Pulmonary embolism without major complications in North Carolina
What 22 hospitals in North Carolina charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$29,824
Hospital list price billed
Average payment
$8,217
Medicare + patient + other payers
Medicare paid
$5,710
Average per stay
State rank
#28 of 39
1 = lowest average payment
Hospitals in North Carolina billed an average of $29,824 for pulmonary embolism without major complications, about 3.6 times the average total payment of $8,217. That payment is about the same as the U.S. average of $8,294.
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 $8,217Billed $29,824
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 without 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 |
|---|---|---|---|---|
| Forsyth Memorial HospitalWinston-Salem | 32 | $28,033 | $6,961 | $5,547 |
| Wakemed, Raleigh CampusRaleigh | 32 | $31,810 | $8,247 | $6,442 |
| ECU Health Medical CenterGreenville | 31 | $26,027 | $8,523 | $5,531 |
| North Carolina Baptist HospitalWinston-Salem | 27 | $30,576 | $12,948 | $7,308 |
| Duke University Medical CenterDurham | 23 | $29,809 | $11,353 | $7,682 |
| Atrium Health PinevilleCharlotte | 23 | $36,611 | $7,511 | $4,401 |
| Firsthealth Moore Regional HospitalPinehurst | 21 | $40,078 | $6,352 | $4,998 |
| New Hanover Regional Medical CenterWilmington | 21 | $23,688 | $6,958 | $5,369 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 20 | $25,821 | $6,769 | $5,660 |
| Moses H Cone Memorial Hospital, theGreensboro | 20 | $28,727 | $8,326 | $6,581 |
| Rex HospitalRaleigh | 19 | $25,078 | $6,128 | $4,702 |
| Caromont Regional Medical CenterGastonia | 18 | $43,178 | $7,416 | $5,246 |
| Wayne Memorial HospitalGoldsboro | 16 | $26,839 | $7,418 | $5,388 |
| Carolinas Medical Center-NortheastConcord | 15 | $28,923 | $7,752 | $5,225 |
| UNC HospitalsChapel Hill | 15 | $31,697 | $14,303 | $6,418 |
| Wakemed, Cary HospitalCary | 15 | $35,835 | $6,834 | $2,964 |
| Cape Fear Valley Medical CenterFayetteville | 14 | $18,140 | $7,630 | $6,133 |
| Presbyterian Hospital HuntersvilleHuntersville | 14 | $29,486 | $6,756 | $5,296 |
| Lenoir Memorial HospitalKinston | 13 | $20,663 | $6,638 | $5,382 |
| Presbyterian HospitalCharlotte | 12 | $33,460 | $7,043 | $5,928 |
| Nash General HospitalRocky Mount | 12 | $20,429 | $6,428 | $4,523 |
| Carolinas Medical Center/Behav HealthCharlotte | 11 | $38,948 | $10,652 | $7,617 |
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 | $6,128 |
|---|---|
| Firsthealth Moore Regional HospitalPinehurst, NC | $6,352 |
| Nash General HospitalRocky Mount, NC | $6,428 |
| Lenoir Memorial HospitalKinston, NC | $6,638 |
| Presbyterian Hospital HuntersvilleHuntersville, NC | $6,756 |
Highest
| UNC HospitalsChapel Hill, NC | $14,303 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $12,948 |
| Duke University Medical CenterDurham, NC | $11,353 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $10,652 |
| ECU Health Medical CenterGreenville, NC | $8,523 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 22 hospitals in North Carolina was billed at $29,824 on average, while the average total payment was $8,217, of which Medicare paid $5,710. 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 3.6 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.