facebook tracking Poisoning and toxic effects of drugs with major complications cost in North Carolina: 11 hospitals compared (DRG 917)

Poisoning and toxic effects of drugs with major complications in North Carolina

What 11 hospitals in North Carolina charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917), from 2024 Medicare claims.

DRG 917 Inpatient 2024 Medicare data
Average charge $49,755 Hospital list price billed
Average payment $14,402 Medicare + patient + other payers
Medicare paid $11,472 Average per stay
State rank #13 of 38 1 = lowest average payment

Hospitals in North Carolina billed an average of $49,755 for poisoning and toxic effects of drugs with major complications, about 3.5 times the average total payment of $14,402. That payment is 15% below the U.S. average of $16,910.

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 $14,402Billed $49,755

About 29¢ 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: poisoning and toxic effects of drugs 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
Wakemed, Raleigh CampusRaleigh 35 $57,287 $13,780 $11,850
ECU Health Medical CenterGreenville 29 $40,521 $15,054 $10,078
New Hanover Regional Medical CenterWilmington 25 $59,406 $13,803 $12,075
Memorial Mission Hospital and Asheville Surgery CeAsheville 22 $45,955 $12,408 $11,087
Moses H Cone Memorial Hospital, theGreensboro 22 $47,425 $13,708 $11,560
Cape Fear Valley Medical CenterFayetteville 19 $33,592 $12,152 $10,884
Caromont Regional Medical CenterGastonia 16 $45,922 $12,098 $10,780
Duke University Medical CenterDurham 15 $41,112 $19,382 $13,746
Atrium Health PinevilleCharlotte 14 $76,448 $16,672 $9,612
UNC HospitalsChapel Hill 12 $42,277 $21,975 $15,793
Firsthealth Moore Regional HospitalPinehurst 12 $59,075 $11,004 $9,880
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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.

Highest

UNC HospitalsChapel Hill, NC$21,975
Duke University Medical CenterDurham, NC$19,382
Atrium Health PinevilleCharlotte, NC$16,672
ECU Health Medical CenterGreenville, NC$15,054
New Hanover Regional Medical CenterWilmington, NC$13,803

Poisoning and toxic effects of drugs with major complications in other states

Questions

How much does poisoning and toxic effects of drugs with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917) at 11 hospitals in North Carolina was billed at $49,755 on average, while the average total payment was $14,402, of which Medicare paid $11,472. 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 3.5 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.