facebook tracking Permanent cardiac pacemaker implant with major complications cost in North Carolina: 13 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in North Carolina

What 13 hospitals in North Carolina charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $118,402 Hospital list price billed
Average payment $27,963 Medicare + patient + other payers
Medicare paid $23,810 Average per stay
State rank #21 of 41 1 = lowest average payment

Hospitals in North Carolina billed an average of $118,402 for permanent cardiac pacemaker implant with major complications, about 4.2 times the average total payment of $27,963. That payment is 9% below the U.S. average of $30,574.

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 $27,963Billed $118,402

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: permanent cardiac pacemaker implant 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
Memorial Mission Hospital and Asheville Surgery CeAsheville 51 $130,921 $25,220 $23,800
Rex HospitalRaleigh 43 $90,534 $24,148 $20,652
New Hanover Regional Medical CenterWilmington 35 $107,594 $29,282 $27,513
ECU Health Medical CenterGreenville 29 $71,128 $29,768 $24,028
Atrium Health PinevilleCharlotte 21 $101,248 $23,088 $21,844
Presbyterian HospitalCharlotte 20 $111,847 $25,362 $21,573
Carolinas Medical Center-NortheastConcord 19 $102,638 $23,797 $21,829
Duke University Medical CenterDurham 19 $169,678 $49,797 $28,998
Firsthealth Moore Regional HospitalPinehurst 18 $133,194 $24,166 $23,007
Wakemed, Raleigh CampusRaleigh 17 $132,510 $27,552 $25,865
Frye Regional Medical CenterHickory 16 $212,176 $23,345 $22,021
Forsyth Memorial HospitalWinston-Salem 15 $97,826 $25,975 $19,610
North Carolina Baptist HospitalWinston-Salem 15 $146,927 $41,506 $30,254
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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

Atrium Health PinevilleCharlotte, NC$23,088
Frye Regional Medical CenterHickory, NC$23,345
Carolinas Medical Center-NortheastConcord, NC$23,797
Rex HospitalRaleigh, NC$24,148
Firsthealth Moore Regional HospitalPinehurst, NC$24,166

Highest

Duke University Medical CenterDurham, NC$49,797
North Carolina Baptist HospitalWinston-Salem, NC$41,506
ECU Health Medical CenterGreenville, NC$29,768
New Hanover Regional Medical CenterWilmington, NC$29,282
Wakemed, Raleigh CampusRaleigh, NC$27,552

Permanent cardiac pacemaker implant with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 13 hospitals in North Carolina was billed at $118,402 on average, while the average total payment was $27,963, of which Medicare paid $23,810. 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.