Diabetes with major complications in North Carolina
What 28 hospitals in North Carolina charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$43,632
Hospital list price billed
Average payment
$12,903
Medicare + patient + other payers
Medicare paid
$10,052
Average per stay
State rank
#22 of 43
1 = lowest average payment
Hospitals in North Carolina billed an average of $43,632 for diabetes with major complications, about 3.4 times the average total payment of $12,903. That payment is 8% below the U.S. average of $14,037.
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 $12,903Billed $43,632
About 30¢ 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 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 |
|---|---|---|---|---|
| ECU Health Medical CenterGreenville | 56 | $38,016 | $14,187 | $10,165 |
| Cape Fear Valley Medical CenterFayetteville | 41 | $35,578 | $12,031 | $10,756 |
| Carolinas Medical Center/Behav HealthCharlotte | 36 | $57,432 | $17,733 | $11,315 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 33 | $46,387 | $11,429 | $9,627 |
| Caromont Regional Medical CenterGastonia | 32 | $47,831 | $11,938 | $9,373 |
| Forsyth Memorial HospitalWinston-Salem | 29 | $38,259 | $11,404 | $8,291 |
| Wakemed, Raleigh CampusRaleigh | 25 | $52,888 | $13,220 | $9,915 |
| Carolinas Medical Center-UnionMonroe | 25 | $52,868 | $10,860 | $9,696 |
| Carolinas Medical Center-NortheastConcord | 24 | $59,757 | $12,826 | $8,099 |
| North Carolina Baptist HospitalWinston-Salem | 24 | $44,875 | $18,596 | $11,215 |
| Cleveland Regional Medical CenterShelby | 23 | $49,991 | $11,659 | $9,512 |
| Atrium Health PinevilleCharlotte | 22 | $65,926 | $9,799 | $8,614 |
| New Hanover Regional Medical CenterWilmington | 22 | $44,121 | $11,349 | $9,627 |
| Rex HospitalRaleigh | 21 | $37,226 | $10,849 | $9,920 |
| Carolina East Medical CenterNew Bern | 19 | $30,382 | $12,231 | $11,200 |
| Duke University Medical CenterDurham | 17 | $34,601 | $18,405 | $11,846 |
| Johnston Memorial HospitalSmithfield | 17 | $37,231 | $10,063 | $9,199 |
| Southeastern Regional Medical CenterLumberton | 16 | $38,438 | $16,028 | $12,704 |
| Moses H Cone Memorial Hospital, theGreensboro | 16 | $35,563 | $12,344 | $10,584 |
| Albemarle Hospital AuthorityElizabeth City | 16 | $41,496 | $12,248 | $11,050 |
| Firsthealth Moore Regional HospitalPinehurst | 16 | $51,433 | $10,191 | $8,215 |
| UNC HospitalsChapel Hill | 13 | $47,875 | $20,533 | $13,961 |
| High Point Regional Hlth SystHigh Point | 12 | $29,499 | $11,510 | $8,701 |
| Duke Regional HospitalDurham | 12 | $28,869 | $12,615 | $11,086 |
| Presbyterian Hospital-MatthewsMatthews | 12 | $39,581 | $9,678 | $8,318 |
| Wakemed, Cary HospitalCary | 12 | $45,199 | $9,708 | $8,756 |
| Wayne Memorial HospitalGoldsboro | 11 | $21,868 | $12,045 | $10,053 |
| Presbyterian HospitalCharlotte | 11 | $32,981 | $11,381 | $10,732 |
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 Hospital-MatthewsMatthews, NC | $9,678 |
|---|---|
| Wakemed, Cary HospitalCary, NC | $9,708 |
| Atrium Health PinevilleCharlotte, NC | $9,799 |
| Johnston Memorial HospitalSmithfield, NC | $10,063 |
| Firsthealth Moore Regional HospitalPinehurst, NC | $10,191 |
Highest
| UNC HospitalsChapel Hill, NC | $20,533 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $18,596 |
| Duke University Medical CenterDurham, NC | $18,405 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $17,733 |
| Southeastern Regional Medical CenterLumberton, NC | $16,028 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 28 hospitals in North Carolina was billed at $43,632 on average, while the average total payment was $12,903, of which Medicare paid $10,052. 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 3.4 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.