Other factors influencing health status in North Carolina
What 14 hospitals in North Carolina charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.
Average charge
$16,743
Hospital list price billed
Average payment
$5,674
Medicare + patient + other payers
Medicare paid
$4,355
Average per stay
State rank
#9 of 17
1 = lowest average payment
Hospitals in North Carolina billed an average of $16,743 for other factors influencing health status, about 3.0 times the average total payment of $5,674. That payment is 8% below the U.S. average of $6,140.
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 $5,674Billed $16,743
About 34¢ was paid for every $1 hospitals in North Carolina billed for this stay.
North Carolina hospitals: other factors influencing health status
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 |
|---|---|---|---|---|
| Forsyth Memorial HospitalWinston-Salem | 37 | $19,016 | $5,391 | $4,209 |
| Moses H Cone Memorial Hospital, theGreensboro | 34 | $14,342 | $6,398 | $5,178 |
| Carolina East Medical CenterNew Bern | 30 | $14,285 | $4,935 | $4,066 |
| ECU Health Medical CenterGreenville | 28 | $15,671 | $6,745 | $4,566 |
| Carteret General HospitalMorehead City | 21 | $9,364 | $4,937 | $4,146 |
| Wakemed, Raleigh CampusRaleigh | 19 | $16,602 | $6,255 | $4,570 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 18 | $26,712 | $5,134 | $3,954 |
| Alamance Regional Medical CenterBurlington | 18 | $14,801 | $5,691 | $4,547 |
| New Hanover Regional Medical CenterWilmington | 16 | $11,020 | $4,929 | $4,039 |
| Caromont Regional Medical CenterGastonia | 15 | $20,080 | $5,294 | $4,279 |
| Granville Medical CenterOxford | 12 | $25,543 | $6,408 | $4,776 |
| Carolinas Medical Center/Behav HealthCharlotte | 11 | $21,700 | $8,681 | $5,719 |
| Rex HospitalRaleigh | 11 | $13,259 | $4,463 | $3,404 |
| Wakemed, Cary HospitalCary | 11 | $19,835 | $3,942 | $2,610 |
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 | $3,942 |
|---|---|
| Rex HospitalRaleigh, NC | $4,463 |
| New Hanover Regional Medical CenterWilmington, NC | $4,929 |
| Carolina East Medical CenterNew Bern, NC | $4,935 |
| Carteret General HospitalMorehead City, NC | $4,937 |
Highest
| Carolinas Medical Center/Behav HealthCharlotte, NC | $8,681 |
|---|---|
| ECU Health Medical CenterGreenville, NC | $6,745 |
| Granville Medical CenterOxford, NC | $6,408 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | $6,398 |
| Wakemed, Raleigh CampusRaleigh, NC | $6,255 |
Other factors influencing health status in other states
Questions
How much does other factors influencing health status cost in North Carolina?
In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 14 hospitals in North Carolina was billed at $16,743 on average, while the average total payment was $5,674, of which Medicare paid $4,355. 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 3.0 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.