Pulmonary edema and respiratory failure in North Carolina
What 60 hospitals in North Carolina charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$41,625
Hospital list price billed
Average payment
$11,396
Medicare + patient + other payers
Medicare paid
$9,000
Average per stay
State rank
#26 of 50
1 = lowest average payment
Hospitals in North Carolina billed an average of $41,625 for pulmonary edema and respiratory failure, about 3.7 times the average total payment of $11,396. That payment is 7% below the U.S. average of $12,197.
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 $11,396Billed $41,625
About 27¢ was paid for every $1 hospitals in North Carolina billed for this stay.
North Carolina hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| Cape Fear Valley Medical CenterFayetteville | 130 | $32,382 | $11,325 | $9,180 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 119 | $49,149 | $10,395 | $8,308 |
| Carolina East Medical CenterNew Bern | 117 | $27,436 | $10,521 | $8,950 |
| New Hanover Regional Medical CenterWilmington | 103 | $37,822 | $10,652 | $8,701 |
| Forsyth Memorial HospitalWinston-Salem | 98 | $38,342 | $10,088 | $8,619 |
| Duke University Medical CenterDurham | 90 | $49,346 | $17,418 | $11,252 |
| Moses H Cone Memorial Hospital, theGreensboro | 71 | $34,563 | $11,929 | $9,361 |
| ECU Health Medical CenterGreenville | 67 | $37,999 | $12,823 | $8,931 |
| UNC HospitalsChapel Hill | 60 | $63,237 | $21,639 | $13,896 |
| Onslow Memorial HospitalJacksonville | 55 | $35,390 | $10,590 | $8,497 |
| Wakemed, Raleigh CampusRaleigh | 51 | $56,544 | $11,419 | $9,836 |
| Atrium Health PinevilleCharlotte | 51 | $50,786 | $8,962 | $7,874 |
| North Carolina Baptist HospitalWinston-Salem | 49 | $57,757 | $22,028 | $10,247 |
| Rex HospitalRaleigh | 46 | $39,554 | $8,995 | $7,647 |
| Carolinas Medical Center/Behav HealthCharlotte | 45 | $52,021 | $16,359 | $10,163 |
| Duke Regional HospitalDurham | 44 | $35,719 | $11,176 | $9,778 |
| Presbyterian Hospital HuntersvilleHuntersville | 43 | $42,657 | $10,481 | $8,029 |
| Cleveland Regional Medical CenterShelby | 40 | $46,600 | $9,587 | $8,427 |
| Firsthealth Moore Regional HospitalPinehurst | 40 | $63,325 | $9,918 | $7,714 |
| High Point Regional Hlth SystHigh Point | 38 | $35,448 | $9,752 | $8,904 |
| Wilson Medical CenterWilson | 37 | $73,928 | $10,053 | $9,051 |
| Carolinas Medical Center-NortheastConcord | 34 | $54,308 | $11,059 | $8,544 |
| Lenoir Memorial HospitalKinston | 34 | $17,890 | $9,464 | $8,552 |
| Betsy Johnson Regional HospitalDunn | 32 | $29,330 | $12,793 | $10,077 |
| Carolinas Medical Center-UnionMonroe | 31 | $46,367 | $9,776 | $8,043 |
| Presbyterian Hospital-MatthewsMatthews | 31 | $45,090 | $9,235 | $7,567 |
| Presbyterian HospitalCharlotte | 30 | $46,414 | $10,296 | $8,480 |
| Grace Hospital INCMorganton | 30 | $42,713 | $10,905 | $9,091 |
| Johnston Memorial HospitalSmithfield | 30 | $54,346 | $9,383 | $8,092 |
| Rowan Regional Medical CenterSalisbury | 27 | $39,646 | $9,609 | $8,661 |
| Brunswick Community HospitalSupply | 27 | $39,568 | $9,441 | $8,172 |
| Wayne Memorial HospitalGoldsboro | 26 | $23,751 | $10,157 | $9,327 |
| Caromont Regional Medical CenterGastonia | 26 | $67,168 | $9,789 | $8,783 |
| Alamance Regional Medical CenterBurlington | 26 | $37,743 | $10,735 | $8,519 |
| Nash General HospitalRocky Mount | 26 | $41,883 | $9,219 | $8,012 |
| Iredell Memorial Hospital INCStatesville | 25 | $56,430 | $8,992 | $7,148 |
| Wakemed, Cary HospitalCary | 25 | $53,653 | $8,050 | $7,071 |
| Southeastern Regional Medical CenterLumberton | 24 | $27,868 | $13,903 | $10,516 |
| Haywood Regional Medical CenterClyde | 24 | $36,349 | $9,045 | $7,891 |
| Maria Parham HospitalHenderson | 23 | $36,135 | $9,772 | $8,566 |
| Carteret General HospitalMorehead City | 23 | $14,489 | $10,785 | $9,029 |
| Carolinas Medical Center-LincolnLincolnton | 22 | $44,378 | $11,624 | $10,069 |
| Margaret R Pardee Mem HospitalHendersonville | 20 | $36,686 | $8,029 | $7,050 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 20 | $31,200 | $9,546 | $8,404 |
| Northern Hospital of Surry CountyMt Airy | 19 | $12,253 | $9,103 | $7,558 |
| McDowell HospitalMarion | 19 | $22,548 | $12,356 | $11,068 |
| Novant Health Ballantyne Medical CenterCharlotte | 18 | $31,088 | $8,171 | $6,191 |
| Albemarle Hospital AuthorityElizabeth City | 17 | $31,333 | $10,533 | $9,477 |
| Sampson Regional Medical CenterClinton | 16 | $21,042 | $14,858 | $10,828 |
| Caldwell Memorial HospitalLenoir | 15 | $28,921 | $9,190 | $8,102 |
| Catawba Valley Medical CenterHickory | 15 | $44,629 | $11,334 | $10,073 |
| Lexington Memorial Hospital INCLexington | 13 | $26,320 | $10,313 | $9,654 |
| Carolinas Med Ctr-UniversityCharlotte | 13 | $43,389 | $11,355 | $10,225 |
| C J Harris Community HospitalSylva | 12 | $52,055 | $9,777 | $9,233 |
| Adventhealth HendersonvilleFletcher | 12 | $28,191 | $9,421 | $8,061 |
| Watauga Medical CenterBoone | 12 | $36,319 | $12,152 | $10,087 |
| Frye Regional Medical CenterHickory | 12 | $88,473 | $8,789 | $7,973 |
| Lake Norman Regional Medical CenterMooresville | 12 | $44,191 | $9,003 | $7,779 |
| Novant Health Mint Hill Medical CenterCharlotte | 12 | $30,681 | $8,693 | $7,741 |
| Rutherford Hospital INCRutherfordton | 11 | $31,635 | $10,209 | $9,022 |
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
| Margaret R Pardee Mem HospitalHendersonville, NC | $8,029 |
|---|---|
| Wakemed, Cary HospitalCary, NC | $8,050 |
| Novant Health Ballantyne Medical CenterCharlotte, NC | $8,171 |
| Novant Health Mint Hill Medical CenterCharlotte, NC | $8,693 |
| Frye Regional Medical CenterHickory, NC | $8,789 |
Highest
| North Carolina Baptist HospitalWinston-Salem, NC | $22,028 |
|---|---|
| UNC HospitalsChapel Hill, NC | $21,639 |
| Duke University Medical CenterDurham, NC | $17,418 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $16,359 |
| Sampson Regional Medical CenterClinton, NC | $14,858 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in North Carolina?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 60 hospitals in North Carolina was billed at $41,625 on average, while the average total payment was $11,396, of which Medicare paid $9,000. 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 3.7 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.