facebook tracking Hypertension without major complications cost in North Carolina: 22 hospitals compared (DRG 305)

Hypertension without major complications in North Carolina

What 22 hospitals in North Carolina charged and were paid for a Medicare hospital stay for hypertension without major complications (DRG 305), from 2024 Medicare claims.

DRG 305 Inpatient 2024 Medicare data
Average charge $28,042 Hospital list price billed
Average payment $7,226 Medicare + patient + other payers
Medicare paid $4,931 Average per stay
State rank #30 of 38 1 = lowest average payment

Hospitals in North Carolina billed an average of $28,042 for hypertension without major complications, about 3.9 times the average total payment of $7,226. That payment is about the same as the U.S. average of $7,204.

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 $7,226Billed $28,042

About 26¢ 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: hypertension 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
ECU Health Medical CenterGreenville 50 $23,574 $8,327 $5,221
Forsyth Memorial HospitalWinston-Salem 43 $24,074 $6,941 $4,650
Atrium Health PinevilleCharlotte 40 $35,826 $5,796 $4,449
Memorial Mission Hospital and Asheville Surgery CeAsheville 39 $26,495 $6,850 $4,677
Caromont Regional Medical CenterGastonia 36 $30,579 $6,896 $4,550
Cape Fear Valley Medical CenterFayetteville 27 $21,503 $7,042 $4,877
Carolinas Medical Center/Behav HealthCharlotte 23 $36,205 $10,944 $6,531
Carolinas Medical Center-UnionMonroe 23 $38,537 $6,041 $4,622
Nash General HospitalRocky Mount 23 $17,932 $5,995 $4,450
North Carolina Baptist HospitalWinston-Salem 18 $30,630 $11,888 $7,165
Wakemed, Raleigh CampusRaleigh 18 $25,164 $7,654 $5,867
Carolinas Medical Center-NortheastConcord 17 $34,329 $6,735 $5,007
Presbyterian HospitalCharlotte 17 $26,408 $6,686 $5,320
New Hanover Regional Medical CenterWilmington 17 $21,606 $6,436 $4,730
Cleveland Regional Medical CenterShelby 15 $35,794 $6,766 $4,591
Rex HospitalRaleigh 15 $26,044 $5,620 $3,953
Wakemed, Cary HospitalCary 15 $28,139 $5,048 $3,634
Duke University Medical CenterDurham 14 $24,863 $11,354 $6,574
Firsthealth Moore Regional HospitalPinehurst 13 $36,299 $7,333 $4,040
Brunswick Community HospitalSupply 12 $26,204 $5,876 $4,516
Presbyterian Hospital-MatthewsMatthews 12 $28,042 $5,860 $4,500
Wayne Memorial HospitalGoldsboro 11 $22,441 $6,520 $4,888
Advertisement

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$5,048
Rex HospitalRaleigh, NC$5,620
Atrium Health PinevilleCharlotte, NC$5,796
Presbyterian Hospital-MatthewsMatthews, NC$5,860
Brunswick Community HospitalSupply, NC$5,876

Highest

North Carolina Baptist HospitalWinston-Salem, NC$11,888
Duke University Medical CenterDurham, NC$11,354
Carolinas Medical Center/Behav HealthCharlotte, NC$10,944
ECU Health Medical CenterGreenville, NC$8,327
Wakemed, Raleigh CampusRaleigh, NC$7,654

Hypertension without major complications in other states

Questions

How much does hypertension without major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for hypertension without major complications (DRG 305) at 22 hospitals in North Carolina was billed at $28,042 on average, while the average total payment was $7,226, of which Medicare paid $4,931. 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 3.9 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.