Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in North Carolina
What 79 hospitals in North Carolina charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$20,977
Hospital list price billed
Average allowed
$3,058
Medicare's payment + patient's share
Medicare paid
$2,425
Average per service
State rank
#18 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $20,977 for level 1 abdominal/peritoneal/biliary and related procedures, about 6.9 times the average medicare-allowed amount of $3,058. That payment is 8% below the U.S. average of $3,323.
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 $3,058Billed $20,977
About 15¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 178 | $16,742 | $3,017 | $2,387 |
| ECU Health Medical CenterGreenville | 140 | $15,786 | $2,977 | $2,364 |
| New Hanover Regional Medical CenterWilmington | 112 | $18,735 | $3,133 | $2,474 |
| Margaret R Pardee Mem HospitalHendersonville | 92 | $19,968 | $3,011 | $2,396 |
| Presbyterian HospitalCharlotte | 92 | $15,092 | $3,082 | $2,447 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 84 | $20,791 | $2,975 | $2,357 |
| Moses H Cone Memorial Hospital, theGreensboro | 82 | $13,758 | $3,104 | $2,471 |
| Carolinas Medical Center/Behav HealthCharlotte | 82 | $29,686 | $3,049 | $2,412 |
| Medical Park HospitalWinston-Salem | 75 | $11,569 | $3,153 | $2,513 |
| Carolina East Medical CenterNew Bern | 74 | $18,191 | $3,224 | $2,569 |
| Rex HospitalRaleigh | 73 | $17,339 | $2,979 | $2,344 |
| Carolinas Medical Center-NortheastConcord | 71 | $16,668 | $3,040 | $2,406 |
| Firsthealth Moore Regional HospitalPinehurst | 67 | $20,557 | $3,033 | $2,409 |
| UNC HospitalsChapel Hill | 61 | $16,404 | $3,159 | $2,517 |
| C J Harris Community HospitalSylva | 58 | $33,214 | $2,928 | $2,315 |
| Duke Regional HospitalDurham | 55 | $22,421 | $3,075 | $2,441 |
| Forsyth Memorial HospitalWinston-Salem | 46 | $12,306 | $3,154 | $2,509 |
| North Carolina Baptist HospitalWinston-Salem | 46 | $43,165 | $3,044 | $2,402 |
| High Point Regional Hlth SystHigh Point | 41 | $13,887 | $3,074 | $2,449 |
| Atrium Health PinevilleCharlotte | 41 | $30,297 | $3,109 | $2,477 |
| Brunswick Community HospitalSupply | 40 | $22,473 | $3,011 | $2,399 |
| Wakemed, Cary HospitalCary | 40 | $25,779 | $3,115 | $2,480 |
| Presbyterian Hospital HuntersvilleHuntersville | 39 | $18,211 | $3,109 | $2,472 |
| Wakemed, Raleigh CampusRaleigh | 36 | $23,313 | $3,115 | $2,482 |
| Duke Health Raleigh HospitalRaleigh | 35 | $14,619 | $2,973 | $2,330 |
| Alamance Regional Medical CenterBurlington | 33 | $8,072 | $2,987 | $2,364 |
| Cleveland Regional Medical CenterShelby | 32 | $25,245 | $3,016 | $2,389 |
| Lake Norman Regional Medical CenterMooresville | 32 | $47,255 | $3,031 | $2,399 |
| Carteret General HospitalMorehead City | 32 | $12,410 | $3,229 | $2,573 |
| Carolinas Medical Center-UnionMonroe | 30 | $24,467 | $3,026 | $2,392 |
| Nash General HospitalRocky Mount | 30 | $17,771 | $3,059 | $2,437 |
| Haywood Regional Medical CenterClyde | 30 | $25,535 | $3,011 | $2,399 |
| Adventhealth HendersonvilleFletcher | 28 | $23,029 | $3,011 | $2,397 |
| Grace Hospital INCMorganton | 28 | $26,930 | $2,925 | $2,312 |
| Presbyterian Hospital-MatthewsMatthews | 27 | $27,551 | $3,109 | $2,477 |
| Cape Fear Valley Medical CenterFayetteville | 26 | $19,588 | $2,872 | $2,250 |
| Northern Hospital of Surry CountyMt Airy | 25 | $6,426 | $2,915 | $2,295 |
| Iredell Memorial Hospital INCStatesville | 24 | $38,400 | $3,109 | $2,477 |
| Watauga Medical CenterBoone | 24 | $18,927 | $3,224 | $2,569 |
| Catawba Valley Medical CenterHickory | 24 | $24,465 | $2,956 | $2,335 |
| Johnston Memorial HospitalSmithfield | 23 | $21,094 | $3,004 | $2,372 |
| Frye Regional Medical CenterHickory | 23 | $41,060 | $2,970 | $2,336 |
| Hugh Chatham Memorial HospitalElkin | 20 | $21,628 | $3,011 | $2,362 |
| Central Carolina HospitalSanford | 19 | $43,466 | $3,059 | $2,437 |
| Caromont Regional Medical CenterGastonia | 18 | $22,452 | $3,109 | $2,477 |
| Wilson Medical CenterWilson | 18 | $58,520 | $3,059 | $2,430 |
| Maria Parham HospitalHenderson | 18 | $27,317 | $3,011 | $2,399 |
| Carolinas Medical Center-LincolnLincolnton | 18 | $22,462 | $3,109 | $2,474 |
| Carolinas Med Ctr-UniversityCharlotte | 16 | $22,485 | $3,109 | $2,477 |
| Rowan Regional Medical CenterSalisbury | 15 | $5,989 | $3,109 | $2,464 |
| Columbus Regional Healthcare SystemWhiteville | 15 | $29,489 | $3,011 | $2,399 |
| Albemarle Hospital AuthorityElizabeth City | 15 | $31,411 | $3,224 | $2,569 |
| North Carolina Eye & Ear HospDurham | 14 | $8,898 | $3,121 | $2,486 |
| Randolph HospitalAsheboro | 13 | $24,030 | $3,104 | $2,458 |
| ECU Health North HospitalRoanoke Rapids | 13 | $19,940 | $3,224 | $2,569 |
| Onslow Memorial HospitalJacksonville | 12 | $19,412 | $2,796 | $2,141 |
| Southeastern Regional Medical CenterLumberton | 12 | $23,037 | $3,224 | $2,569 |
| Wayne Memorial HospitalGoldsboro | 11 | $18,158 | $3,525 | $2,809 |
| Scotland Memorial HospitalLaurinburg | – | – | – | – |
| Rutherford Hospital INCRutherfordton | – | – | – | – |
| Sampson Regional Medical CenterClinton | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| Caldwell Memorial HospitalLenoir | – | – | – | – |
| UNC RockinghamEden | – | – | – | – |
| Wilkes Regional Medical CenterNorth Wilkesboro | – | – | – | – |
| Betsy Johnson Regional HospitalDunn | – | – | – | – |
| Anson Community HospitalWadesboro | – | – | – | – |
| Thomasville Medical CenterThomasville | – | – | – | – |
| McDowell HospitalMarion | – | – | – | – |
| Lexington Memorial Hospital INCLexington | – | – | – | – |
| Roanoke Chowan HospitalAhoskie | – | – | – | – |
| Vidant Edgecombe HospitalTarboro | – | – | – | – |
| Stanly Regional Medical CenterAlbemarle | – | – | – | – |
| Duplin General HospitalKenansville | – | – | – | – |
| Granville Medical CenterOxford | – | – | – | – |
| Person Memorial HospitalRoxboro | – | – | – | – |
| Novant Health Mint Hill Medical CenterCharlotte | – | – | – | – |
| Novant Health Ballantyne Medical CenterCharlotte | – | – | – | – |
| Highsmith-Rainey Memorial HospFayetteville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Onslow Memorial HospitalJacksonville, NC | $2,796 |
|---|---|
| Cape Fear Valley Medical CenterFayetteville, NC | $2,872 |
| Northern Hospital of Surry CountyMt Airy, NC | $2,915 |
| Grace Hospital INCMorganton, NC | $2,925 |
| C J Harris Community HospitalSylva, NC | $2,928 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $3,525 |
|---|---|
| Carteret General HospitalMorehead City, NC | $3,229 |
| Southeastern Regional Medical CenterLumberton, NC | $3,224 |
| Watauga Medical CenterBoone, NC | $3,224 |
| Albemarle Hospital AuthorityElizabeth City, NC | $3,224 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in North Carolina?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 79 hospitals in North Carolina was billed at $20,977 on average, while the average medicare-allowed amount was $3,058, of which Medicare paid $2,425. 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 6.9 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.