Implantation of Drug Infusion Device in North Carolina
What 18 hospitals in North Carolina charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$74,898
Hospital list price billed
Average allowed
$15,713
Medicare's payment + patient's share
Medicare paid
$14,081
Average per service
State rank
#16 of 32
1 = lowest average payment
Hospitals in North Carolina billed an average of $74,898 for implantation of drug infusion device, about 4.8 times the average medicare-allowed amount of $15,713. That payment is 5% below the U.S. average of $16,462.
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 $15,713Billed $74,898
About 21¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: implantation of drug infusion device
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Margaret R Pardee Mem HospitalHendersonville | 15 | $66,519 | $15,489 | $13,857 |
| Carolinas Medical Center-NortheastConcord | 12 | $85,372 | $15,993 | $14,361 |
| C J Harris Community HospitalSylva | – | – | – | – |
| Cape Fear Valley Medical CenterFayetteville | – | – | – | – |
| Duke University Medical CenterDurham | – | – | – | – |
| ECU Health Medical CenterGreenville | – | – | – | – |
| Onslow Memorial HospitalJacksonville | – | – | – | – |
| North Carolina Baptist HospitalWinston-Salem | – | – | – | – |
| Presbyterian HospitalCharlotte | – | – | – | – |
| UNC HospitalsChapel Hill | – | – | – | – |
| Wakemed, Raleigh CampusRaleigh | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Moses H Cone Memorial Hospital, theGreensboro | – | – | – | – |
| Lexington Memorial Hospital INCLexington | – | – | – | – |
| Carolinas Medical Center/Behav HealthCharlotte | – | – | – | – |
| Rex HospitalRaleigh | – | – | – | – |
| New Hanover Regional Medical CenterWilmington | – | – | – | – |
| Medical Park HospitalWinston-Salem | – | – | – | – |
Implantation of Drug Infusion Device in other states
Questions
How much does implantation of drug infusion device cost in North Carolina?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 18 hospitals in North Carolina was billed at $74,898 on average, while the average medicare-allowed amount was $15,713, of which Medicare paid $14,081. 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 service in North Carolina, average charges were 4.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.