facebook tracking Peritoneal adhesiolysis without complications cost in North Carolina: 2 hospitals compared (DRG 337)

Peritoneal adhesiolysis without complications in North Carolina

What 2 hospitals in North Carolina charged and were paid for a Medicare hospital stay for peritoneal adhesiolysis without complications (DRG 337), from 2024 Medicare claims.

DRG 337 Inpatient 2024 Medicare data
Average charge $58,675 Hospital list price billed
Average payment $13,974 Medicare + patient + other payers
Medicare paid $9,472 Average per stay
Volume 24 Medicare hospital stays

Hospitals in North Carolina billed an average of $58,675 for peritoneal adhesiolysis without complications, about 4.2 times the average total payment of $13,974. That payment is 13% below the U.S. average of $16,041.

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 $13,974Billed $58,675

About 24¢ 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: peritoneal adhesiolysis 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
Rex HospitalRaleigh 13 $32,762 $10,620 $9,084
Carolinas Medical Center/Behav HealthCharlotte 11 $89,299 $17,939 $9,931
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Peritoneal adhesiolysis without complications in other states

Questions

How much does peritoneal adhesiolysis without complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for peritoneal adhesiolysis without complications (DRG 337) at 2 hospitals in North Carolina was billed at $58,675 on average, while the average total payment was $13,974, of which Medicare paid $9,472. 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 4.2 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.