facebook tracking Traumatic stupor and coma <1 hour with major complications cost in North Carolina: 6 hospitals compared (DRG 085)

Traumatic stupor and coma <1 hour with major complications in North Carolina

What 6 hospitals in North Carolina charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.

DRG 085 Inpatient 2024 Medicare data
Average charge $61,369 Hospital list price billed
Average payment $18,738 Medicare + patient + other payers
Medicare paid $16,396 Average per stay
State rank #6 of 27 1 = lowest average payment

Hospitals in North Carolina billed an average of $61,369 for traumatic stupor and coma <1 hour with major complications, about 3.3 times the average total payment of $18,738. That payment is 15% below the U.S. average of $22,150.

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 $18,738Billed $61,369

About 31¢ 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: traumatic stupor and coma <1 hour with 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
Memorial Mission Hospital and Asheville Surgery CeAsheville 27 $60,055 $16,877 $15,359
Forsyth Memorial HospitalWinston-Salem 14 $76,960 $17,740 $16,568
New Hanover Regional Medical CenterWilmington 14 $62,429 $19,298 $17,228
Presbyterian HospitalCharlotte 12 $61,027 $15,256 $14,351
UNC HospitalsChapel Hill 12 $52,329 $26,511 $20,997
ECU Health Medical CenterGreenville 11 $53,634 $19,181 $14,875
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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

Presbyterian HospitalCharlotte, NC$15,256
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$16,877
Forsyth Memorial HospitalWinston-Salem, NC$17,740
ECU Health Medical CenterGreenville, NC$19,181
New Hanover Regional Medical CenterWilmington, NC$19,298

Highest

UNC HospitalsChapel Hill, NC$26,511
New Hanover Regional Medical CenterWilmington, NC$19,298
ECU Health Medical CenterGreenville, NC$19,181
Forsyth Memorial HospitalWinston-Salem, NC$17,740
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$16,877

Traumatic stupor and coma <1 hour with major complications in other states

Questions

How much does traumatic stupor and coma <1 hour with major complications cost in North Carolina?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 6 hospitals in North Carolina was billed at $61,369 on average, while the average total payment was $18,738, of which Medicare paid $16,396. 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 3.3 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.