Diabetes with complications in North Carolina
What 37 hospitals in North Carolina charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$26,992
Hospital list price billed
Average payment
$8,562
Medicare + patient + other payers
Medicare paid
$6,212
Average per stay
State rank
#26 of 47
1 = lowest average payment
Hospitals in North Carolina billed an average of $26,992 for diabetes with complications, about 3.2 times the average total payment of $8,562. That payment is 7% below the U.S. average of $9,215.
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 $8,562Billed $26,992
About 32¢ 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: diabetes 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 |
|---|---|---|---|---|
| ECU Health Medical CenterGreenville | 71 | $24,342 | $10,110 | $6,577 |
| New Hanover Regional Medical CenterWilmington | 55 | $23,552 | $7,696 | $6,070 |
| Johnston Memorial HospitalSmithfield | 44 | $28,047 | $7,241 | $5,363 |
| Duke University Medical CenterDurham | 40 | $27,272 | $12,233 | $7,383 |
| Forsyth Memorial HospitalWinston-Salem | 34 | $20,881 | $7,887 | $6,101 |
| Caromont Regional Medical CenterGastonia | 34 | $35,181 | $7,698 | $5,981 |
| Wakemed, Raleigh CampusRaleigh | 31 | $31,103 | $8,996 | $6,810 |
| Moses H Cone Memorial Hospital, theGreensboro | 30 | $21,072 | $9,033 | $7,265 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 28 | $30,407 | $7,180 | $6,050 |
| North Carolina Baptist HospitalWinston-Salem | 28 | $31,462 | $13,342 | $7,072 |
| Nash General HospitalRocky Mount | 28 | $21,464 | $6,663 | $5,439 |
| Cape Fear Valley Medical CenterFayetteville | 27 | $25,362 | $8,213 | $7,123 |
| Rex HospitalRaleigh | 27 | $21,436 | $6,516 | $5,286 |
| Firsthealth Moore Regional HospitalPinehurst | 27 | $34,380 | $7,492 | $5,368 |
| Carolinas Medical Center/Behav HealthCharlotte | 26 | $34,584 | $11,725 | $7,405 |
| Cleveland Regional Medical CenterShelby | 23 | $37,425 | $8,780 | $5,806 |
| Carolina East Medical CenterNew Bern | 22 | $20,560 | $7,624 | $6,216 |
| Carolinas Medical Center-NortheastConcord | 21 | $33,712 | $8,746 | $5,412 |
| Duke Regional HospitalDurham | 21 | $17,728 | $8,640 | $7,106 |
| Atrium Health PinevilleCharlotte | 20 | $40,426 | $6,970 | $4,615 |
| Iredell Memorial Hospital INCStatesville | 18 | $24,764 | $6,599 | $5,511 |
| Wayne Memorial HospitalGoldsboro | 17 | $22,151 | $7,590 | $6,438 |
| Carolinas Medical Center-UnionMonroe | 17 | $44,476 | $7,589 | $6,309 |
| UNC HospitalsChapel Hill | 16 | $35,759 | $14,296 | $8,351 |
| Wakemed, Cary HospitalCary | 16 | $31,997 | $5,923 | $4,495 |
| Carteret General HospitalMorehead City | 15 | $20,538 | $7,673 | $6,658 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 14 | $23,840 | $7,839 | $4,946 |
| Alamance Regional Medical CenterBurlington | 14 | $22,472 | $10,501 | $4,957 |
| Margaret R Pardee Mem HospitalHendersonville | 13 | $24,069 | $6,663 | $5,459 |
| Lenoir Memorial HospitalKinston | 12 | $13,706 | $6,958 | $5,870 |
| Presbyterian HospitalCharlotte | 12 | $31,368 | $7,531 | $6,941 |
| Roanoke Chowan HospitalAhoskie | 12 | $18,476 | $7,683 | $6,459 |
| Presbyterian Hospital HuntersvilleHuntersville | 12 | $30,384 | $7,278 | $5,282 |
| High Point Regional Hlth SystHigh Point | 11 | $25,210 | $8,077 | $5,670 |
| Caldwell Memorial HospitalLenoir | 11 | $13,352 | $7,048 | $6,306 |
| Southeastern Regional Medical CenterLumberton | 11 | $21,715 | $9,858 | $7,559 |
| Albemarle Hospital AuthorityElizabeth City | 11 | $23,363 | $7,711 | $6,228 |
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
| Wakemed, Cary HospitalCary, NC | $5,923 |
|---|---|
| Rex HospitalRaleigh, NC | $6,516 |
| Iredell Memorial Hospital INCStatesville, NC | $6,599 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $6,663 |
| Nash General HospitalRocky Mount, NC | $6,663 |
Highest
| UNC HospitalsChapel Hill, NC | $14,296 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $13,342 |
| Duke University Medical CenterDurham, NC | $12,233 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $11,725 |
| Alamance Regional Medical CenterBurlington, NC | $10,501 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 37 hospitals in North Carolina was billed at $26,992 on average, while the average total payment was $8,562, of which Medicare paid $6,212. 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 3.2 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.