Red blood cell disorders with major complications in North Carolina
What 30 hospitals in North Carolina charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.
Average charge
$44,820
Hospital list price billed
Average payment
$13,006
Medicare + patient + other payers
Medicare paid
$10,478
Average per stay
State rank
#22 of 43
1 = lowest average payment
Hospitals in North Carolina billed an average of $44,820 for red blood cell disorders with major complications, about 3.4 times the average total payment of $13,006. That payment is 7% below the U.S. average of $14,033.
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 $13,006Billed $44,820
About 29¢ 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: red blood cell disorders with 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 |
|---|---|---|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 81 | $48,839 | $11,436 | $9,732 |
| Carolina East Medical CenterNew Bern | 81 | $30,090 | $11,789 | $10,562 |
| Cape Fear Valley Medical CenterFayetteville | 54 | $28,800 | $12,268 | $10,449 |
| Duke University Medical CenterDurham | 49 | $49,844 | $18,593 | $12,997 |
| New Hanover Regional Medical CenterWilmington | 46 | $39,156 | $12,091 | $10,388 |
| Rex HospitalRaleigh | 43 | $32,978 | $9,911 | $8,939 |
| Caromont Regional Medical CenterGastonia | 36 | $64,802 | $12,223 | $9,808 |
| Wakemed, Raleigh CampusRaleigh | 36 | $55,138 | $12,985 | $11,156 |
| UNC HospitalsChapel Hill | 34 | $37,679 | $18,953 | $14,048 |
| Forsyth Memorial HospitalWinston-Salem | 31 | $43,093 | $11,578 | $9,426 |
| ECU Health Medical CenterGreenville | 30 | $35,252 | $13,808 | $9,605 |
| Atrium Health PinevilleCharlotte | 29 | $53,028 | $10,085 | $9,086 |
| Carolinas Medical Center-NortheastConcord | 28 | $63,192 | $11,652 | $9,898 |
| Margaret R Pardee Mem HospitalHendersonville | 26 | $27,912 | $10,173 | $8,989 |
| Johnston Memorial HospitalSmithfield | 26 | $54,872 | $11,603 | $9,531 |
| Carolinas Medical Center/Behav HealthCharlotte | 24 | $60,610 | $18,812 | $13,668 |
| Nash General HospitalRocky Mount | 21 | $32,505 | $10,251 | $9,008 |
| Firsthealth Moore Regional HospitalPinehurst | 19 | $44,639 | $11,518 | $8,597 |
| North Carolina Baptist HospitalWinston-Salem | 17 | $73,220 | $25,950 | $12,727 |
| Carolinas Medical Center-UnionMonroe | 17 | $40,340 | $10,841 | $9,425 |
| Wakemed, Cary HospitalCary | 16 | $42,832 | $9,247 | $8,023 |
| Southeastern Regional Medical CenterLumberton | 15 | $31,400 | $16,606 | $10,972 |
| Moses H Cone Memorial Hospital, theGreensboro | 15 | $38,753 | $12,982 | $10,506 |
| Carolinas Med Ctr-UniversityCharlotte | 15 | $95,334 | $19,021 | $13,721 |
| High Point Regional Hlth SystHigh Point | 13 | $40,074 | $11,548 | $9,379 |
| Cleveland Regional Medical CenterShelby | 13 | $56,822 | $10,365 | $8,987 |
| Presbyterian HospitalCharlotte | 13 | $61,001 | $16,198 | $15,735 |
| Presbyterian Hospital-MatthewsMatthews | 13 | $54,507 | $9,906 | $9,404 |
| Presbyterian Hospital HuntersvilleHuntersville | 13 | $43,922 | $11,091 | $9,658 |
| Betsy Johnson Regional HospitalDunn | 11 | $26,526 | $13,356 | $10,621 |
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 | $9,247 |
|---|---|
| Presbyterian Hospital-MatthewsMatthews, NC | $9,906 |
| Rex HospitalRaleigh, NC | $9,911 |
| Atrium Health PinevilleCharlotte, NC | $10,085 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $10,173 |
Highest
| North Carolina Baptist HospitalWinston-Salem, NC | $25,950 |
|---|---|
| Carolinas Med Ctr-UniversityCharlotte, NC | $19,021 |
| UNC HospitalsChapel Hill, NC | $18,953 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $18,812 |
| Duke University Medical CenterDurham, NC | $18,593 |
Red blood cell disorders with major complications in other states
Questions
How much does red blood cell disorders with major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 30 hospitals in North Carolina was billed at $44,820 on average, while the average total payment was $13,006, of which Medicare paid $10,478. 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 3.4 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.