facebook tracking Major small and large bowel procedures with major complications cost in North Carolina: 26 hospitals compared (DRG 329)

Major small and large bowel procedures with major complications in North Carolina

What 26 hospitals in North Carolina charged and were paid for a Medicare hospital stay for major small and large bowel procedures with major complications (DRG 329), from 2024 Medicare claims.

DRG 329 Inpatient 2024 Medicare data
Average charge $140,669 Hospital list price billed
Average payment $39,513 Medicare + patient + other payers
Medicare paid $32,781 Average per stay
State rank #20 of 47 1 = lowest average payment

Hospitals in North Carolina billed an average of $140,669 for major small and large bowel procedures with major complications, about 3.6 times the average total payment of $39,513. That payment is 10% below the U.S. average of $43,910.

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 $39,513Billed $140,669

About 28¢ 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 major 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 77 $152,250 $41,658 $38,023
Rex HospitalRaleigh 64 $109,766 $36,110 $30,012
Duke University Medical CenterDurham 47 $165,782 $55,033 $39,396
UNC HospitalsChapel Hill 42 $133,212 $56,755 $42,902
Carolinas Medical Center/Behav HealthCharlotte 39 $184,059 $46,121 $32,271
Moses H Cone Memorial Hospital, theGreensboro 33 $121,956 $39,330 $35,580
Memorial Mission Hospital and Asheville Surgery CeAsheville 31 $153,645 $34,917 $26,177
North Carolina Baptist HospitalWinston-Salem 31 $163,954 $52,565 $33,243
Forsyth Memorial HospitalWinston-Salem 29 $123,765 $31,304 $29,402
ECU Health Medical CenterGreenville 27 $97,530 $38,343 $28,538
Atrium Health PinevilleCharlotte 27 $155,142 $34,396 $27,535
Carolina East Medical CenterNew Bern 25 $95,382 $38,476 $37,435
Wakemed, Raleigh CampusRaleigh 22 $166,093 $36,788 $34,277
Firsthealth Moore Regional HospitalPinehurst 22 $126,441 $30,189 $28,515
Carolinas Medical Center-NortheastConcord 21 $171,084 $33,739 $31,083
Caromont Regional Medical CenterGastonia 21 $136,827 $31,984 $30,296
Wakemed, Cary HospitalCary 21 $204,219 $37,108 $34,621
Margaret R Pardee Mem HospitalHendersonville 18 $110,733 $24,174 $22,392
Cape Fear Valley Medical CenterFayetteville 17 $126,267 $38,457 $33,649
Brunswick Community HospitalSupply 17 $118,797 $33,562 $32,314
Carolinas Medical Center-UnionMonroe 16 $170,011 $35,295 $33,605
Duke Regional HospitalDurham 13 $105,759 $33,834 $30,825
High Point Regional Hlth SystHigh Point 12 $132,360 $32,479 $21,732
Presbyterian HospitalCharlotte 12 $136,468 $30,141 $28,805
Presbyterian Hospital HuntersvilleHuntersville 12 $107,755 $31,807 $29,331
Nash General HospitalRocky Mount 11 $137,266 $34,066 $25,300
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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$24,174
Presbyterian HospitalCharlotte, NC$30,141
Firsthealth Moore Regional HospitalPinehurst, NC$30,189
Forsyth Memorial HospitalWinston-Salem, NC$31,304
Presbyterian Hospital HuntersvilleHuntersville, NC$31,807

Highest

UNC HospitalsChapel Hill, NC$56,755
Duke University Medical CenterDurham, NC$55,033
North Carolina Baptist HospitalWinston-Salem, NC$52,565
Carolinas Medical Center/Behav HealthCharlotte, NC$46,121
New Hanover Regional Medical CenterWilmington, NC$41,658

Major small and large bowel procedures with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with major complications (DRG 329) at 26 hospitals in North Carolina was billed at $140,669 on average, while the average total payment was $39,513, of which Medicare paid $32,781. 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 3.6 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.