facebook tracking Heart failure and shock with major complications cost in North Carolina: 76 hospitals compared (DRG 291)

Heart failure and shock with major complications in North Carolina

What 76 hospitals in North Carolina charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.

DRG 291 Inpatient 2024 Medicare data
Average charge $35,824 Hospital list price billed
Average payment $11,304 Medicare + patient + other payers
Medicare paid $9,195 Average per stay
State rank #28 of 50 1 = lowest average payment

Hospitals in North Carolina billed an average of $35,824 for heart failure and shock with major complications, about 3.2 times the average total payment of $11,304. That payment is 6% below the U.S. average of $12,050.

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 $11,304Billed $35,824

About 32¢ 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: heart failure and shock 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 471 $32,435 $13,392 $9,404
New Hanover Regional Medical CenterWilmington 457 $35,212 $11,086 $9,392
Moses H Cone Memorial Hospital, theGreensboro 373 $29,637 $11,923 $9,467
Cape Fear Valley Medical CenterFayetteville 325 $29,360 $11,043 $9,693
Firsthealth Moore Regional HospitalPinehurst 320 $43,217 $9,533 $8,158
Duke University Medical CenterDurham 316 $42,399 $17,678 $11,641
Forsyth Memorial HospitalWinston-Salem 304 $40,450 $10,871 $9,429
Caromont Regional Medical CenterGastonia 297 $46,756 $10,608 $8,565
Rex HospitalRaleigh 295 $29,801 $9,499 $8,172
Memorial Mission Hospital and Asheville Surgery CeAsheville 293 $39,969 $10,352 $8,548
Wakemed, Raleigh CampusRaleigh 286 $34,619 $11,522 $9,892
Atrium Health PinevilleCharlotte 246 $45,540 $9,775 $7,762
Carolina East Medical CenterNew Bern 217 $28,175 $10,945 $9,784
North Carolina Baptist HospitalWinston-Salem 207 $39,937 $19,560 $11,333
Carolinas Medical Center-NortheastConcord 198 $47,256 $10,745 $8,517
Cleveland Regional Medical CenterShelby 175 $50,874 $10,272 $8,815
Nash General HospitalRocky Mount 174 $27,771 $9,387 $8,123
Carolinas Medical Center-UnionMonroe 163 $43,479 $10,735 $8,718
Duke Regional HospitalDurham 161 $29,577 $11,017 $9,329
Carolinas Medical Center/Behav HealthCharlotte 155 $49,953 $15,709 $10,503
Presbyterian Hospital-MatthewsMatthews 151 $32,280 $9,351 $8,135
Johnston Memorial HospitalSmithfield 150 $38,651 $9,700 $8,584
Wakemed, Cary HospitalCary 149 $38,935 $8,551 $7,459
UNC HospitalsChapel Hill 147 $44,739 $19,791 $12,780
High Point Regional Hlth SystHigh Point 139 $34,189 $10,146 $9,117
Wayne Memorial HospitalGoldsboro 121 $28,917 $10,807 $9,257
Presbyterian Hospital HuntersvilleHuntersville 121 $38,730 $9,744 $8,131
Carteret General HospitalMorehead City 118 $18,448 $10,899 $9,848
Alamance Regional Medical CenterBurlington 114 $29,559 $10,905 $8,783
Albemarle Hospital AuthorityElizabeth City 113 $28,519 $11,024 $9,565
Margaret R Pardee Mem HospitalHendersonville 109 $23,385 $9,012 $7,731
Presbyterian HospitalCharlotte 109 $37,942 $10,123 $9,136
Brunswick Community HospitalSupply 105 $28,708 $9,871 $8,330
Iredell Memorial Hospital INCStatesville 102 $41,025 $9,026 $7,498
Southeastern Regional Medical CenterLumberton 102 $22,982 $13,722 $10,769
Wilson Medical CenterWilson 101 $54,378 $10,656 $9,336
Frye Regional Medical CenterHickory 100 $61,727 $9,145 $7,753
Lenoir Memorial HospitalKinston 95 $17,412 $9,819 $8,347
Carolinas Medical Center-LincolnLincolnton 94 $35,931 $11,805 $10,480
Onslow Memorial HospitalJacksonville 89 $29,607 $11,120 $9,235
Rowan Regional Medical CenterSalisbury 83 $34,043 $9,775 $8,655
ECU Health North HospitalRoanoke Rapids 82 $21,975 $9,543 $8,662
Grace Hospital INCMorganton 81 $42,725 $10,831 $8,965
Scotland Memorial HospitalLaurinburg 80 $39,181 $10,430 $9,068
Haywood Regional Medical CenterClyde 80 $32,662 $9,107 $8,128
Carolinas Med Ctr-UniversityCharlotte 70 $46,034 $12,020 $10,569
Northern Hospital of Surry CountyMt Airy 65 $14,196 $9,460 $8,022
Columbus Regional Healthcare SystemWhiteville 65 $28,111 $9,398 $8,595
Lexington Memorial Hospital INCLexington 62 $25,231 $10,286 $8,813
Duplin General HospitalKenansville 61 $21,739 $11,575 $9,822
Randolph HospitalAsheboro 61 $65,365 $10,851 $9,928
Stanly Regional Medical CenterAlbemarle 59 $40,124 $10,038 $8,359
Central Carolina HospitalSanford 57 $51,396 $10,454 $9,353
Betsy Johnson Regional HospitalDunn 57 $20,849 $12,868 $10,663
Watauga Medical CenterBoone 54 $22,548 $11,893 $10,432
Duke Health Raleigh HospitalRaleigh 52 $29,056 $10,395 $9,083
Adventhealth HendersonvilleFletcher 51 $25,574 $9,672 $8,552
Roanoke Chowan HospitalAhoskie 49 $21,770 $10,315 $9,251
Catawba Valley Medical CenterHickory 49 $27,922 $10,443 $9,006
Sampson Regional Medical CenterClinton 48 $21,367 $15,438 $10,931
Vidant Edgecombe HospitalTarboro 46 $30,300 $11,269 $10,311
Novant Health Ballantyne Medical CenterCharlotte 46 $33,952 $8,084 $6,511
Wilkes Regional Medical CenterNorth Wilkesboro 44 $32,092 $9,779 $8,732
Novant Health Mint Hill Medical CenterCharlotte 43 $27,938 $8,648 $7,510
Lake Norman Regional Medical CenterMooresville 41 $40,148 $8,769 $7,814
McDowell HospitalMarion 39 $24,188 $12,426 $11,548
Maria Parham HospitalHenderson 37 $44,563 $9,919 $8,861
Hugh Chatham Memorial HospitalElkin 34 $33,455 $10,052 $8,936
Person Memorial HospitalRoxboro 33 $41,832 $12,475 $11,442
UNC RockinghamEden 31 $17,436 $9,816 $8,710
Thomasville Medical CenterThomasville 29 $27,198 $12,083 $10,616
Caldwell Memorial HospitalLenoir 26 $27,931 $9,291 $8,063
Cape Fear Valley Hoke HospitalRaeford 25 $17,764 $10,994 $10,016
C J Harris Community HospitalSylva 22 $43,619 $10,417 $9,379
Rutherford Hospital INCRutherfordton 21 $55,219 $10,133 $9,126
Granville Medical CenterOxford 14 $33,706 $11,025 $9,859
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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.

Highest

UNC HospitalsChapel Hill, NC$19,791
North Carolina Baptist HospitalWinston-Salem, NC$19,560
Duke University Medical CenterDurham, NC$17,678
Carolinas Medical Center/Behav HealthCharlotte, NC$15,709
Sampson Regional Medical CenterClinton, NC$15,438

Heart failure and shock with major complications in other states

Questions

How much does heart failure and shock with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 76 hospitals in North Carolina was billed at $35,824 on average, while the average total payment was $11,304, of which Medicare paid $9,195. 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 3.2 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.