Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in North Carolina
What 6 hospitals in North Carolina charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$337,276
Hospital list price billed
Average payment
$121,981
Medicare + patient + other payers
Medicare paid
$96,873
Average per stay
State rank
#15 of 24
1 = lowest average payment
Hospitals in North Carolina billed an average of $337,276 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 2.8 times the average total payment of $121,981. That payment is 12% below the U.S. average of $139,119.
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 $121,981Billed $337,276
About 36¢ was paid for every $1 hospitals in North Carolina billed for this stay.
North Carolina hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 | 19 | $348,891 | $91,695 | $88,619 |
| ECU Health Medical CenterGreenville | 17 | $236,461 | $102,024 | $89,639 |
| North Carolina Baptist HospitalWinston-Salem | 14 | $408,893 | $150,070 | $86,243 |
| New Hanover Regional Medical CenterWilmington | 14 | $365,027 | $139,683 | $102,009 |
| Moses H Cone Memorial Hospital, theGreensboro | 12 | $216,044 | $83,364 | $76,604 |
| UNC HospitalsChapel Hill | 11 | $478,799 | $188,982 | $151,411 |
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
| Moses H Cone Memorial Hospital, theGreensboro, NC | $83,364 |
|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $91,695 |
| ECU Health Medical CenterGreenville, NC | $102,024 |
| New Hanover Regional Medical CenterWilmington, NC | $139,683 |
| North Carolina Baptist HospitalWinston-Salem, NC | $150,070 |
Highest
| UNC HospitalsChapel Hill, NC | $188,982 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $150,070 |
| New Hanover Regional Medical CenterWilmington, NC | $139,683 |
| ECU Health Medical CenterGreenville, NC | $102,024 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $91,695 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in North Carolina?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 6 hospitals in North Carolina was billed at $337,276 on average, while the average total payment was $121,981, of which Medicare paid $96,873. 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 2.8 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.