facebook tracking Degenerative nervous system disorders with major complications cost in North Carolina: 13 hospitals compared (DRG 056)

Degenerative nervous system disorders with major complications in North Carolina

What 13 hospitals in North Carolina charged and were paid for a Medicare hospital stay for degenerative nervous system disorders with major complications (DRG 056), from 2024 Medicare claims.

DRG 056 Inpatient 2024 Medicare data
Average charge $77,212 Hospital list price billed
Average payment $23,664 Medicare + patient + other payers
Medicare paid $17,193 Average per stay
State rank #23 of 34 1 = lowest average payment

Hospitals in North Carolina billed an average of $77,212 for degenerative nervous system disorders with major complications, about 3.3 times the average total payment of $23,664. That payment is 4% below the U.S. average of $24,633.

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 $23,664Billed $77,212

About 31¢ 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: degenerative nervous system disorders 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
New Hanover Regional Medical CenterWilmington 40 $52,480 $21,121 $18,502
Memorial Mission Hospital and Asheville Surgery CeAsheville 28 $54,496 $16,654 $15,032
Carolinas Medical Center/Behav HealthCharlotte 22 $217,996 $51,198 $27,938
ECU Health Medical CenterGreenville 19 $50,183 $28,264 $14,843
UNC HospitalsChapel Hill 18 $84,899 $27,199 $19,716
Cape Fear Valley Medical CenterFayetteville 16 $53,874 $18,065 $16,487
Duke University Medical CenterDurham 15 $92,501 $27,834 $16,566
Rex HospitalRaleigh 15 $41,540 $15,648 $12,425
Forsyth Memorial HospitalWinston-Salem 13 $56,620 $18,060 $16,995
Carolinas Medical Center-NortheastConcord 12 $72,064 $21,042 $13,120
Wakemed, Raleigh CampusRaleigh 12 $55,887 $20,406 $18,565
Caromont Regional Medical CenterGastonia 11 $80,687 $18,142 $12,885
Carolinas Medical Center-UnionMonroe 11 $89,001 $13,907 $12,241
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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

Carolinas Medical Center-UnionMonroe, NC$13,907
Rex HospitalRaleigh, NC$15,648
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$16,654
Forsyth Memorial HospitalWinston-Salem, NC$18,060
Cape Fear Valley Medical CenterFayetteville, NC$18,065

Highest

Carolinas Medical Center/Behav HealthCharlotte, NC$51,198
ECU Health Medical CenterGreenville, NC$28,264
Duke University Medical CenterDurham, NC$27,834
UNC HospitalsChapel Hill, NC$27,199
New Hanover Regional Medical CenterWilmington, NC$21,121

Degenerative nervous system disorders with major complications in other states

Questions

How much does degenerative nervous system disorders with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for degenerative nervous system disorders with major complications (DRG 056) at 13 hospitals in North Carolina was billed at $77,212 on average, while the average total payment was $23,664, of which Medicare paid $17,193. 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 3.3 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.