facebook tracking Other vascular procedures with major complications cost in North Carolina: 15 hospitals compared (DRG 252)

Other vascular procedures with major complications in North Carolina

What 15 hospitals in North Carolina charged and were paid for a Medicare hospital stay for other vascular procedures with major complications (DRG 252), from 2024 Medicare claims.

DRG 252 Inpatient 2024 Medicare data
Average charge $113,682 Hospital list price billed
Average payment $31,624 Medicare + patient + other payers
Medicare paid $26,669 Average per stay
State rank #19 of 36 1 = lowest average payment

Hospitals in North Carolina billed an average of $113,682 for other vascular procedures with major complications, about 3.6 times the average total payment of $31,624. That payment is 7% below the U.S. average of $34,185.

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 $31,624Billed $113,682

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: other vascular 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
Rex HospitalRaleigh 45 $85,617 $24,601 $23,123
Duke University Medical CenterDurham 44 $131,958 $43,905 $32,849
ECU Health Medical CenterGreenville 43 $79,225 $30,756 $25,667
New Hanover Regional Medical CenterWilmington 39 $95,986 $30,006 $28,037
Carolinas Medical Center/Behav HealthCharlotte 35 $180,419 $37,495 $27,577
Wakemed, Raleigh CampusRaleigh 25 $107,477 $26,100 $24,138
Memorial Mission Hospital and Asheville Surgery CeAsheville 23 $101,557 $24,844 $23,598
Moses H Cone Memorial Hospital, theGreensboro 22 $96,640 $27,418 $25,720
Carolinas Medical Center-NortheastConcord 19 $159,429 $31,838 $26,158
North Carolina Baptist HospitalWinston-Salem 19 $130,784 $41,739 $27,815
Forsyth Memorial HospitalWinston-Salem 18 $114,638 $22,952 $22,016
Cape Fear Valley Medical CenterFayetteville 18 $102,780 $27,506 $25,922
Duke Regional HospitalDurham 15 $91,507 $28,590 $24,275
UNC HospitalsChapel Hill 14 $118,604 $47,521 $37,801
Presbyterian HospitalCharlotte 12 $143,050 $24,458 $23,788
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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

Forsyth Memorial HospitalWinston-Salem, NC$22,952
Presbyterian HospitalCharlotte, NC$24,458
Rex HospitalRaleigh, NC$24,601
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$24,844
Wakemed, Raleigh CampusRaleigh, NC$26,100

Highest

UNC HospitalsChapel Hill, NC$47,521
Duke University Medical CenterDurham, NC$43,905
North Carolina Baptist HospitalWinston-Salem, NC$41,739
Carolinas Medical Center/Behav HealthCharlotte, NC$37,495
Carolinas Medical Center-NortheastConcord, NC$31,838

Other vascular procedures with major complications in other states

Questions

How much does other vascular procedures with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for other vascular procedures with major complications (DRG 252) at 15 hospitals in North Carolina was billed at $113,682 on average, while the average total payment was $31,624, of which Medicare paid $26,669. 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.