 28 | $190,931 | $40,673 | $39,380 |
| North Carolina Baptist HospitalWinston-Salem | 28 | $272,806 | $66,985 | $45,216 |
| Moses H Cone Memorial Hospital, theGreensboro | 27 | $124,910 | $42,391 | $36,132 |
| UNC HospitalsChapel Hill | 26 | $157,421 | $70,037 | $54,848 |
| Presbyterian HospitalCharlotte | 17 | $214,335 | $39,695 | $37,770 |
| Carolinas Medical Center-NortheastConcord | 13 | $188,451 | $41,828 | $33,934 |
| Wakemed, Raleigh CampusRaleigh | 13 | $188,206 | $44,539 | $41,883 |
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
| Presbyterian HospitalCharlotte, NC | $39,695 |
|---|---|
| Forsyth Memorial HospitalWinston-Salem, NC | $40,673 |
| Carolinas Medical Center-NortheastConcord, NC | $41,828 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | $42,391 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $42,701 |
Highest
| UNC HospitalsChapel Hill, NC | $70,037 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $66,985 |
| Duke University Medical CenterDurham, NC | $61,589 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $54,158 |
| ECU Health Medical CenterGreenville, NC | $48,783 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in North Carolina?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 12 hospitals in North Carolina was billed at $186,782 on average, while the average total payment was $51,217, of which Medicare paid $42,383. 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.