facebook tracking Respiratory system diagnosis with ventilator support >96 hours cost in North Carolina: 10 hospitals compared (DRG 207)

Respiratory system diagnosis with ventilator support >96 hours in North Carolina

What 10 hospitals in North Carolina charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207), from 2024 Medicare claims.

DRG 207 Inpatient 2024 Medicare data
Average charge $184,917 Hospital list price billed
Average payment $59,741 Medicare + patient + other payers
Medicare paid $51,357 Average per stay
State rank #15 of 28 1 = lowest average payment

Hospitals in North Carolina billed an average of $184,917 for respiratory system diagnosis with ventilator support >96 hours, about 3.1 times the average total payment of $59,741. That payment is 9% below the U.S. average of $65,323.

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 $59,741Billed $184,917

About 32¢ was paid for every $1 hospitals in North Carolina billed for this stay.

North Carolina hospitals: respiratory system diagnosis with ventilator support >96 hours

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
Onslow Memorial HospitalJacksonville 17 $153,544 $53,915 $51,421
Duke University Medical CenterDurham 16 $220,741 $78,226 $61,437
Carolinas Medical Center/Behav HealthCharlotte 15 $253,043 $75,513 $49,306
New Hanover Regional Medical CenterWilmington 15 $251,875 $62,520 $59,206
Forsyth Memorial HospitalWinston-Salem 14 $134,914 $50,809 $44,188
ECU Health Medical CenterGreenville 14 $146,544 $58,186 $50,106
Wayne Memorial HospitalGoldsboro 13 $117,087 $56,429 $55,114
Cape Fear Valley Medical CenterFayetteville 13 $167,762 $54,167 $51,799
Memorial Mission Hospital and Asheville Surgery CeAsheville 11 $197,538 $48,823 $37,155
Wakemed, Raleigh CampusRaleigh 11 $197,380 $51,322 $48,640
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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

Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$48,823
Forsyth Memorial HospitalWinston-Salem, NC$50,809
Wakemed, Raleigh CampusRaleigh, NC$51,322
Onslow Memorial HospitalJacksonville, NC$53,915
Cape Fear Valley Medical CenterFayetteville, NC$54,167

Highest

Duke University Medical CenterDurham, NC$78,226
Carolinas Medical Center/Behav HealthCharlotte, NC$75,513
New Hanover Regional Medical CenterWilmington, NC$62,520
ECU Health Medical CenterGreenville, NC$58,186
Wayne Memorial HospitalGoldsboro, NC$56,429

Respiratory system diagnosis with ventilator support >96 hours in other states

Questions

How much does respiratory system diagnosis with ventilator support >96 hours cost in North Carolina?

In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207) at 10 hospitals in North Carolina was billed at $184,917 on average, while the average total payment was $59,741, of which Medicare paid $51,357. 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 3.1 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.