facebook tracking Gastrointestinal obstruction with major complications cost in North Carolina: 12 hospitals compared (DRG 388)

Gastrointestinal obstruction with major complications in North Carolina

What 12 hospitals in North Carolina charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $38,901 Hospital list price billed
Average payment $13,682 Medicare + patient + other payers
Medicare paid $10,715 Average per stay
State rank #21 of 35 1 = lowest average payment

Hospitals in North Carolina billed an average of $38,901 for gastrointestinal obstruction with major complications, about 2.8 times the average total payment of $13,682. That payment is 5% below the U.S. average of $14,417.

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 $13,682Billed $38,901

About 35¢ 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: gastrointestinal obstruction 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 21 $37,276 $18,688 $12,847
Memorial Mission Hospital and Asheville Surgery CeAsheville 20 $49,825 $10,567 $9,138
Caromont Regional Medical CenterGastonia 20 $49,769 $10,964 $9,865
New Hanover Regional Medical CenterWilmington 20 $32,316 $12,401 $11,137
ECU Health Medical CenterGreenville 19 $49,253 $16,777 $10,295
Moses H Cone Memorial Hospital, theGreensboro 17 $25,609 $12,975 $11,074
UNC HospitalsChapel Hill 14 $41,825 $22,210 $14,338
Rex HospitalRaleigh 14 $34,461 $10,410 $7,701
Duke Regional HospitalDurham 12 $27,464 $12,045 $10,264
Wayne Memorial HospitalGoldsboro 11 $28,407 $12,009 $10,266
Cleveland Regional Medical CenterShelby 11 $41,898 $11,005 $9,819
Carolina East Medical CenterNew Bern 11 $38,922 $12,260 $11,518
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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

UNC HospitalsChapel Hill, NC$22,210
Duke University Medical CenterDurham, NC$18,688
ECU Health Medical CenterGreenville, NC$16,777
Moses H Cone Memorial Hospital, theGreensboro, NC$12,975
New Hanover Regional Medical CenterWilmington, NC$12,401

Gastrointestinal obstruction with major complications in other states

Questions

How much does gastrointestinal obstruction with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 12 hospitals in North Carolina was billed at $38,901 on average, while the average total payment was $13,682, of which Medicare paid $10,715. 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 2.8 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.