facebook tracking Major gastrointestinal disorders and peritoneal infections with complications cost in North Carolina: 18 hospitals compared (DRG 372)

Major gastrointestinal disorders and peritoneal infections with complications in North Carolina

What 18 hospitals in North Carolina charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.

DRG 372 Inpatient 2024 Medicare data
Average charge $34,272 Hospital list price billed
Average payment $9,934 Medicare + patient + other payers
Medicare paid $7,274 Average per stay
State rank #20 of 34 1 = lowest average payment

Hospitals in North Carolina billed an average of $34,272 for major gastrointestinal disorders and peritoneal infections with complications, about 3.5 times the average total payment of $9,934. That payment is 2% below the U.S. average of $10,109.

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 $9,934Billed $34,272

About 29¢ 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 gastrointestinal disorders and peritoneal infections 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 33 $30,853 $8,961 $7,282
Forsyth Memorial HospitalWinston-Salem 31 $30,900 $8,486 $7,484
Rex HospitalRaleigh 30 $24,756 $7,755 $5,641
Caromont Regional Medical CenterGastonia 29 $47,357 $9,021 $6,683
Firsthealth Moore Regional HospitalPinehurst 28 $52,271 $8,435 $6,058
ECU Health Medical CenterGreenville 24 $29,617 $12,257 $7,593
Memorial Mission Hospital and Asheville Surgery CeAsheville 19 $28,781 $9,046 $6,878
UNC HospitalsChapel Hill 19 $33,756 $15,596 $10,755
Duke University Medical CenterDurham 18 $32,428 $15,059 $8,738
Atrium Health PinevilleCharlotte 18 $42,414 $8,390 $6,265
Wakemed, Raleigh CampusRaleigh 17 $38,546 $10,359 $7,188
Cape Fear Valley Medical CenterFayetteville 14 $29,859 $9,476 $7,972
Carolinas Medical Center/Behav HealthCharlotte 14 $44,577 $14,480 $8,674
Moses H Cone Memorial Hospital, theGreensboro 12 $28,414 $11,032 $7,467
Carolina East Medical CenterNew Bern 12 $24,446 $8,777 $7,417
Presbyterian Hospital-MatthewsMatthews 12 $27,276 $7,650 $6,562
Carteret General HospitalMorehead City 11 $22,054 $8,816 $7,740
Nash General HospitalRocky Mount 11 $32,755 $7,735 $6,400
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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

Presbyterian Hospital-MatthewsMatthews, NC$7,650
Nash General HospitalRocky Mount, NC$7,735
Rex HospitalRaleigh, NC$7,755
Atrium Health PinevilleCharlotte, NC$8,390
Firsthealth Moore Regional HospitalPinehurst, NC$8,435

Highest

UNC HospitalsChapel Hill, NC$15,596
Duke University Medical CenterDurham, NC$15,059
Carolinas Medical Center/Behav HealthCharlotte, NC$14,480
ECU Health Medical CenterGreenville, NC$12,257
Moses H Cone Memorial Hospital, theGreensboro, NC$11,032

Major gastrointestinal disorders and peritoneal infections with complications in other states

Questions

How much does major gastrointestinal disorders and peritoneal infections with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 18 hospitals in North Carolina was billed at $34,272 on average, while the average total payment was $9,934, of which Medicare paid $7,274. 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 3.5 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.