facebook tracking Red blood cell disorders without major complications cost in North Carolina: 36 hospitals compared (DRG 812)

Red blood cell disorders without major complications in North Carolina

What 36 hospitals in North Carolina charged and were paid for a Medicare hospital stay for red blood cell disorders without major complications (DRG 812), from 2024 Medicare claims.

DRG 812 Inpatient 2024 Medicare data
Average charge $31,224 Hospital list price billed
Average payment $8,928 Medicare + patient + other payers
Medicare paid $6,511 Average per stay
State rank #24 of 40 1 = lowest average payment

Hospitals in North Carolina billed an average of $31,224 for red blood cell disorders without major complications, about 3.5 times the average total payment of $8,928. That payment is 5% below the U.S. average of $9,427.

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 $8,928Billed $31,224

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 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
Duke University Medical CenterDurham 68 $30,919 $13,123 $7,586
Moses H Cone Memorial Hospital, theGreensboro 65 $21,102 $9,609 $6,212
New Hanover Regional Medical CenterWilmington 65 $27,948 $7,882 $5,398
Wakemed, Raleigh CampusRaleigh 54 $33,036 $8,896 $7,551
Memorial Mission Hospital and Asheville Surgery CeAsheville 51 $30,760 $7,470 $6,115
ECU Health Medical CenterGreenville 49 $26,698 $9,876 $6,767
Rex HospitalRaleigh 42 $24,171 $6,748 $5,035
Caromont Regional Medical CenterGastonia 41 $44,255 $7,734 $6,056
Wakemed, Cary HospitalCary 40 $35,089 $6,046 $4,822
Carolinas Medical Center/Behav HealthCharlotte 39 $42,460 $13,588 $8,154
Forsyth Memorial HospitalWinston-Salem 38 $27,508 $8,361 $5,746
Cape Fear Valley Medical CenterFayetteville 37 $21,511 $8,409 $6,961
UNC HospitalsChapel Hill 36 $32,749 $15,307 $9,238
Atrium Health PinevilleCharlotte 35 $39,257 $6,787 $5,575
North Carolina Baptist HospitalWinston-Salem 32 $31,269 $14,683 $8,606
Firsthealth Moore Regional HospitalPinehurst 28 $40,745 $7,028 $5,945
Carolinas Medical Center-NortheastConcord 27 $32,188 $8,325 $6,582
Presbyterian Hospital HuntersvilleHuntersville 26 $31,748 $7,516 $5,935
Cleveland Regional Medical CenterShelby 25 $42,452 $7,419 $6,440
Presbyterian Hospital-MatthewsMatthews 23 $37,350 $6,896 $5,690
Southeastern Regional Medical CenterLumberton 21 $19,462 $10,614 $7,925
Carolinas Medical Center-UnionMonroe 21 $37,525 $7,505 $6,637
Carolina East Medical CenterNew Bern 21 $22,290 $7,651 $6,486
Johnston Memorial HospitalSmithfield 20 $35,260 $7,507 $5,387
Nash General HospitalRocky Mount 20 $24,232 $6,966 $5,662
Presbyterian HospitalCharlotte 19 $34,530 $7,834 $7,010
Duke Health Raleigh HospitalRaleigh 16 $21,362 $7,746 $5,972
Roanoke Chowan HospitalAhoskie 15 $19,049 $7,741 $6,653
Frye Regional Medical CenterHickory 15 $46,443 $6,542 $5,127
Duke Regional HospitalDurham 15 $24,717 $8,500 $7,160
Carolinas Med Ctr-UniversityCharlotte 15 $49,320 $9,656 $7,236
Brunswick Community HospitalSupply 14 $25,828 $7,010 $5,611
Novant Health Mint Hill Medical CenterCharlotte 14 $23,739 $6,536 $5,603
Wayne Memorial HospitalGoldsboro 13 $23,490 $7,658 $6,277
Grace Hospital INCMorganton 13 $38,710 $8,565 $6,710
Carolinas Medical Center-LincolnLincolnton 11 $37,068 $8,427 $7,834
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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$6,046
Novant Health Mint Hill Medical CenterCharlotte, NC$6,536
Frye Regional Medical CenterHickory, NC$6,542
Rex HospitalRaleigh, NC$6,748
Atrium Health PinevilleCharlotte, NC$6,787

Highest

UNC HospitalsChapel Hill, NC$15,307
North Carolina Baptist HospitalWinston-Salem, NC$14,683
Carolinas Medical Center/Behav HealthCharlotte, NC$13,588
Duke University Medical CenterDurham, NC$13,123
Southeastern Regional Medical CenterLumberton, NC$10,614

Red blood cell disorders without major complications in other states

Questions

How much does red blood cell disorders without major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for red blood cell disorders without major complications (DRG 812) at 36 hospitals in North Carolina was billed at $31,224 on average, while the average total payment was $8,928, of which Medicare paid $6,511. 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.