facebook tracking Full thickness burn with skin graft or inhalation injury with complications cost in North Carolina: 2 hospitals compared (DRG 928)

Full thickness burn with skin graft or inhalation injury with complications in North Carolina

What 2 hospitals in North Carolina charged and were paid for a Medicare hospital stay for full thickness burn with skin graft or inhalation injury with complications (DRG 928), from 2024 Medicare claims.

DRG 928 Inpatient 2024 Medicare data
Average charge $331,003 Hospital list price billed
Average payment $109,976 Medicare + patient + other payers
Medicare paid $84,385 Average per stay
Volume 26 Medicare hospital stays

Hospitals in North Carolina billed an average of $331,003 for full thickness burn with skin graft or inhalation injury with complications, about 3.0 times the average total payment of $109,976. That payment is 30% above the U.S. average of $84,626.

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 $109,976Billed $331,003

About 33¢ was paid for every $1 hospitals in North Carolina billed for this stay.

North Carolina hospitals: full thickness burn with skin graft or inhalation injury 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
North Carolina Baptist HospitalWinston-Salem 13 $335,576 $81,316 $58,145
UNC HospitalsChapel Hill 13 $326,431 $138,637 $110,624
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Full thickness burn with skin graft or inhalation injury with complications in other states

Questions

How much does full thickness burn with skin graft or inhalation injury with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for full thickness burn with skin graft or inhalation injury with complications (DRG 928) at 2 hospitals in North Carolina was billed at $331,003 on average, while the average total payment was $109,976, of which Medicare paid $84,385. 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 3.0 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.