facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in North Carolina: 44 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in North Carolina

What 44 hospitals in North Carolina charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $79,454 Hospital list price billed
Average payment $17,324 Medicare + patient + other payers
Medicare paid $14,773 Average per stay
State rank #24 of 50 1 = lowest average payment

Hospitals in North Carolina billed an average of $79,454 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.6 times the average total payment of $17,324. That payment is 5% below the U.S. average of $18,301.

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 $17,324Billed $79,454

About 22¢ 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: hip replacement with principal diagnosis of hip fracture without 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
Memorial Mission Hospital and Asheville Surgery CeAsheville 70 $102,591 $15,978 $13,688
New Hanover Regional Medical CenterWilmington 69 $76,620 $17,825 $16,011
Wakemed, Raleigh CampusRaleigh 58 $84,541 $17,970 $15,933
Forsyth Memorial HospitalWinston-Salem 53 $67,735 $15,542 $14,036
Firsthealth Moore Regional HospitalPinehurst 53 $74,597 $15,087 $13,237
Moses H Cone Memorial Hospital, theGreensboro 52 $62,399 $17,229 $15,156
Atrium Health PinevilleCharlotte 49 $103,152 $14,396 $12,965
Rex HospitalRaleigh 48 $66,906 $14,918 $12,803
ECU Health Medical CenterGreenville 40 $68,818 $19,166 $14,858
Duke University Medical CenterDurham 38 $73,992 $26,086 $18,957
UNC HospitalsChapel Hill 35 $64,184 $27,540 $19,501
Wakemed, Cary HospitalCary 35 $84,126 $13,877 $12,338
Carolinas Medical Center/Behav HealthCharlotte 34 $120,271 $21,260 $16,019
Cape Fear Valley Medical CenterFayetteville 32 $58,521 $17,198 $15,215
Carolinas Medical Center-NortheastConcord 31 $99,779 $16,033 $13,992
Margaret R Pardee Mem HospitalHendersonville 26 $61,242 $14,899 $12,314
Caromont Regional Medical CenterGastonia 25 $97,065 $18,071 $13,394
Carolina East Medical CenterNew Bern 25 $53,489 $17,735 $16,235
Duke Regional HospitalDurham 25 $65,063 $17,427 $15,423
Albemarle Hospital AuthorityElizabeth City 24 $62,622 $18,115 $16,688
Watauga Medical CenterBoone 23 $53,118 $19,598 $17,657
Cleveland Regional Medical CenterShelby 22 $102,447 $15,581 $13,948
North Carolina Baptist HospitalWinston-Salem 22 $121,306 $26,618 $18,040
Carolinas Medical Center-UnionMonroe 22 $93,747 $15,716 $14,256
Johnston Memorial HospitalSmithfield 21 $63,722 $15,588 $13,315
Catawba Valley Medical CenterHickory 20 $60,465 $16,071 $14,444
Northern Hospital of Surry CountyMt Airy 19 $23,109 $14,971 $13,425
Wayne Memorial HospitalGoldsboro 19 $49,398 $19,244 $15,151
Haywood Regional Medical CenterClyde 18 $77,517 $14,558 $12,926
Iredell Memorial Hospital INCStatesville 17 $110,121 $14,803 $13,269
Presbyterian HospitalCharlotte 17 $104,726 $16,028 $14,599
Grace Hospital INCMorganton 17 $81,438 $17,297 $15,008
Presbyterian Hospital HuntersvilleHuntersville 16 $96,533 $15,690 $13,759
Caldwell Memorial HospitalLenoir 15 $49,433 $14,831 $13,308
C J Harris Community HospitalSylva 14 $91,888 $16,470 $15,187
Adventhealth HendersonvilleFletcher 14 $78,971 $14,889 $13,257
Carolinas Medical Center-LincolnLincolnton 14 $92,616 $19,136 $17,737
Brunswick Community HospitalSupply 14 $102,346 $15,938 $14,306
Alamance Regional Medical CenterBurlington 13 $63,519 $16,349 $14,966
Lake Norman Regional Medical CenterMooresville 13 $142,374 $14,674 $11,882
Carteret General HospitalMorehead City 13 $36,154 $17,834 $16,666
Onslow Memorial HospitalJacksonville 12 $66,104 $16,319 $14,959
Frye Regional Medical CenterHickory 12 $121,815 $13,882 $12,658
High Point Regional Hlth SystHigh Point 11 $76,296 $15,243 $13,759
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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

Wakemed, Cary HospitalCary, NC$13,877
Frye Regional Medical CenterHickory, NC$13,882
Atrium Health PinevilleCharlotte, NC$14,396
Haywood Regional Medical CenterClyde, NC$14,558
Lake Norman Regional Medical CenterMooresville, NC$14,674

Highest

UNC HospitalsChapel Hill, NC$27,540
North Carolina Baptist HospitalWinston-Salem, NC$26,618
Duke University Medical CenterDurham, NC$26,086
Carolinas Medical Center/Behav HealthCharlotte, NC$21,260
Watauga Medical CenterBoone, NC$19,598

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 44 hospitals in North Carolina was billed at $79,454 on average, while the average total payment was $17,324, of which Medicare paid $14,773. 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 4.6 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.