facebook tracking Respiratory system diagnosis with ventilator support <=96 hours cost in North Carolina: 26 hospitals compared (DRG 208)

Respiratory system diagnosis with ventilator support <=96 hours in North Carolina

What 26 hospitals in North Carolina charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208), from 2024 Medicare claims.

DRG 208 Inpatient 2024 Medicare data
Average charge $91,360 Hospital list price billed
Average payment $25,039 Medicare + patient + other payers
Medicare paid $20,257 Average per stay
State rank #29 of 45 1 = lowest average payment

Hospitals in North Carolina billed an average of $91,360 for respiratory system diagnosis with ventilator support <=96 hours, about 3.6 times the average total payment of $25,039. That payment is 2% below the U.S. average of $25,674.

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 $25,039Billed $91,360

About 27¢ 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
Memorial Mission Hospital and Asheville Surgery CeAsheville 50 $93,317 $22,090 $17,809
ECU Health Medical CenterGreenville 46 $76,977 $24,866 $19,653
Cape Fear Valley Medical CenterFayetteville 44 $75,035 $22,197 $20,286
New Hanover Regional Medical CenterWilmington 41 $88,992 $23,314 $20,093
Duke University Medical CenterDurham 28 $99,077 $33,509 $24,435
North Carolina Baptist HospitalWinston-Salem 28 $98,041 $35,853 $23,554
Atrium Health PinevilleCharlotte 26 $107,032 $25,607 $15,067
Forsyth Memorial HospitalWinston-Salem 25 $77,568 $21,338 $18,047
Moses H Cone Memorial Hospital, theGreensboro 22 $75,115 $19,449 $17,775
UNC HospitalsChapel Hill 21 $137,936 $42,946 $29,536
Carolinas Medical Center/Behav HealthCharlotte 19 $144,748 $29,808 $22,224
Carolina East Medical CenterNew Bern 19 $52,863 $22,696 $21,666
Wayne Memorial HospitalGoldsboro 18 $66,326 $24,336 $23,208
Rex HospitalRaleigh 18 $90,890 $19,922 $16,202
Caromont Regional Medical CenterGastonia 16 $112,189 $21,783 $17,235
Onslow Memorial HospitalJacksonville 16 $76,979 $20,891 $19,975
Wakemed, Raleigh CampusRaleigh 14 $118,241 $26,232 $20,476
Firsthealth Moore Regional HospitalPinehurst 14 $135,602 $23,882 $20,531
Carolinas Medical Center-NortheastConcord 13 $82,289 $20,753 $18,670
Nash General HospitalRocky Mount 13 $75,967 $19,110 $18,111
Duke Regional HospitalDurham 13 $70,286 $20,589 $18,991
Watauga Medical CenterBoone 12 $118,069 $32,853 $23,637
Grace Hospital INCMorganton 12 $108,080 $22,240 $19,898
Iredell Memorial Hospital INCStatesville 11 $67,159 $18,505 $17,392
Southeastern Regional Medical CenterLumberton 11 $55,209 $27,372 $23,195
Presbyterian HospitalCharlotte 11 $100,898 $24,037 $22,586
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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

Iredell Memorial Hospital INCStatesville, NC$18,505
Nash General HospitalRocky Mount, NC$19,110
Moses H Cone Memorial Hospital, theGreensboro, NC$19,449
Rex HospitalRaleigh, NC$19,922
Duke Regional HospitalDurham, NC$20,589

Highest

UNC HospitalsChapel Hill, NC$42,946
North Carolina Baptist HospitalWinston-Salem, NC$35,853
Duke University Medical CenterDurham, NC$33,509
Watauga Medical CenterBoone, NC$32,853
Carolinas Medical Center/Behav HealthCharlotte, NC$29,808

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 208) at 26 hospitals in North Carolina was billed at $91,360 on average, while the average total payment was $25,039, of which Medicare paid $20,257. 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.