Other digestive system diagnoses with complications in North Carolina
What 24 hospitals in North Carolina charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$32,236
Hospital list price billed
Average payment
$9,603
Medicare + patient + other payers
Medicare paid
$6,914
Average per stay
State rank
#36 of 46
1 = lowest average payment
Hospitals in North Carolina billed an average of $32,236 for other digestive system diagnoses with complications, about 3.4 times the average total payment of $9,603. That payment is about the same as the U.S. average of $9,547.
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 $9,603Billed $32,236
About 30¢ 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: other digestive system diagnoses 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 |
|---|---|---|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 52 | $33,041 | $7,947 | $6,260 |
| Duke University Medical CenterDurham | 45 | $31,263 | $12,884 | $8,677 |
| New Hanover Regional Medical CenterWilmington | 45 | $31,094 | $8,194 | $6,452 |
| ECU Health Medical CenterGreenville | 38 | $28,662 | $9,970 | $6,533 |
| Rex HospitalRaleigh | 37 | $19,600 | $6,727 | $5,683 |
| Moses H Cone Memorial Hospital, theGreensboro | 34 | $26,152 | $9,590 | $7,169 |
| North Carolina Baptist HospitalWinston-Salem | 31 | $28,197 | $13,744 | $8,816 |
| UNC HospitalsChapel Hill | 31 | $34,387 | $14,962 | $9,778 |
| Cape Fear Valley Medical CenterFayetteville | 29 | $20,970 | $8,646 | $7,248 |
| Forsyth Memorial HospitalWinston-Salem | 26 | $27,258 | $7,798 | $6,564 |
| Carolinas Medical Center/Behav HealthCharlotte | 26 | $59,050 | $17,668 | $9,154 |
| Firsthealth Moore Regional HospitalPinehurst | 26 | $42,939 | $7,538 | $5,951 |
| Carolinas Medical Center-NortheastConcord | 24 | $32,120 | $8,729 | $5,892 |
| Atrium Health PinevilleCharlotte | 24 | $38,995 | $7,496 | $5,638 |
| Nash General HospitalRocky Mount | 21 | $27,094 | $7,326 | $6,008 |
| Wakemed, Cary HospitalCary | 20 | $43,516 | $9,459 | $4,851 |
| Wakemed, Raleigh CampusRaleigh | 17 | $35,560 | $8,510 | $6,976 |
| Johnston Memorial HospitalSmithfield | 16 | $30,519 | $7,357 | $6,439 |
| Duke Regional HospitalDurham | 16 | $35,419 | $10,465 | $6,419 |
| Caromont Regional Medical CenterGastonia | 15 | $34,344 | $7,726 | $6,575 |
| Carolinas Medical Center-UnionMonroe | 14 | $39,463 | $7,814 | $6,253 |
| Carolina East Medical CenterNew Bern | 14 | $25,368 | $7,916 | $6,633 |
| High Point Regional Hlth SystHigh Point | 11 | $25,410 | $7,802 | $6,912 |
| Cleveland Regional Medical CenterShelby | 11 | $39,908 | $7,669 | $6,333 |
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
| Rex HospitalRaleigh, NC | $6,727 |
|---|---|
| Nash General HospitalRocky Mount, NC | $7,326 |
| Johnston Memorial HospitalSmithfield, NC | $7,357 |
| Atrium Health PinevilleCharlotte, NC | $7,496 |
| Firsthealth Moore Regional HospitalPinehurst, NC | $7,538 |
Highest
| Carolinas Medical Center/Behav HealthCharlotte, NC | $17,668 |
|---|---|
| UNC HospitalsChapel Hill, NC | $14,962 |
| North Carolina Baptist HospitalWinston-Salem, NC | $13,744 |
| Duke University Medical CenterDurham, NC | $12,884 |
| Duke Regional HospitalDurham, NC | $10,465 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 24 hospitals in North Carolina was billed at $32,236 on average, while the average total payment was $9,603, of which Medicare paid $6,914. 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 3.4 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.