facebook tracking Other vascular procedures without complications cost in North Carolina: 9 hospitals compared (DRG 254)

Other vascular procedures without complications in North Carolina

What 9 hospitals in North Carolina charged and were paid for a Medicare hospital stay for other vascular procedures without complications (DRG 254), from 2024 Medicare claims.

DRG 254 Inpatient 2024 Medicare data
Average charge $62,961 Hospital list price billed
Average payment $15,896 Medicare + patient + other payers
Medicare paid $12,248 Average per stay
State rank #6 of 14 1 = lowest average payment

Hospitals in North Carolina billed an average of $62,961 for other vascular procedures without complications, about 4.0 times the average total payment of $15,896. That payment is 3% below the U.S. average of $16,433.

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 $15,896Billed $62,961

About 25¢ 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 without 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
Duke University Medical CenterDurham 21 $73,292 $19,968 $14,706
Rex HospitalRaleigh 18 $49,345 $13,920 $9,292
Carolina East Medical CenterNew Bern 17 $54,365 $14,589 $12,957
Memorial Mission Hospital and Asheville Surgery CeAsheville 16 $93,266 $14,273 $12,522
Forsyth Memorial HospitalWinston-Salem 14 $63,645 $14,871 $10,746
New Hanover Regional Medical CenterWilmington 14 $63,189 $14,555 $12,708
Caromont Regional Medical CenterGastonia 13 $56,910 $14,808 $10,790
ECU Health Medical CenterGreenville 11 $48,542 $15,393 $12,626
UNC HospitalsChapel Hill 11 $55,138 $20,540 $13,566
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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

Highest

UNC HospitalsChapel Hill, NC$20,540
Duke University Medical CenterDurham, NC$19,968
ECU Health Medical CenterGreenville, NC$15,393
Forsyth Memorial HospitalWinston-Salem, NC$14,871
Caromont Regional Medical CenterGastonia, NC$14,808

Other vascular procedures without complications in other states

Questions

How much does other vascular procedures without complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for other vascular procedures without complications (DRG 254) at 9 hospitals in North Carolina was billed at $62,961 on average, while the average total payment was $15,896, of which Medicare paid $12,248. 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 4.0 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.