facebook tracking Major small and large bowel procedures with complications cost in North Carolina: 28 hospitals compared (DRG 330)

Major small and large bowel procedures with complications in North Carolina

What 28 hospitals in North Carolina charged and were paid for a Medicare hospital stay for major small and large bowel procedures with complications (DRG 330), from 2024 Medicare claims.

DRG 330 Inpatient 2024 Medicare data
Average charge $87,024 Hospital list price billed
Average payment $21,767 Medicare + patient + other payers
Medicare paid $16,647 Average per stay
State rank #28 of 47 1 = lowest average payment

Hospitals in North Carolina billed an average of $87,024 for major small and large bowel procedures with complications, about 4.0 times the average total payment of $21,767. That payment is 5% below the U.S. average of $22,927.

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 $21,767Billed $87,024

About 25¢ 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 small and large bowel 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
Rex HospitalRaleigh 91 $46,388 $17,028 $14,788
New Hanover Regional Medical CenterWilmington 77 $95,126 $22,084 $18,018
North Carolina Baptist HospitalWinston-Salem 69 $116,451 $33,260 $19,091
ECU Health Medical CenterGreenville 62 $68,774 $24,026 $15,784
Carolinas Medical Center/Behav HealthCharlotte 62 $115,434 $25,610 $18,120
Duke University Medical CenterDurham 60 $65,945 $27,091 $19,879
Forsyth Memorial HospitalWinston-Salem 53 $71,209 $18,816 $15,684
Memorial Mission Hospital and Asheville Surgery CeAsheville 51 $115,339 $18,294 $15,867
UNC HospitalsChapel Hill 48 $83,424 $33,928 $22,266
Atrium Health PinevilleCharlotte 40 $103,787 $19,227 $13,443
Carolinas Medical Center-NortheastConcord 34 $121,410 $18,620 $13,982
Moses H Cone Memorial Hospital, theGreensboro 34 $66,758 $19,951 $16,303
Presbyterian Hospital-MatthewsMatthews 33 $88,271 $17,381 $15,029
Presbyterian HospitalCharlotte 30 $110,498 $19,550 $16,947
Firsthealth Moore Regional HospitalPinehurst 29 $86,075 $16,760 $15,179
Caromont Regional Medical CenterGastonia 26 $75,238 $18,638 $13,912
Presbyterian Hospital HuntersvilleHuntersville 26 $93,571 $17,094 $15,095
Wakemed, Raleigh CampusRaleigh 25 $121,523 $21,182 $19,070
Wakemed, Cary HospitalCary 25 $96,844 $17,177 $14,416
Cape Fear Valley Medical CenterFayetteville 24 $52,766 $21,380 $15,750
Carolina East Medical CenterNew Bern 23 $75,973 $21,803 $20,312
Margaret R Pardee Mem HospitalHendersonville 21 $64,290 $16,495 $14,670
Brunswick Community HospitalSupply 21 $94,377 $17,986 $16,548
Duke Regional HospitalDurham 17 $69,347 $19,385 $16,490
Johnston Memorial HospitalSmithfield 16 $87,002 $20,416 $12,547
Nash General HospitalRocky Mount 13 $75,006 $18,306 $14,682
Grace Hospital INCMorganton 12 $77,628 $19,796 $15,444
Carolinas Medical Center-UnionMonroe 11 $121,045 $17,592 $16,397
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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

Margaret R Pardee Mem HospitalHendersonville, NC$16,495
Firsthealth Moore Regional HospitalPinehurst, NC$16,760
Rex HospitalRaleigh, NC$17,028
Presbyterian Hospital HuntersvilleHuntersville, NC$17,094
Wakemed, Cary HospitalCary, NC$17,177

Highest

UNC HospitalsChapel Hill, NC$33,928
North Carolina Baptist HospitalWinston-Salem, NC$33,260
Duke University Medical CenterDurham, NC$27,091
Carolinas Medical Center/Behav HealthCharlotte, NC$25,610
ECU Health Medical CenterGreenville, NC$24,026

Major small and large bowel procedures with complications in other states

Questions

How much does major small and large bowel procedures with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with complications (DRG 330) at 28 hospitals in North Carolina was billed at $87,024 on average, while the average total payment was $21,767, of which Medicare paid $16,647. 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 4.0 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.