facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost in North Carolina: 49 hospitals compared (DRG 853)

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

What 49 hospitals in North Carolina charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $150,891 Hospital list price billed
Average payment $42,351 Medicare + patient + other payers
Medicare paid $35,649 Average per stay
State rank #22 of 49 1 = lowest average payment

Hospitals in North Carolina billed an average of $150,891 for infectious and parasitic diseases with operating room procedures with major complications, about 3.6 times the average total payment of $42,351. That payment is 9% below the U.S. average of $46,667.

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 $42,351Billed $150,891

About 28¢ 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 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 127 $191,862 $38,801 $32,050
New Hanover Regional Medical CenterWilmington 113 $174,369 $47,432 $44,932
ECU Health Medical CenterGreenville 90 $121,828 $46,243 $37,251
Cape Fear Valley Medical CenterFayetteville 88 $111,897 $40,868 $35,791
Duke University Medical CenterDurham 76 $190,929 $59,702 $44,504
Forsyth Memorial HospitalWinston-Salem 73 $144,200 $42,184 $38,952
Moses H Cone Memorial Hospital, theGreensboro 67 $105,064 $38,558 $33,179
Rex HospitalRaleigh 63 $130,384 $40,191 $30,330
Wakemed, Raleigh CampusRaleigh 59 $185,144 $42,659 $39,778
Carolinas Medical Center-NortheastConcord 56 $156,529 $35,144 $29,972
Carolina East Medical CenterNew Bern 55 $92,418 $43,196 $41,809
Atrium Health PinevilleCharlotte 53 $207,833 $43,584 $30,689
Carolinas Medical Center/Behav HealthCharlotte 53 $317,084 $73,556 $44,813
Firsthealth Moore Regional HospitalPinehurst 48 $162,354 $34,512 $33,123
North Carolina Baptist HospitalWinston-Salem 46 $195,831 $57,077 $38,629
Caromont Regional Medical CenterGastonia 44 $161,236 $34,927 $32,331
UNC HospitalsChapel Hill 37 $188,309 $66,602 $46,021
Presbyterian HospitalCharlotte 36 $208,881 $45,994 $36,975
Alamance Regional Medical CenterBurlington 27 $101,311 $37,536 $31,672
Albemarle Hospital AuthorityElizabeth City 27 $109,839 $42,459 $41,374
Nash General HospitalRocky Mount 27 $137,338 $38,066 $34,791
Wakemed, Cary HospitalCary 26 $152,275 $37,922 $30,961
Lenoir Memorial HospitalKinston 25 $54,585 $34,263 $31,443
Duke Regional HospitalDurham 25 $116,528 $37,457 $34,535
Presbyterian Hospital-MatthewsMatthews 25 $123,663 $33,036 $31,735
Wilson Medical CenterWilson 23 $187,128 $44,530 $35,917
Adventhealth HendersonvilleFletcher 21 $103,872 $35,993 $29,992
Margaret R Pardee Mem HospitalHendersonville 20 $94,794 $30,684 $28,888
Catawba Valley Medical CenterHickory 19 $89,904 $36,059 $31,175
Presbyterian Hospital HuntersvilleHuntersville 19 $105,086 $32,915 $30,450
Wayne Memorial HospitalGoldsboro 18 $75,060 $40,838 $37,586
Cleveland Regional Medical CenterShelby 18 $129,590 $35,342 $29,443
High Point Regional Hlth SystHigh Point 17 $122,379 $33,374 $28,288
Rowan Regional Medical CenterSalisbury 17 $104,131 $30,058 $28,834
Iredell Memorial Hospital INCStatesville 17 $123,978 $33,211 $28,262
Frye Regional Medical CenterHickory 17 $236,372 $31,691 $30,351
Southeastern Regional Medical CenterLumberton 15 $89,376 $45,611 $41,330
Maria Parham HospitalHenderson 15 $239,108 $36,477 $35,743
Brunswick Community HospitalSupply 15 $111,534 $36,696 $33,895
C J Harris Community HospitalSylva 14 $157,428 $35,445 $34,046
Haywood Regional Medical CenterClyde 14 $110,846 $29,783 $28,151
Rutherford Hospital INCRutherfordton 13 $91,750 $29,406 $28,276
Carolinas Med Ctr-UniversityCharlotte 13 $141,319 $31,878 $30,749
Scotland Memorial HospitalLaurinburg 12 $87,599 $31,758 $30,398
Columbus Regional Healthcare SystemWhiteville 12 $85,422 $33,984 $30,705
Grace Hospital INCMorganton 12 $130,620 $33,141 $26,887
Johnston Memorial HospitalSmithfield 12 $99,260 $37,442 $22,881
Carolinas Medical Center-UnionMonroe 12 $130,574 $31,186 $29,659
Carteret General HospitalMorehead City 12 $48,664 $40,076 $37,557
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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

Rutherford Hospital INCRutherfordton, NC$29,406
Haywood Regional Medical CenterClyde, NC$29,783
Rowan Regional Medical CenterSalisbury, NC$30,058
Margaret R Pardee Mem HospitalHendersonville, NC$30,684
Carolinas Medical Center-UnionMonroe, NC$31,186

Highest

Carolinas Medical Center/Behav HealthCharlotte, NC$73,556
UNC HospitalsChapel Hill, NC$66,602
Duke University Medical CenterDurham, NC$59,702
North Carolina Baptist HospitalWinston-Salem, NC$57,077
New Hanover Regional Medical CenterWilmington, NC$47,432

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

Questions

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

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 49 hospitals in North Carolina was billed at $150,891 on average, while the average total payment was $42,351, of which Medicare paid $35,649. 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 3.6 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.