facebook tracking Postoperative or post-traumatic infections with operating room procedures with complications cost in North Carolina: 6 hospitals compared (DRG 857)

Postoperative or post-traumatic infections with operating room procedures with complications in North Carolina

What 6 hospitals in North Carolina charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857), from 2024 Medicare claims.

DRG 857 Inpatient 2024 Medicare data
Average charge $62,751 Hospital list price billed
Average payment $20,972 Medicare + patient + other payers
Medicare paid $16,500 Average per stay
State rank #6 of 18 1 = lowest average payment

Hospitals in North Carolina billed an average of $62,751 for postoperative or post-traumatic infections with operating room procedures with complications, about 3.0 times the average total payment of $20,972. That payment is 12% below the U.S. average of $23,758.

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 $20,972Billed $62,751

About 33¢ 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 or post-traumatic infections with operating room procedures 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
Duke University Medical CenterDurham 30 $49,974 $24,509 $18,746
Carolinas Medical Center/Behav HealthCharlotte 18 $96,789 $23,271 $17,546
Memorial Mission Hospital and Asheville Surgery CeAsheville 15 $84,517 $15,819 $14,654
Rex HospitalRaleigh 12 $38,581 $12,661 $11,996
ECU Health Medical CenterGreenville 11 $49,784 $20,286 $15,819
North Carolina Baptist HospitalWinston-Salem 11 $51,555 $24,347 $16,777
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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

Rex HospitalRaleigh, NC$12,661
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$15,819
ECU Health Medical CenterGreenville, NC$20,286
Carolinas Medical Center/Behav HealthCharlotte, NC$23,271
North Carolina Baptist HospitalWinston-Salem, NC$24,347

Postoperative or post-traumatic infections with operating room procedures with complications in other states

Questions

How much does postoperative or post-traumatic infections with operating room procedures with complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857) at 6 hospitals in North Carolina was billed at $62,751 on average, while the average total payment was $20,972, of which Medicare paid $16,500. 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 3.0 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.