Major chest procedures with complications in North Carolina
What 17 hospitals in North Carolina charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$97,962
Hospital list price billed
Average payment
$23,730
Medicare + patient + other payers
Medicare paid
$18,272
Average per stay
State rank
#22 of 41
1 = lowest average payment
Hospitals in North Carolina billed an average of $97,962 for major chest procedures with complications, about 4.1 times the average total payment of $23,730. That payment is 7% below the U.S. average of $25,501.
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 $23,730Billed $97,962
About 24¢ 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: major chest procedures 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 |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 83 | $79,012 | $28,143 | $21,582 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 52 | $116,711 | $21,805 | $15,981 |
| Rex HospitalRaleigh | 47 | $51,122 | $18,928 | $15,147 |
| UNC HospitalsChapel Hill | 43 | $74,166 | $29,928 | $23,342 |
| ECU Health Medical CenterGreenville | 40 | $60,442 | $23,231 | $15,857 |
| New Hanover Regional Medical CenterWilmington | 29 | $91,717 | $21,815 | $18,933 |
| Presbyterian HospitalCharlotte | 25 | $134,230 | $21,572 | $16,186 |
| North Carolina Baptist HospitalWinston-Salem | 23 | $165,988 | $31,168 | $20,153 |
| Carolinas Medical Center/Behav HealthCharlotte | 23 | $149,885 | $26,125 | $17,640 |
| Forsyth Memorial HospitalWinston-Salem | 21 | $113,731 | $19,848 | $18,277 |
| Wakemed, Raleigh CampusRaleigh | 21 | $120,935 | $21,838 | $18,056 |
| Atrium Health PinevilleCharlotte | 20 | $139,704 | $17,625 | $16,238 |
| Cape Fear Valley Medical CenterFayetteville | 13 | $77,547 | $19,611 | $18,097 |
| Wakemed, Cary HospitalCary | 13 | $121,787 | $17,296 | $16,041 |
| Carolinas Medical Center-NortheastConcord | 12 | $139,246 | $19,255 | $17,117 |
| Moses H Cone Memorial Hospital, theGreensboro | 11 | $91,247 | $28,776 | $13,493 |
| Carolina East Medical CenterNew Bern | 11 | $72,940 | $21,445 | $19,813 |
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 | $17,296 |
|---|---|
| Atrium Health PinevilleCharlotte, NC | $17,625 |
| Rex HospitalRaleigh, NC | $18,928 |
| Carolinas Medical Center-NortheastConcord, NC | $19,255 |
| Cape Fear Valley Medical CenterFayetteville, NC | $19,611 |
Highest
| North Carolina Baptist HospitalWinston-Salem, NC | $31,168 |
|---|---|
| UNC HospitalsChapel Hill, NC | $29,928 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | $28,776 |
| Duke University Medical CenterDurham, NC | $28,143 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $26,125 |
Major chest procedures with complications in other states
Questions
How much does major chest procedures with complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 17 hospitals in North Carolina was billed at $97,962 on average, while the average total payment was $23,730, of which Medicare paid $18,272. 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 4.1 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.