Respiratory infections and inflammations with complications in North Carolina
What 37 hospitals in North Carolina charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.
Average charge
$33,316
Hospital list price billed
Average payment
$9,163
Medicare + patient + other payers
Medicare paid
$6,846
Average per stay
State rank
#27 of 46
1 = lowest average payment
Hospitals in North Carolina billed an average of $33,316 for respiratory infections and inflammations with complications, about 3.6 times the average total payment of $9,163. That payment is 3% below the U.S. average of $9,493.
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 $9,163Billed $33,316
About 28¢ was paid for every $1 hospitals in North Carolina billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in North Carolina:
North Carolina hospitals: respiratory infections and inflammations with 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 |
|---|---|---|---|---|
| Rex HospitalRaleigh | 83 | $26,289 | $7,051 | $5,608 |
| Firsthealth Moore Regional HospitalPinehurst | 62 | $45,202 | $7,623 | $5,982 |
| Duke University Medical CenterDurham | 52 | $45,219 | $14,147 | $8,948 |
| UNC HospitalsChapel Hill | 52 | $31,977 | $14,949 | $9,604 |
| Wakemed, Raleigh CampusRaleigh | 52 | $31,891 | $9,415 | $7,733 |
| ECU Health Medical CenterGreenville | 48 | $24,916 | $10,231 | $7,097 |
| Atrium Health PinevilleCharlotte | 48 | $43,034 | $7,664 | $5,751 |
| Carolinas Medical Center-NortheastConcord | 41 | $34,637 | $8,809 | $6,500 |
| Forsyth Memorial HospitalWinston-Salem | 41 | $26,197 | $8,113 | $6,841 |
| Caromont Regional Medical CenterGastonia | 41 | $41,390 | $8,330 | $6,495 |
| Johnston Memorial HospitalSmithfield | 41 | $31,753 | $7,523 | $6,290 |
| Wakemed, Cary HospitalCary | 35 | $42,118 | $6,850 | $5,292 |
| Moses H Cone Memorial Hospital, theGreensboro | 33 | $23,555 | $9,364 | $7,705 |
| Cleveland Regional Medical CenterShelby | 28 | $36,301 | $7,909 | $6,572 |
| Carolinas Medical Center/Behav HealthCharlotte | 27 | $55,361 | $14,552 | $8,309 |
| Iredell Memorial Hospital INCStatesville | 26 | $39,431 | $6,980 | $5,850 |
| New Hanover Regional Medical CenterWilmington | 24 | $25,086 | $8,177 | $6,410 |
| Nash General HospitalRocky Mount | 24 | $28,937 | $7,359 | $6,135 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 22 | $29,330 | $8,093 | $6,906 |
| Carteret General HospitalMorehead City | 22 | $20,643 | $8,815 | $6,472 |
| Carolinas Medical Center-UnionMonroe | 21 | $41,207 | $8,745 | $6,245 |
| North Carolina Baptist HospitalWinston-Salem | 20 | $34,629 | $16,568 | $7,562 |
| Carolina East Medical CenterNew Bern | 20 | $27,798 | $8,324 | $7,100 |
| Wayne Memorial HospitalGoldsboro | 19 | $26,587 | $8,192 | $6,647 |
| High Point Regional Hlth SystHigh Point | 18 | $31,054 | $8,418 | $6,561 |
| Duke Regional HospitalDurham | 18 | $24,317 | $9,243 | $7,645 |
| Brunswick Community HospitalSupply | 18 | $28,663 | $7,500 | $6,050 |
| Presbyterian Hospital HuntersvilleHuntersville | 18 | $29,332 | $8,051 | $6,322 |
| Margaret R Pardee Mem HospitalHendersonville | 16 | $36,084 | $7,369 | $5,672 |
| Southeastern Regional Medical CenterLumberton | 16 | $24,153 | $11,162 | $7,942 |
| Watauga Medical CenterBoone | 16 | $25,682 | $9,411 | $7,807 |
| Carolinas Medical Center-LincolnLincolnton | 16 | $30,698 | $9,186 | $7,864 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 14 | $31,035 | $7,697 | $6,592 |
| Alamance Regional Medical CenterBurlington | 14 | $21,400 | $8,468 | $6,821 |
| Presbyterian Hospital-MatthewsMatthews | 14 | $37,492 | $8,148 | $5,757 |
| Cape Fear Valley Medical CenterFayetteville | 11 | $22,933 | $9,190 | $7,164 |
| Presbyterian HospitalCharlotte | 11 | $37,754 | $8,303 | $6,893 |
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 | $6,850 |
|---|---|
| Iredell Memorial Hospital INCStatesville, NC | $6,980 |
| Rex HospitalRaleigh, NC | $7,051 |
| Nash General HospitalRocky Mount, NC | $7,359 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $7,369 |
Highest
| North Carolina Baptist HospitalWinston-Salem, NC | $16,568 |
|---|---|
| UNC HospitalsChapel Hill, NC | $14,949 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $14,552 |
| Duke University Medical CenterDurham, NC | $14,147 |
| Southeastern Regional Medical CenterLumberton, NC | $11,162 |
Respiratory infections and inflammations with complications in other states
Questions
How much does respiratory infections and inflammations with complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 37 hospitals in North Carolina was billed at $33,316 on average, while the average total payment was $9,163, of which Medicare paid $6,846. 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.