facebook tracking Laparoscopic cholecystectomy without c.d.e. with major complications cost in North Carolina: 8 hospitals compared (DRG 417)

Laparoscopic cholecystectomy without c.d.e. with major complications in North Carolina

What 8 hospitals in North Carolina charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417), from 2024 Medicare claims.

DRG 417 Inpatient 2024 Medicare data
Average charge $91,596 Hospital list price billed
Average payment $19,525 Medicare + patient + other payers
Medicare paid $16,216 Average per stay
State rank #11 of 33 1 = lowest average payment

Hospitals in North Carolina billed an average of $91,596 for laparoscopic cholecystectomy without c.d.e. with major complications, about 4.7 times the average total payment of $19,525. That payment is 8% below the U.S. average of $21,203.

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 $19,525Billed $91,596

About 21¢ was paid for every $1 hospitals in North Carolina billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in North Carolina:

North Carolina hospitals: laparoscopic cholecystectomy without c.d.e. 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
New Hanover Regional Medical CenterWilmington 26 $90,338 $19,893 $18,059
Carolinas Medical Center-NortheastConcord 18 $95,790 $18,301 $16,393
Memorial Mission Hospital and Asheville Surgery CeAsheville 18 $110,343 $19,313 $15,102
Forsyth Memorial HospitalWinston-Salem 17 $76,912 $19,254 $14,883
ECU Health Medical CenterGreenville 17 $84,854 $22,194 $17,664
Rex HospitalRaleigh 16 $47,907 $17,376 $13,868
Caromont Regional Medical CenterGastonia 13 $84,740 $17,047 $15,420
Atrium Health PinevilleCharlotte 13 $150,993 $22,762 $17,359
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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

Highest

Atrium Health PinevilleCharlotte, NC$22,762
ECU Health Medical CenterGreenville, NC$22,194
New Hanover Regional Medical CenterWilmington, NC$19,893
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$19,313
Forsyth Memorial HospitalWinston-Salem, NC$19,254

Laparoscopic cholecystectomy without c.d.e. with major complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417) at 8 hospitals in North Carolina was billed at $91,596 on average, while the average total payment was $19,525, of which Medicare paid $16,216. 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 4.7 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.