What 20 hospitals in North Carolina charged and were paid for a Medicare hospital stay for psychoses (DRG 885), from 2024 Medicare claims.
Hospitals in North Carolina billed an average of $33,689 for psychoses, about 2.8 times the average total payment of $12,247. That payment is 14% below the U.S. average of $14,304.
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.
About 36¢ was paid for every $1 hospitals in North Carolina billed for this stay.
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 | 147 | $39,204 | $11,842 | $9,242 |
| Carolinas Medical Center/Behav HealthCharlotte | 80 | $44,769 | $19,557 | $11,114 |
| Forsyth Memorial HospitalWinston-Salem | 71 | $32,597 | $10,986 | $9,599 |
| Adventhealth HendersonvilleFletcher | 70 | $22,240 | $10,253 | $8,969 |
| Nash General HospitalRocky Mount | 70 | $27,463 | $10,452 | $8,422 |
| Caromont Regional Medical CenterGastonia | 68 | $36,154 | $11,444 | $8,546 |
| Cape Fear Valley Medical CenterFayetteville | 63 | $31,489 | $11,546 | $9,620 |
| Carolina East Medical CenterNew Bern | 49 | $19,072 | $11,488 | $9,723 |
| Cleveland Regional Medical CenterShelby | 46 | $39,669 | $10,696 | $9,189 |
| Southeastern Regional Medical CenterLumberton | 46 | $24,534 | $16,500 | $10,589 |
| Grace Hospital INCMorganton | 45 | $35,793 | $12,833 | $9,463 |
| Margaret R Pardee Mem HospitalHendersonville | 40 | $20,906 | $10,316 | $8,361 |
| Rowan Regional Medical CenterSalisbury | 38 | $18,665 | $10,413 | $9,135 |
| Maria Parham HospitalHenderson | 38 | $42,459 | $10,622 | $9,507 |
| High Point Regional Hlth SystHigh Point | 36 | $19,048 | $10,712 | $9,534 |
| Caldwell Memorial HospitalLenoir | 29 | $46,922 | $10,421 | $7,929 |
| Carolinas Medical Center-NortheastConcord | 22 | $84,636 | $13,687 | $8,439 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 14 | $30,473 | $10,940 | $9,815 |
| ECU Health Medical CenterGreenville | 14 | $46,203 | $21,583 | $7,466 |
| Rex HospitalRaleigh | 11 | $33,492 | $11,077 | $6,716 |
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.
| Adventhealth HendersonvilleFletcher, NC | $10,253 |
|---|---|
| Margaret R Pardee Mem HospitalHendersonville, NC | $10,316 |
| Rowan Regional Medical CenterSalisbury, NC | $10,413 |
| Caldwell Memorial HospitalLenoir, NC | $10,421 |
| Nash General HospitalRocky Mount, NC | $10,452 |
| ECU Health Medical CenterGreenville, NC | $21,583 |
|---|---|
| Carolinas Medical Center/Behav HealthCharlotte, NC | $19,557 |
| Southeastern Regional Medical CenterLumberton, NC | $16,500 |
| Carolinas Medical Center-NortheastConcord, NC | $13,687 |
| Grace Hospital INCMorganton, NC | $12,833 |
In 2024 Medicare data, a hospital stay for psychoses (DRG 885) at 20 hospitals in North Carolina was billed at $33,689 on average, while the average total payment was $12,247, of which Medicare paid $9,291. Your own cost depends on your insurance, deductible and the hospital.
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 2.8 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.