facebook tracking Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in North Carolina: 25 hospitals compared (DRG 321)

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in North Carolina

What 25 hospitals in North Carolina charged and were paid for a Medicare hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321), from 2024 Medicare claims.

DRG 321 Inpatient 2024 Medicare data
Average charge $121,915 Hospital list price billed
Average payment $26,015 Medicare + patient + other payers
Medicare paid $20,395 Average per stay
State rank #29 of 47 1 = lowest average payment

Hospitals in North Carolina billed an average of $121,915 for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/, about 4.7 times the average total payment of $26,015. That payment is 3% below the U.S. average of $26,768.

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 $26,015Billed $121,915

About 21¢ 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: percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/

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
New Hanover Regional Medical CenterWilmington 119 $87,938 $24,985 $21,744
Rex HospitalRaleigh 95 $91,210 $21,141 $19,030
Duke University Medical CenterDurham 59 $133,132 $32,236 $23,229
Memorial Mission Hospital and Asheville Surgery CeAsheville 51 $191,199 $27,141 $18,008
Carolinas Medical Center-NortheastConcord 45 $165,962 $28,265 $17,045
Atrium Health PinevilleCharlotte 40 $185,508 $26,990 $19,674
Carolina East Medical CenterNew Bern 35 $92,818 $25,272 $22,701
ECU Health Medical CenterGreenville 33 $111,185 $26,792 $22,037
Wakemed, Raleigh CampusRaleigh 32 $134,382 $23,746 $20,678
Cape Fear Valley Medical CenterFayetteville 30 $139,752 $29,073 $21,608
North Carolina Baptist HospitalWinston-Salem 30 $120,758 $33,742 $23,930
Firsthealth Moore Regional HospitalPinehurst 28 $136,657 $22,831 $18,379
Moses H Cone Memorial Hospital, theGreensboro 27 $95,636 $27,379 $18,014
Carolinas Medical Center/Behav HealthCharlotte 27 $166,385 $28,199 $23,273
Presbyterian HospitalCharlotte 25 $113,401 $22,514 $19,086
Caromont Regional Medical CenterGastonia 24 $168,606 $24,934 $21,062
Forsyth Memorial HospitalWinston-Salem 23 $97,633 $22,759 $19,715
UNC HospitalsChapel Hill 23 $83,954 $33,508 $25,092
Presbyterian Hospital-MatthewsMatthews 19 $114,290 $22,295 $18,164
Johnston Memorial HospitalSmithfield 18 $78,500 $21,302 $17,946
Catawba Valley Medical CenterHickory 17 $93,749 $24,703 $17,328
Frye Regional Medical CenterHickory 16 $166,093 $21,984 $15,784
Wayne Memorial HospitalGoldsboro 15 $79,948 $25,832 $20,693
Southeastern Regional Medical CenterLumberton 12 $100,439 $31,672 $22,200
High Point Regional Hlth SystHigh Point 11 $114,401 $22,116 $17,689
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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

Rex HospitalRaleigh, NC$21,141
Johnston Memorial HospitalSmithfield, NC$21,302
Frye Regional Medical CenterHickory, NC$21,984
High Point Regional Hlth SystHigh Point, NC$22,116
Presbyterian Hospital-MatthewsMatthews, NC$22,295

Highest

North Carolina Baptist HospitalWinston-Salem, NC$33,742
UNC HospitalsChapel Hill, NC$33,508
Duke University Medical CenterDurham, NC$32,236
Southeastern Regional Medical CenterLumberton, NC$31,672
Cape Fear Valley Medical CenterFayetteville, NC$29,073

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in other states

Questions

How much does percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in North Carolina?

In 2024 Medicare data, a hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321) at 25 hospitals in North Carolina was billed at $121,915 on average, while the average total payment was $26,015, of which Medicare paid $20,395. 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 4.7 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.