facebook tracking Level 4 Endovascular Procedures cost in North Carolina: 51 hospitals compared (APC 5194)

Level 4 Endovascular Procedures in North Carolina

What 51 hospitals in North Carolina charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.

APC 5194 Outpatient 2024 Medicare data
Average charge $89,870 Hospital list price billed
Average allowed $15,193 Medicare's payment + patient's share
Medicare paid $13,606 Average per service
State rank #16 of 48 1 = lowest average payment

Hospitals in North Carolina billed an average of $89,870 for level 4 endovascular procedures, about 5.9 times the average medicare-allowed amount of $15,193. That payment is 6% below the U.S. average of $16,197.

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 $15,193Billed $89,870

About 17¢ was paid for every $1 hospitals in North Carolina billed for this service.

North Carolina hospitals: level 4 endovascular 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
Carolinas Medical Center-NortheastConcord 95 $116,705 $14,418 $12,906
Carolinas Medical Center/Behav HealthCharlotte 93 $111,781 $13,900 $12,426
Rex HospitalRaleigh 93 $66,783 $14,997 $13,382
New Hanover Regional Medical CenterWilmington 83 $55,359 $15,719 $14,146
Duke University Medical CenterDurham 82 $83,630 $15,592 $13,980
Wakemed, Raleigh CampusRaleigh 69 $114,162 $15,756 $14,120
Presbyterian HospitalCharlotte 59 $87,293 $15,459 $13,847
Atrium Health PinevilleCharlotte 54 $117,885 $13,426 $12,005
UNC HospitalsChapel Hill 43 $51,599 $15,980 $14,343
Firsthealth Moore Regional HospitalPinehurst 43 $88,363 $15,517 $13,885
Moses H Cone Memorial Hospital, theGreensboro 41 $62,916 $15,698 $14,066
Memorial Mission Hospital and Asheville Surgery CeAsheville 40 $123,331 $15,230 $13,598
ECU Health Medical CenterGreenville 35 $57,946 $13,924 $12,432
Forsyth Memorial HospitalWinston-Salem 33 $89,624 $15,517 $13,878
Alamance Regional Medical CenterBurlington 31 $81,833 $15,980 $14,340
Carolina East Medical CenterNew Bern 29 $73,273 $16,309 $14,672
Caldwell Memorial HospitalLenoir 28 $59,904 $15,230 $13,598
Rowan Regional Medical CenterSalisbury 27 $65,751 $15,203 $13,562
Central Carolina HospitalSanford 27 $150,486 $15,475 $13,843
Albemarle Hospital AuthorityElizabeth City 25 $106,181 $15,722 $14,090
Catawba Valley Medical CenterHickory 25 $72,009 $15,091 $13,492
Frye Regional Medical CenterHickory 23 $132,411 $15,561 $13,929
Wayne Memorial HospitalGoldsboro 22 $51,195 $17,827 $16,195
Cape Fear Valley Medical CenterFayetteville 22 $91,354 $14,846 $13,214
North Carolina Baptist HospitalWinston-Salem 22 $104,930 $15,951 $14,319
Margaret R Pardee Mem HospitalHendersonville 13 $68,318 $15,230 $13,598
Iredell Memorial Hospital INCStatesville 13 $121,160 $15,725 $14,093
Wilson Medical CenterWilson 13 $90,073 $11,904 $10,649
Duke Regional HospitalDurham 12 $78,950 $15,785 $14,146
Presbyterian Hospital-MatthewsMatthews 12 $83,535 $15,725 $14,093
Cleveland Regional Medical CenterShelby 11 $128,509 $15,561 $13,929
Wakemed, Cary HospitalCary 11 $115,863 $15,755 $14,123
High Point Regional Hlth SystHigh Point – – – –
Scotland Memorial HospitalLaurinburg – – – –
Rutherford Hospital INCRutherfordton – – – –
Caromont Regional Medical CenterGastonia – – – –
Southeastern Regional Medical CenterLumberton – – – –
Columbus Regional Healthcare SystemWhiteville – – – –
Betsy Johnson Regional HospitalDunn – – – –
Duke Health Raleigh HospitalRaleigh – – – –
Grace Hospital INCMorganton – – – –
Johnston Memorial HospitalSmithfield – – – –
Lake Norman Regional Medical CenterMooresville – – – –
Carolinas Medical Center-UnionMonroe – – – –
Maria Parham HospitalHenderson – – – –
Carteret General HospitalMorehead City – – – –
Nash General HospitalRocky Mount – – – –
Medical Park HospitalWinston-Salem – – – –
ECU Health North HospitalRoanoke Rapids – – – –
Presbyterian Hospital HuntersvilleHuntersville – – – –
Haywood Regional Medical CenterClyde – – – –
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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

Wilson Medical CenterWilson, NC$11,904
Atrium Health PinevilleCharlotte, NC$13,426
Carolinas Medical Center/Behav HealthCharlotte, NC$13,900
ECU Health Medical CenterGreenville, NC$13,924
Carolinas Medical Center-NortheastConcord, NC$14,418

Highest

Wayne Memorial HospitalGoldsboro, NC$17,827
Carolina East Medical CenterNew Bern, NC$16,309
Alamance Regional Medical CenterBurlington, NC$15,980
UNC HospitalsChapel Hill, NC$15,980
North Carolina Baptist HospitalWinston-Salem, NC$15,951

Level 4 Endovascular Procedures in other states

Questions

How much does level 4 endovascular procedures cost in North Carolina?

In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 51 hospitals in North Carolina was billed at $89,870 on average, while the average medicare-allowed amount was $15,193, of which Medicare paid $13,606. 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 5.9 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.