Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in North Carolina
What 31 hospitals in North Carolina charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391), from 2024 Medicare claims.
Average charge
$42,075
Hospital list price billed
Average payment
$12,425
Medicare + patient + other payers
Medicare paid
$9,314
Average per stay
State rank
#31 of 46
1 = lowest average payment
Hospitals in North Carolina billed an average of $42,075 for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications, about 3.4 times the average total payment of $12,425. That payment is 3% below the U.S. average of $12,772.
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 $12,425Billed $42,075
About 30¢ was paid for every $1 hospitals in North Carolina billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in North Carolina:
North Carolina hospitals: esophagitis, gastroenteritis and miscellaneous digestive disorders 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 |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 69 | $42,724 | $17,340 | $11,013 |
| ECU Health Medical CenterGreenville | 61 | $38,522 | $14,473 | $10,156 |
| New Hanover Regional Medical CenterWilmington | 60 | $35,927 | $10,928 | $9,134 |
| Forsyth Memorial HospitalWinston-Salem | 56 | $44,712 | $10,447 | $8,840 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 46 | $37,667 | $10,277 | $8,234 |
| Carolinas Medical Center/Behav HealthCharlotte | 39 | $56,279 | $17,002 | $11,080 |
| Rex HospitalRaleigh | 39 | $35,544 | $9,619 | $8,060 |
| Firsthealth Moore Regional HospitalPinehurst | 36 | $61,758 | $11,100 | $7,922 |
| North Carolina Baptist HospitalWinston-Salem | 35 | $41,349 | $18,597 | $10,863 |
| Carolinas Medical Center-NortheastConcord | 34 | $49,436 | $11,359 | $8,349 |
| UNC HospitalsChapel Hill | 32 | $40,577 | $18,352 | $13,249 |
| Atrium Health PinevilleCharlotte | 31 | $50,438 | $10,588 | $7,700 |
| Wakemed, Raleigh CampusRaleigh | 30 | $37,542 | $11,722 | $10,230 |
| Cleveland Regional Medical CenterShelby | 28 | $58,770 | $9,908 | $8,800 |
| Moses H Cone Memorial Hospital, theGreensboro | 27 | $32,593 | $12,912 | $8,834 |
| Presbyterian Hospital-MatthewsMatthews | 22 | $49,263 | $10,053 | $7,809 |
| Wayne Memorial HospitalGoldsboro | 21 | $28,457 | $10,518 | $8,849 |
| Cape Fear Valley Medical CenterFayetteville | 19 | $33,067 | $11,310 | $9,863 |
| Caromont Regional Medical CenterGastonia | 17 | $48,949 | $10,007 | $8,944 |
| Duke Regional HospitalDurham | 17 | $30,642 | $11,019 | $9,306 |
| Presbyterian HospitalCharlotte | 16 | $35,659 | $10,269 | $8,906 |
| Nash General HospitalRocky Mount | 16 | $34,590 | $9,498 | $8,174 |
| Carolina East Medical CenterNew Bern | 15 | $35,588 | $10,746 | $9,658 |
| Southeastern Regional Medical CenterLumberton | 14 | $22,307 | $14,189 | $10,116 |
| Iredell Memorial Hospital INCStatesville | 13 | $34,163 | $9,221 | $7,006 |
| Albemarle Hospital AuthorityElizabeth City | 13 | $26,535 | $12,271 | $8,801 |
| Presbyterian Hospital HuntersvilleHuntersville | 13 | $44,448 | $10,374 | $7,981 |
| Wakemed, Cary HospitalCary | 12 | $49,299 | $8,573 | $7,621 |
| Johnston Memorial HospitalSmithfield | 11 | $33,928 | $9,729 | $8,691 |
| Carolinas Medical Center-UnionMonroe | 11 | $73,933 | $11,594 | $8,074 |
| Carolinas Medical Center-LincolnLincolnton | 11 | $39,887 | $12,011 | $8,664 |
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 | $8,573 |
|---|---|
| Iredell Memorial Hospital INCStatesville, NC | $9,221 |
| Nash General HospitalRocky Mount, NC | $9,498 |
| Rex HospitalRaleigh, NC | $9,619 |
| Johnston Memorial HospitalSmithfield, NC | $9,729 |
Highest
| North Carolina Baptist HospitalWinston-Salem, NC | $18,597 |
|---|---|
| UNC HospitalsChapel Hill, NC | $18,352 |
| Duke University Medical CenterDurham, NC | $17,340 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $17,002 |
| ECU Health Medical CenterGreenville, NC | $14,473 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in other states
Questions
How much does esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391) at 31 hospitals in North Carolina was billed at $42,075 on average, while the average total payment was $12,425, of which Medicare paid $9,314. 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.