ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in North Carolina
What 9 hospitals in North Carolina charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$765,138
Hospital list price billed
Average payment
$220,832
Medicare + patient + other payers
Medicare paid
$188,525
Average per stay
State rank
#14 of 29
1 = lowest average payment
Hospitals in North Carolina billed an average of $765,138 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 3.5 times the average total payment of $220,832. That payment is 10% below the U.S. average of $246,178.
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 $220,832Billed $765,138
About 29¢ was paid for every $1 hospitals in North Carolina billed for this stay.
North Carolina hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 |
|---|---|---|---|---|
| Carolinas Medical Center/Behav HealthCharlotte | 41 | $834,180 | $189,440 | $151,351 |
| Duke University Medical CenterDurham | 40 | $911,161 | $275,733 | $236,470 |
| UNC HospitalsChapel Hill | 40 | $959,410 | $314,299 | $255,544 |
| ECU Health Medical CenterGreenville | 24 | $354,688 | $150,898 | $138,472 |
| North Carolina Baptist HospitalWinston-Salem | 20 | $633,894 | $207,907 | $178,625 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 19 | $698,013 | $161,783 | $136,013 |
| New Hanover Regional Medical CenterWilmington | 17 | $633,460 | $195,444 | $184,111 |
| Wakemed, Raleigh CampusRaleigh | 16 | $641,822 | $167,170 | $160,271 |
| Presbyterian HospitalCharlotte | 12 | $891,812 | $195,948 | $176,010 |
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
| ECU Health Medical CenterGreenville, NC | $150,898 |
|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $161,783 |
| Wakemed, Raleigh CampusRaleigh, NC | $167,170 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $189,440 |
| New Hanover Regional Medical CenterWilmington, NC | $195,444 |
Highest
| UNC HospitalsChapel Hill, NC | $314,299 |
|---|---|
| Duke University Medical CenterDurham, NC | $275,733 |
| North Carolina Baptist HospitalWinston-Salem, NC | $207,907 |
| Presbyterian HospitalCharlotte, NC | $195,948 |
| New Hanover Regional Medical CenterWilmington, NC | $195,444 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in North Carolina?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 9 hospitals in North Carolina was billed at $765,138 on average, while the average total payment was $220,832, of which Medicare paid $188,525. 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 3.5 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.