Medical back problems without major complications in North Carolina
What 28 hospitals in North Carolina charged and were paid for a Medicare hospital stay for medical back problems without major complications (DRG 552), from 2024 Medicare claims.
Average charge
$33,662
Hospital list price billed
Average payment
$9,102
Medicare + patient + other payers
Medicare paid
$6,579
Average per stay
State rank
#33 of 47
1 = lowest average payment
Hospitals in North Carolina billed an average of $33,662 for medical back problems without major complications, about 3.7 times the average total payment of $9,102. That payment is 3% below the U.S. average of $9,373.
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 $9,102Billed $33,662
About 27¢ was paid for every $1 hospitals in North Carolina billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in North Carolina:
North Carolina hospitals: medical back problems without 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 |
|---|---|---|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 105 | $34,539 | $8,239 | $6,203 |
| New Hanover Regional Medical CenterWilmington | 101 | $27,662 | $8,325 | $6,480 |
| ECU Health Medical CenterGreenville | 78 | $29,008 | $10,386 | $6,857 |
| Rex HospitalRaleigh | 60 | $22,667 | $6,673 | $5,159 |
| Atrium Health PinevilleCharlotte | 53 | $40,095 | $7,017 | $5,586 |
| Carolinas Medical Center-NortheastConcord | 47 | $40,780 | $8,724 | $6,349 |
| Carolinas Medical Center/Behav HealthCharlotte | 47 | $44,554 | $13,723 | $7,629 |
| North Carolina Baptist HospitalWinston-Salem | 41 | $36,859 | $14,135 | $8,276 |
| Duke University Medical CenterDurham | 32 | $36,716 | $14,282 | $7,891 |
| Caromont Regional Medical CenterGastonia | 31 | $43,975 | $8,067 | $5,948 |
| Wakemed, Raleigh CampusRaleigh | 31 | $47,728 | $9,564 | $7,263 |
| Moses H Cone Memorial Hospital, theGreensboro | 31 | $28,448 | $9,432 | $7,506 |
| Firsthealth Moore Regional HospitalPinehurst | 30 | $36,384 | $7,377 | $5,932 |
| Forsyth Memorial HospitalWinston-Salem | 29 | $27,972 | $7,885 | $6,418 |
| Presbyterian HospitalCharlotte | 28 | $33,147 | $8,108 | $6,715 |
| Cape Fear Valley Medical CenterFayetteville | 26 | $33,087 | $8,803 | $7,294 |
| Brunswick Community HospitalSupply | 20 | $30,469 | $7,359 | $6,217 |
| UNC HospitalsChapel Hill | 19 | $32,092 | $14,939 | $9,780 |
| Wakemed, Cary HospitalCary | 18 | $42,703 | $6,475 | $4,933 |
| Duke Regional HospitalDurham | 15 | $23,951 | $9,110 | $7,263 |
| High Point Regional Hlth SystHigh Point | 14 | $29,298 | $8,102 | $6,475 |
| Frye Regional Medical CenterHickory | 14 | $39,415 | $6,861 | $5,696 |
| Presbyterian Hospital HuntersvilleHuntersville | 14 | $23,727 | $7,307 | $5,780 |
| Cleveland Regional Medical CenterShelby | 13 | $41,776 | $7,723 | $6,468 |
| Carolinas Medical Center-UnionMonroe | 12 | $38,656 | $8,524 | $5,550 |
| Carteret General HospitalMorehead City | 12 | $13,576 | $8,190 | $6,932 |
| Nash General HospitalRocky Mount | 11 | $27,187 | $7,368 | $6,032 |
| Presbyterian Hospital-MatthewsMatthews | 11 | $31,991 | $7,278 | $5,943 |
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 | $6,475 |
|---|---|
| Rex HospitalRaleigh, NC | $6,673 |
| Frye Regional Medical CenterHickory, NC | $6,861 |
| Atrium Health PinevilleCharlotte, NC | $7,017 |
| Presbyterian Hospital-MatthewsMatthews, NC | $7,278 |
Highest
| UNC HospitalsChapel Hill, NC | $14,939 |
|---|---|
| Duke University Medical CenterDurham, NC | $14,282 |
| North Carolina Baptist HospitalWinston-Salem, NC | $14,135 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $13,723 |
| ECU Health Medical CenterGreenville, NC | $10,386 |
Medical back problems without major complications in other states
Questions
How much does medical back problems without major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for medical back problems without major complications (DRG 552) at 28 hospitals in North Carolina was billed at $33,662 on average, while the average total payment was $9,102, of which Medicare paid $6,579. 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 3.7 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.