Pulmonary embolism with major complications or acute cor pulmonale in North Carolina
What 31 hospitals in North Carolina charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$44,823
Hospital list price billed
Average payment
$12,647
Medicare + patient + other payers
Medicare paid
$9,875
Average per stay
State rank
#23 of 48
1 = lowest average payment
Hospitals in North Carolina billed an average of $44,823 for pulmonary embolism with major complications or acute cor pulmonale, about 3.5 times the average total payment of $12,647. That payment is 6% below the U.S. average of $13,466.
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 $12,647Billed $44,823
About 28¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 |
|---|---|---|---|---|
| Forsyth Memorial HospitalWinston-Salem | 62 | $39,419 | $10,806 | $9,459 |
| Moses H Cone Memorial Hospital, theGreensboro | 50 | $37,863 | $13,006 | $10,275 |
| New Hanover Regional Medical CenterWilmington | 49 | $34,888 | $11,694 | $10,208 |
| ECU Health Medical CenterGreenville | 43 | $50,033 | $15,444 | $9,409 |
| Duke University Medical CenterDurham | 42 | $46,550 | $17,144 | $11,680 |
| Cape Fear Valley Medical CenterFayetteville | 35 | $34,922 | $12,026 | $10,663 |
| Rex HospitalRaleigh | 35 | $35,552 | $9,398 | $8,271 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 29 | $38,175 | $12,391 | $8,980 |
| Atrium Health PinevilleCharlotte | 29 | $67,879 | $11,003 | $8,383 |
| Carolinas Medical Center-NortheastConcord | 28 | $62,106 | $12,241 | $9,507 |
| Presbyterian Hospital-MatthewsMatthews | 25 | $45,000 | $10,891 | $8,634 |
| North Carolina Baptist HospitalWinston-Salem | 24 | $60,912 | $21,355 | $11,222 |
| UNC HospitalsChapel Hill | 24 | $46,410 | $19,106 | $13,804 |
| Carolina East Medical CenterNew Bern | 24 | $29,115 | $11,871 | $10,012 |
| Carolinas Medical Center/Behav HealthCharlotte | 23 | $58,267 | $17,610 | $12,025 |
| Wakemed, Raleigh CampusRaleigh | 19 | $53,064 | $11,993 | $10,282 |
| Caromont Regional Medical CenterGastonia | 18 | $83,771 | $11,073 | $9,921 |
| Presbyterian Hospital HuntersvilleHuntersville | 18 | $41,970 | $10,812 | $8,059 |
| Wakemed, Cary HospitalCary | 17 | $48,216 | $9,021 | $7,581 |
| Johnston Memorial HospitalSmithfield | 16 | $43,611 | $12,573 | $8,744 |
| Lenoir Memorial HospitalKinston | 15 | $24,606 | $10,700 | $9,721 |
| Firsthealth Moore Regional HospitalPinehurst | 15 | $62,025 | $10,448 | $8,989 |
| Carolinas Medical Center-UnionMonroe | 15 | $56,014 | $9,930 | $8,856 |
| Presbyterian HospitalCharlotte | 14 | $54,568 | $10,488 | $9,832 |
| Albemarle Hospital AuthorityElizabeth City | 14 | $26,075 | $11,926 | $10,877 |
| Carteret General HospitalMorehead City | 14 | $24,337 | $11,907 | $10,408 |
| Duke Regional HospitalDurham | 14 | $41,895 | $12,646 | $10,465 |
| Nash General HospitalRocky Mount | 13 | $31,646 | $9,829 | $8,451 |
| Haywood Regional Medical CenterClyde | 12 | $33,041 | $9,805 | $8,853 |
| Rowan Regional Medical CenterSalisbury | 11 | $44,557 | $10,480 | $9,407 |
| Carolinas Medical Center-LincolnLincolnton | 11 | $47,153 | $13,079 | $11,012 |
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
| Wakemed, Cary HospitalCary, NC | $9,021 |
|---|---|
| Rex HospitalRaleigh, NC | $9,398 |
| Haywood Regional Medical CenterClyde, NC | $9,805 |
| Nash General HospitalRocky Mount, NC | $9,829 |
| Carolinas Medical Center-UnionMonroe, NC | $9,930 |
Highest
| North Carolina Baptist HospitalWinston-Salem, NC | $21,355 |
|---|---|
| UNC HospitalsChapel Hill, NC | $19,106 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $17,610 |
| Duke University Medical CenterDurham, NC | $17,144 |
| ECU Health Medical CenterGreenville, NC | $15,444 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in North Carolina?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 31 hospitals in North Carolina was billed at $44,823 on average, while the average total payment was $12,647, of which Medicare paid $9,875. 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.