facebook tracking Disorders of the biliary tract with complications cost in North Carolina: 17 hospitals compared (DRG 445)

Disorders of the biliary tract with complications in North Carolina

What 17 hospitals in North Carolina charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.

DRG 445 Inpatient 2024 Medicare data
Average charge $45,585 Hospital list price billed
Average payment $11,209 Medicare + patient + other payers
Medicare paid $8,115 Average per stay
State rank #31 of 40 1 = lowest average payment

Hospitals in North Carolina billed an average of $45,585 for disorders of the biliary tract with complications, about 4.1 times the average total payment of $11,209. That payment is 2% above the U.S. average of $10,996.

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 $11,209Billed $45,585

About 25¢ 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 the biliary tract 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
Duke University Medical CenterDurham 35 $38,589 $14,419 $9,891
New Hanover Regional Medical CenterWilmington 31 $40,628 $9,279 $7,206
ECU Health Medical CenterGreenville 30 $36,310 $10,841 $7,759
North Carolina Baptist HospitalWinston-Salem 30 $70,949 $17,987 $11,495
Atrium Health PinevilleCharlotte 28 $42,934 $7,986 $6,938
Moses H Cone Memorial Hospital, theGreensboro 25 $34,927 $11,177 $8,029
Carolinas Medical Center/Behav HealthCharlotte 24 $51,203 $13,666 $9,620
Forsyth Memorial HospitalWinston-Salem 22 $53,710 $9,528 $7,202
Memorial Mission Hospital and Asheville Surgery CeAsheville 20 $39,752 $9,005 $6,923
Presbyterian HospitalCharlotte 18 $49,826 $10,130 $6,658
Rex HospitalRaleigh 17 $34,436 $8,996 $5,652
Firsthealth Moore Regional HospitalPinehurst 16 $56,503 $8,262 $6,901
Wakemed, Raleigh CampusRaleigh 14 $55,743 $10,374 $8,535
Cape Fear Valley Medical CenterFayetteville 12 $45,153 $9,912 $7,891
UNC HospitalsChapel Hill 12 $43,705 $16,098 $10,286
Carolinas Medical Center-NortheastConcord 11 $35,079 $9,269 $7,368
Frye Regional Medical CenterHickory 11 $45,523 $7,780 $6,741
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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

North Carolina Baptist HospitalWinston-Salem, NC$17,987
UNC HospitalsChapel Hill, NC$16,098
Duke University Medical CenterDurham, NC$14,419
Carolinas Medical Center/Behav HealthCharlotte, NC$13,666
Moses H Cone Memorial Hospital, theGreensboro, NC$11,177

Disorders of the biliary tract with complications in other states

Questions

How much does disorders of the biliary tract with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 17 hospitals in North Carolina was billed at $45,585 on average, while the average total payment was $11,209, of which Medicare paid $8,115. 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 4.1 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.