facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in North Carolina: 17 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in North Carolina

What 17 hospitals in North Carolina charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $68,007 Hospital list price billed
Average payment $16,970 Medicare + patient + other payers
Medicare paid $13,619 Average per stay
State rank #21 of 44 1 = lowest average payment

Hospitals in North Carolina billed an average of $68,007 for infectious and parasitic diseases with operating room procedures with complications, about 4.0 times the average total payment of $16,970. That payment is 11% below the U.S. average of $19,011.

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 $16,970Billed $68,007

About 25¢ 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: infectious and parasitic diseases with operating room procedures with 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 33 $90,636 $18,125 $12,978
ECU Health Medical CenterGreenville 27 $41,257 $18,316 $13,373
Wakemed, Raleigh CampusRaleigh 23 $79,545 $17,005 $14,893
Firsthealth Moore Regional HospitalPinehurst 20 $77,721 $15,061 $12,431
Forsyth Memorial HospitalWinston-Salem 19 $49,904 $15,977 $12,363
Caromont Regional Medical CenterGastonia 18 $72,862 $16,443 $12,867
Moses H Cone Memorial Hospital, theGreensboro 18 $64,005 $16,612 $14,306
Carolinas Medical Center-NortheastConcord 17 $79,135 $17,335 $13,223
Cape Fear Valley Medical CenterFayetteville 15 $58,138 $16,049 $14,483
Duke University Medical CenterDurham 15 $66,929 $24,976 $16,363
Brunswick Community HospitalSupply 14 $54,016 $15,321 $13,689
Adventhealth HendersonvilleFletcher 13 $59,320 $14,600 $13,094
Albemarle Hospital AuthorityElizabeth City 13 $58,022 $17,281 $16,151
Rex HospitalRaleigh 13 $58,855 $16,621 $11,009
Wakemed, Cary HospitalCary 13 $97,902 $13,485 $12,356
New Hanover Regional Medical CenterWilmington 12 $81,194 $17,938 $15,916
Nash General HospitalRocky Mount 11 $52,558 $14,551 $13,216
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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$13,485
Nash General HospitalRocky Mount, NC$14,551
Adventhealth HendersonvilleFletcher, NC$14,600
Firsthealth Moore Regional HospitalPinehurst, NC$15,061
Brunswick Community HospitalSupply, NC$15,321

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 17 hospitals in North Carolina was billed at $68,007 on average, while the average total payment was $16,970, of which Medicare paid $13,619. 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 4.0 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.