Extensive operating room procedures unrelated to principal diagnosis with major complications in North Carolina
What 20 hospitals in North Carolina charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$162,592
Hospital list price billed
Average payment
$44,430
Medicare + patient + other payers
Medicare paid
$35,426
Average per stay
State rank
#26 of 42
1 = lowest average payment
Hospitals in North Carolina billed an average of $162,592 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 3.7 times the average total payment of $44,430. That payment is 6% below the U.S. average of $47,051.
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 $44,430Billed $162,592
About 27¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 | 44 | $123,871 | $47,604 | $36,970 |
| Duke University Medical CenterDurham | 43 | $165,846 | $60,476 | $39,563 |
| Carolinas Medical Center/Behav HealthCharlotte | 42 | $247,219 | $54,076 | $37,190 |
| New Hanover Regional Medical CenterWilmington | 38 | $132,687 | $39,367 | $37,703 |
| Forsyth Memorial HospitalWinston-Salem | 34 | $162,557 | $34,309 | $33,048 |
| North Carolina Baptist HospitalWinston-Salem | 31 | $210,924 | $57,326 | $37,848 |
| Cape Fear Valley Medical CenterFayetteville | 29 | $118,328 | $35,522 | $32,601 |
| UNC HospitalsChapel Hill | 25 | $150,000 | $64,304 | $47,002 |
| Rex HospitalRaleigh | 25 | $98,200 | $31,057 | $24,428 |
| Wakemed, Raleigh CampusRaleigh | 24 | $193,051 | $40,355 | $34,360 |
| Moses H Cone Memorial Hospital, theGreensboro | 22 | $120,446 | $35,570 | $33,108 |
| Atrium Health PinevilleCharlotte | 22 | $187,375 | $36,287 | $29,313 |
| Firsthealth Moore Regional HospitalPinehurst | 20 | $175,478 | $37,451 | $30,622 |
| Carolina East Medical CenterNew Bern | 20 | $121,741 | $43,315 | $42,093 |
| Carolinas Medical Center-NortheastConcord | 18 | $156,418 | $38,366 | $30,351 |
| Presbyterian HospitalCharlotte | 15 | $178,582 | $36,839 | $35,857 |
| Caromont Regional Medical CenterGastonia | 14 | $203,661 | $48,694 | $25,667 |
| Wayne Memorial HospitalGoldsboro | 12 | $92,953 | $35,696 | $34,200 |
| Wakemed, Cary HospitalCary | 12 | $226,098 | $45,335 | $43,980 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 11 | $202,347 | $34,313 | $33,059 |
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
| Rex HospitalRaleigh, NC | $31,057 |
|---|---|
| Forsyth Memorial HospitalWinston-Salem, NC | $34,309 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $34,313 |
| Cape Fear Valley Medical CenterFayetteville, NC | $35,522 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | $35,570 |
Highest
| UNC HospitalsChapel Hill, NC | $64,304 |
|---|---|
| Duke University Medical CenterDurham, NC | $60,476 |
| North Carolina Baptist HospitalWinston-Salem, NC | $57,326 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $54,076 |
| Caromont Regional Medical CenterGastonia, NC | $48,694 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 20 hospitals in North Carolina was billed at $162,592 on average, while the average total payment was $44,430, of which Medicare paid $35,426. 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 3.7 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.