facebook tracking Postoperative and post-traumatic infections with major complications cost in North Carolina: 6 hospitals compared (DRG 862)

Postoperative and post-traumatic infections with major complications in North Carolina

What 6 hospitals in North Carolina charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.

DRG 862 Inpatient 2024 Medicare data
Average charge $51,279 Hospital list price billed
Average payment $20,179 Medicare + patient + other payers
Medicare paid $14,330 Average per stay
State rank #21 of 30 1 = lowest average payment

Hospitals in North Carolina billed an average of $51,279 for postoperative and post-traumatic infections with major complications, about 2.5 times the average total payment of $20,179. That payment is about the same as the U.S. average of $20,381.

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 $20,179Billed $51,279

About 39¢ 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: postoperative and post-traumatic infections 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
UNC HospitalsChapel Hill 25 $58,713 $24,913 $16,973
Duke University Medical CenterDurham 24 $59,002 $23,679 $16,452
Carolinas Medical Center/Behav HealthCharlotte 21 $48,129 $20,218 $14,778
Rex HospitalRaleigh 18 $38,454 $15,394 $9,153
Memorial Mission Hospital and Asheville Surgery CeAsheville 13 $53,633 $14,190 $13,280
ECU Health Medical CenterGreenville 13 $43,215 $17,164 $12,822
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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

Highest

UNC HospitalsChapel Hill, NC$24,913
Duke University Medical CenterDurham, NC$23,679
Carolinas Medical Center/Behav HealthCharlotte, NC$20,218
ECU Health Medical CenterGreenville, NC$17,164
Rex HospitalRaleigh, NC$15,394

Postoperative and post-traumatic infections with major complications in other states

Questions

How much does postoperative and post-traumatic infections with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 6 hospitals in North Carolina was billed at $51,279 on average, while the average total payment was $20,179, of which Medicare paid $14,330. 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 2.5 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.