Lower extremity and humerus procedures except hip, foot and femur with complications in North Carolina
What 12 hospitals in North Carolina charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$98,445
Hospital list price billed
Average payment
$22,112
Medicare + patient + other payers
Medicare paid
$17,275
Average per stay
State rank
#28 of 40
1 = lowest average payment
Hospitals in North Carolina billed an average of $98,445 for lower extremity and humerus procedures except hip, foot and femur with complications, about 4.5 times the average total payment of $22,112. That payment is 3% below the U.S. average of $22,820.
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 $22,112Billed $98,445
About 22¢ 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: lower extremity and humerus procedures except hip, foot and femur with 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 | 47 | $79,564 | $20,301 | $18,594 |
| ECU Health Medical CenterGreenville | 42 | $72,217 | $21,928 | $16,251 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 41 | $118,116 | $17,481 | $16,090 |
| Carolinas Medical Center/Behav HealthCharlotte | 30 | $135,572 | $25,027 | $16,999 |
| Duke University Medical CenterDurham | 24 | $122,287 | $31,202 | $23,072 |
| North Carolina Baptist HospitalWinston-Salem | 17 | $114,644 | $24,347 | $15,214 |
| Wakemed, Raleigh CampusRaleigh | 16 | $127,706 | $22,620 | $16,514 |
| Wakemed, Cary HospitalCary | 16 | $93,894 | $15,816 | $14,796 |
| UNC HospitalsChapel Hill | 14 | $86,061 | $30,732 | $19,612 |
| Duke Regional HospitalDurham | 13 | $81,001 | $20,419 | $16,470 |
| Moses H Cone Memorial Hospital, theGreensboro | 12 | $63,485 | $22,164 | $16,313 |
| Firsthealth Moore Regional HospitalPinehurst | 12 | $68,886 | $16,465 | $15,180 |
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
| Wakemed, Cary HospitalCary, NC | $15,816 |
|---|---|
| Firsthealth Moore Regional HospitalPinehurst, NC | $16,465 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $17,481 |
| New Hanover Regional Medical CenterWilmington, NC | $20,301 |
| Duke Regional HospitalDurham, NC | $20,419 |
Highest
| Duke University Medical CenterDurham, NC | $31,202 |
|---|---|
| UNC HospitalsChapel Hill, NC | $30,732 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $25,027 |
| North Carolina Baptist HospitalWinston-Salem, NC | $24,347 |
| Wakemed, Raleigh CampusRaleigh, NC | $22,620 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 12 hospitals in North Carolina was billed at $98,445 on average, while the average total payment was $22,112, of which Medicare paid $17,275. 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 4.5 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.