facebook tracking Disorders of pancreas except malignancy with complications cost in North Carolina: 13 hospitals compared (DRG 439)

Disorders of pancreas except malignancy with complications in North Carolina

What 13 hospitals in North Carolina charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with complications (DRG 439), from 2024 Medicare claims.

DRG 439 Inpatient 2024 Medicare data
Average charge $33,071 Hospital list price billed
Average payment $9,711 Medicare + patient + other payers
Medicare paid $6,088 Average per stay
State rank #31 of 37 1 = lowest average payment

Hospitals in North Carolina billed an average of $33,071 for disorders of pancreas except malignancy with complications, about 3.4 times the average total payment of $9,711. That payment is 8% above the U.S. average of $9,024.

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 $9,711Billed $33,071

About 29¢ 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: disorders of pancreas except malignancy 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
Forsyth Memorial HospitalWinston-Salem 27 $32,665 $7,660 $5,876
North Carolina Baptist HospitalWinston-Salem 27 $29,802 $13,746 $7,006
New Hanover Regional Medical CenterWilmington 27 $28,324 $7,590 $5,438
Duke University Medical CenterDurham 21 $36,301 $14,522 $7,209
Rex HospitalRaleigh 21 $21,586 $6,110 $5,067
Atrium Health PinevilleCharlotte 19 $38,809 $7,889 $4,683
Carolinas Medical Center/Behav HealthCharlotte 18 $40,045 $13,879 $6,282
ECU Health Medical CenterGreenville 17 $29,323 $9,757 $6,016
Wakemed, Raleigh CampusRaleigh 17 $37,214 $8,501 $6,672
Memorial Mission Hospital and Asheville Surgery CeAsheville 16 $36,061 $7,791 $5,413
Moses H Cone Memorial Hospital, theGreensboro 13 $24,851 $8,864 $6,973
Firsthealth Moore Regional HospitalPinehurst 13 $52,667 $6,702 $5,267
UNC HospitalsChapel Hill 11 $29,785 $13,220 $7,976
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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

Highest

Duke University Medical CenterDurham, NC$14,522
Carolinas Medical Center/Behav HealthCharlotte, NC$13,879
North Carolina Baptist HospitalWinston-Salem, NC$13,746
UNC HospitalsChapel Hill, NC$13,220
ECU Health Medical CenterGreenville, NC$9,757

Disorders of pancreas except malignancy with complications in other states

Questions

How much does disorders of pancreas except malignancy with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with complications (DRG 439) at 13 hospitals in North Carolina was billed at $33,071 on average, while the average total payment was $9,711, of which Medicare paid $6,088. 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.