facebook tracking Permanent cardiac pacemaker implant with complications cost in North Carolina: 19 hospitals compared (DRG 243)

Permanent cardiac pacemaker implant with complications in North Carolina

What 19 hospitals in North Carolina charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.

DRG 243 Inpatient 2024 Medicare data
Average charge $90,047 Hospital list price billed
Average payment $18,728 Medicare + patient + other payers
Medicare paid $16,124 Average per stay
State rank #18 of 43 1 = lowest average payment

Hospitals in North Carolina billed an average of $90,047 for permanent cardiac pacemaker implant with complications, about 4.8 times the average total payment of $18,728. That payment is 8% below the U.S. average of $20,414.

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 $18,728Billed $90,047

About 21¢ 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: permanent cardiac pacemaker implant with 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
New Hanover Regional Medical CenterWilmington 81 $73,013 $19,193 $17,145
Memorial Mission Hospital and Asheville Surgery CeAsheville 80 $102,264 $17,278 $15,782
Rex HospitalRaleigh 58 $65,907 $15,644 $14,427
Firsthealth Moore Regional HospitalPinehurst 42 $112,266 $16,932 $14,294
Forsyth Memorial HospitalWinston-Salem 30 $82,766 $18,042 $15,051
Presbyterian HospitalCharlotte 30 $77,337 $16,751 $15,457
ECU Health Medical CenterGreenville 29 $55,013 $19,978 $16,460
Wakemed, Raleigh CampusRaleigh 29 $126,619 $20,169 $16,437
Duke University Medical CenterDurham 26 $115,445 $25,917 $19,546
Carolina East Medical CenterNew Bern 26 $84,390 $19,774 $18,378
Frye Regional Medical CenterHickory 24 $137,099 $15,210 $13,986
Atrium Health PinevilleCharlotte 20 $81,693 $15,822 $14,598
North Carolina Baptist HospitalWinston-Salem 16 $112,066 $27,252 $16,149
Southeastern Regional Medical CenterLumberton 15 $62,885 $23,118 $18,074
Carolinas Medical Center-NortheastConcord 14 $85,832 $18,120 $15,085
Carolinas Medical Center/Behav HealthCharlotte 14 $92,238 $22,180 $18,437
UNC HospitalsChapel Hill 13 $66,718 $25,520 $21,768
Caromont Regional Medical CenterGastonia 12 $122,255 $16,705 $15,401
Wakemed, Cary HospitalCary 12 $85,806 $15,151 $14,063
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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

Wakemed, Cary HospitalCary, NC$15,151
Frye Regional Medical CenterHickory, NC$15,210
Rex HospitalRaleigh, NC$15,644
Atrium Health PinevilleCharlotte, NC$15,822
Caromont Regional Medical CenterGastonia, NC$16,705

Highest

North Carolina Baptist HospitalWinston-Salem, NC$27,252
Duke University Medical CenterDurham, NC$25,917
UNC HospitalsChapel Hill, NC$25,520
Southeastern Regional Medical CenterLumberton, NC$23,118
Carolinas Medical Center/Behav HealthCharlotte, NC$22,180

Permanent cardiac pacemaker implant with complications in other states

Questions

How much does permanent cardiac pacemaker implant with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 19 hospitals in North Carolina was billed at $90,047 on average, while the average total payment was $18,728, of which Medicare paid $16,124. 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 4.8 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.