facebook tracking Level 1 Nerve Procedures cost in North Carolina: 75 hospitals compared (APC 5431)

Level 1 Nerve Procedures in North Carolina

What 75 hospitals in North Carolina charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $11,887 Hospital list price billed
Average allowed $1,695 Medicare's payment + patient's share
Medicare paid $1,344 Average per service
State rank #20 of 49 1 = lowest average payment

Hospitals in North Carolina billed an average of $11,887 for level 1 nerve procedures, about 7.0 times the average medicare-allowed amount of $1,695. That payment is 4% below the U.S. average of $1,774.

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 $1,695Billed $11,887

About 14¢ was paid for every $1 hospitals in North Carolina billed for this service.

North Carolina hospitals: level 1 nerve 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
Forsyth Memorial HospitalWinston-Salem 306 $4,446 $1,737 $1,379
North Carolina Baptist HospitalWinston-Salem 303 $8,864 $1,752 $1,392
Margaret R Pardee Mem HospitalHendersonville 192 $10,301 $1,673 $1,329
Duke University Medical CenterDurham 174 $10,046 $1,734 $1,377
Memorial Mission Hospital and Asheville Surgery CeAsheville 172 $8,601 $1,665 $1,321
Atrium Health PinevilleCharlotte 170 $24,184 $1,698 $1,352
ECU Health Medical CenterGreenville 153 $5,031 $1,664 $1,321
UNC HospitalsChapel Hill 153 $8,188 $1,351 $1,075
Presbyterian HospitalCharlotte 148 $6,532 $1,716 $1,364
Carolinas Medical Center-NortheastConcord 145 $10,676 $1,723 $1,364
C J Harris Community HospitalSylva 90 $17,250 $1,680 $1,337
New Hanover Regional Medical CenterWilmington 86 $9,792 $1,779 $1,417
Grace Hospital INCMorganton 84 $23,619 $1,654 $1,309
Carolinas Medical Center-UnionMonroe 82 $22,676 $1,704 $1,349
Firsthealth Moore Regional HospitalPinehurst 79 $6,592 $1,695 $1,340
Carolinas Med Ctr-UniversityCharlotte 79 $24,152 $1,717 $1,364
Carolinas Medical Center/Behav HealthCharlotte 73 $28,971 $1,678 $1,319
Rex HospitalRaleigh 67 $11,744 $1,676 $1,322
Carolina East Medical CenterNew Bern 66 $8,907 $1,778 $1,411
Caromont Regional Medical CenterGastonia 57 $11,934 $1,690 $1,334
Stanly Regional Medical CenterAlbemarle 56 $22,660 $1,661 $1,301
Rowan Regional Medical CenterSalisbury 55 $8,751 $1,735 $1,382
Lexington Memorial Hospital INCLexington 53 $9,491 $1,760 $1,402
Duke Health Raleigh HospitalRaleigh 48 $10,662 $1,709 $1,356
Carolinas Medical Center-LincolnLincolnton 48 $21,754 $1,735 $1,382
Haywood Regional Medical CenterClyde 47 $12,762 $1,652 $1,302
Cleveland Regional Medical CenterShelby 46 $24,176 $1,698 $1,345
Frye Regional Medical CenterHickory 45 $20,125 $1,687 $1,323
North Carolina Eye & Ear HospDurham 43 $8,679 $1,709 $1,355
Nash General HospitalRocky Mount 41 $11,383 $1,641 $1,289
Wayne Memorial HospitalGoldsboro 40 $9,077 $1,889 $1,489
Wakemed, Raleigh CampusRaleigh 39 $16,113 $1,739 $1,371
Thomasville Medical CenterThomasville 38 $6,753 $1,723 $1,365
Caldwell Memorial HospitalLenoir 30 $11,283 $1,680 $1,339
Moses H Cone Memorial Hospital, theGreensboro 30 $8,003 $1,605 $1,260
Alamance Regional Medical CenterBurlington 29 $9,795 $1,715 $1,353
Lake Norman Regional Medical CenterMooresville 29 $13,848 $1,640 $1,287
Adventhealth HendersonvilleFletcher 28 $7,455 $1,680 $1,339
Watauga Medical CenterBoone 27 $11,992 $1,799 $1,434
Onslow Memorial HospitalJacksonville 25 $11,050 $1,800 $1,425
Vidant Edgecombe HospitalTarboro 25 $9,287 $1,627 $1,285
Wilkes Regional Medical CenterNorth Wilkesboro 24 $13,654 $1,625 $1,275
Iredell Memorial Hospital INCStatesville 23 $18,166 $1,735 $1,376
Rutherford Hospital INCRutherfordton 21 $13,613 $1,731 $1,365
Novant Health Mint Hill Medical CenterCharlotte 20 $7,986 $1,676 $1,321
Carolinas RehabilitationCharlotte 20 $21,196 $1,735 $1,382
Johnston Memorial HospitalSmithfield 18 $13,065 $1,660 $1,307
Cape Fear Valley Hoke HospitalRaeford 18 $4,221 $1,680 $1,339
Northern Hospital of Surry CountyMt Airy 17 $5,612 $1,680 $1,339
Medical Park HospitalWinston-Salem 13 $6,576 $1,760 $1,402
ECU Health North HospitalRoanoke Rapids 13 $10,070 $1,689 $1,323
Albemarle Hospital AuthorityElizabeth City 11 $15,933 $1,799 $1,434
High Point Regional Hlth SystHigh Point – – – –
Scotland Memorial HospitalLaurinburg – – – –
Central Carolina HospitalSanford – – – –
Sampson Regional Medical CenterClinton – – – –
Cape Fear Valley Medical CenterFayetteville – – – –
Southeastern Regional Medical CenterLumberton – – – –
Columbus Regional Healthcare SystemWhiteville – – – –
Betsy Johnson Regional HospitalDunn – – – –
McDowell HospitalMarion – – – –
Hugh Chatham Memorial HospitalElkin – – – –
Roanoke Chowan HospitalAhoskie – – – –
Randolph HospitalAsheboro – – – –
Wilson Medical CenterWilson – – – –
Granville Medical CenterOxford – – – –
Maria Parham HospitalHenderson – – – –
Carteret General HospitalMorehead City – – – –
Catawba Valley Medical CenterHickory – – – –
Duke Regional HospitalDurham – – – –
Brunswick Community HospitalSupply – – – –
Wakemed, Cary HospitalCary – – – –
Presbyterian Hospital HuntersvilleHuntersville – – – –
Davie Medical CenterBermuda Run – – – –
Novant Health Ballantyne Medical CenterCharlotte – – – –
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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

UNC HospitalsChapel Hill, NC$1,351
Moses H Cone Memorial Hospital, theGreensboro, NC$1,605
Wilkes Regional Medical CenterNorth Wilkesboro, NC$1,625
Vidant Edgecombe HospitalTarboro, NC$1,627
Lake Norman Regional Medical CenterMooresville, NC$1,640

Highest

Wayne Memorial HospitalGoldsboro, NC$1,889
Onslow Memorial HospitalJacksonville, NC$1,800
Watauga Medical CenterBoone, NC$1,799
Albemarle Hospital AuthorityElizabeth City, NC$1,799
New Hanover Regional Medical CenterWilmington, NC$1,779

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in North Carolina?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 75 hospitals in North Carolina was billed at $11,887 on average, while the average medicare-allowed amount was $1,695, of which Medicare paid $1,344. 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 7.0 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.