Level 2 ICD and Similar Procedures in North Carolina
What 40 hospitals in North Carolina charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$139,622
Hospital list price billed
Average allowed
$29,082
Medicare's payment + patient's share
Medicare paid
$27,448
Average per service
State rank
#18 of 47
1 = lowest average payment
Hospitals in North Carolina billed an average of $139,622 for level 2 icd and similar procedures, about 4.8 times the average medicare-allowed amount of $29,082. That payment is 6% below the U.S. average of $31,009.
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 $29,082Billed $139,622
About 21¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 2 icd and similar 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 |
|---|---|---|---|---|
| New Hanover Regional Medical CenterWilmington | 91 | $99,629 | $30,252 | $28,620 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 84 | $136,929 | $28,545 | $26,912 |
| Rex HospitalRaleigh | 79 | $103,662 | $29,178 | $27,546 |
| Duke University Medical CenterDurham | 67 | $203,250 | $28,943 | $27,311 |
| Carolinas Medical Center/Behav HealthCharlotte | 56 | $145,200 | $29,354 | $27,722 |
| ECU Health Medical CenterGreenville | 55 | $68,762 | $28,214 | $26,567 |
| Firsthealth Moore Regional HospitalPinehurst | 40 | $170,755 | $29,069 | $27,437 |
| Forsyth Memorial HospitalWinston-Salem | 39 | $90,765 | $29,174 | $27,542 |
| Wakemed, Raleigh CampusRaleigh | 38 | $210,552 | $29,532 | $27,897 |
| Caromont Regional Medical CenterGastonia | 36 | $273,225 | $27,928 | $26,286 |
| Presbyterian HospitalCharlotte | 31 | $88,728 | $29,016 | $27,384 |
| UNC HospitalsChapel Hill | 30 | $76,707 | $29,952 | $28,320 |
| Carolina East Medical CenterNew Bern | 23 | $148,548 | $30,570 | $28,938 |
| Moses H Cone Memorial Hospital, theGreensboro | 21 | $87,589 | $27,914 | $26,260 |
| Carolinas Medical Center-NortheastConcord | 20 | $130,490 | $28,082 | $26,450 |
| Cape Fear Valley Medical CenterFayetteville | 19 | $193,800 | $29,006 | $27,374 |
| North Carolina Baptist HospitalWinston-Salem | 19 | $165,197 | $28,416 | $26,779 |
| Atrium Health PinevilleCharlotte | 17 | $154,734 | $29,474 | $27,842 |
| Duke Regional HospitalDurham | 16 | $188,366 | $27,840 | $26,208 |
| Johnston Memorial HospitalSmithfield | 14 | $146,876 | $29,508 | $27,876 |
| Frye Regional Medical CenterHickory | 14 | $214,107 | $29,167 | $27,526 |
| High Point Regional Hlth SystHigh Point | 11 | $141,630 | $29,146 | $27,514 |
| Wayne Memorial HospitalGoldsboro | – | – | – | – |
| Rowan Regional Medical CenterSalisbury | – | – | – | – |
| Cleveland Regional Medical CenterShelby | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| Iredell Memorial Hospital INCStatesville | – | – | – | – |
| Caldwell Memorial HospitalLenoir | – | – | – | – |
| Southeastern Regional Medical CenterLumberton | – | – | – | – |
| Watauga Medical CenterBoone | – | – | – | – |
| Alamance Regional Medical CenterBurlington | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Grace Hospital INCMorganton | – | – | – | – |
| Albemarle Hospital AuthorityElizabeth City | – | – | – | – |
| Wilson Medical CenterWilson | – | – | – | – |
| Carolinas Medical Center-UnionMonroe | – | – | – | – |
| Catawba Valley Medical CenterHickory | – | – | – | – |
| Nash General HospitalRocky Mount | – | – | – | – |
| Wakemed, Cary HospitalCary | – | – | – | – |
| Presbyterian Hospital HuntersvilleHuntersville | – | – | – | – |
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
| Duke Regional HospitalDurham, NC | $27,840 |
|---|---|
| Moses H Cone Memorial Hospital, theGreensboro, NC | $27,914 |
| Caromont Regional Medical CenterGastonia, NC | $27,928 |
| Carolinas Medical Center-NortheastConcord, NC | $28,082 |
| ECU Health Medical CenterGreenville, NC | $28,214 |
Highest
| Carolina East Medical CenterNew Bern, NC | $30,570 |
|---|---|
| New Hanover Regional Medical CenterWilmington, NC | $30,252 |
| UNC HospitalsChapel Hill, NC | $29,952 |
| Wakemed, Raleigh CampusRaleigh, NC | $29,532 |
| Johnston Memorial HospitalSmithfield, NC | $29,508 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in North Carolina?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 40 hospitals in North Carolina was billed at $139,622 on average, while the average medicare-allowed amount was $29,082, of which Medicare paid $27,448. 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 4.8 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.