Major Chest Procedures Without Cc/Mcc in North Carolina
MS-DRG 165: Major chest procedures without cc/mcc
$71,335typical hospital bill
$18,745typical amount paid
$15,269–$22,598range paid across 8 hospitals
North Carolina hospitals billed Medicare a typical $71,335 for this stay in 2024, about 3.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte | 23 | $124,761 | $15,269 | – | – | |
| Rex Hospital | Raleigh | 30 | $40,782 | $15,296 | – | – | |
| Novant Health New Hanover Regional Medical Center | Wilmington | 25 | $80,798 | $15,687 | – | $24,042$16,844–$33,194 · 13 plans | |
| Ecu Health Medical Center | Greenville | 21 | $58,748 | $18,014 | $49,284 | $21,546$20,398–$28,868 · 3 plans | |
| Carolinas Medical Center/Behav Health | Charlotte | 17 | $121,943 | $19,476 | – | – | |
| Duke University Hospital | Durham | 53 | $60,770 | $20,083 | $15,788 | $24,910$7,676–$28,006 · 9 plans | |
| North Carolina Baptist Hospital | Winston-Salem | 12 | $135,388 | $20,700 | – | – | |
| Unc Hospitals | Chapel Hill | 18 | $61,872 | $22,598 | – | – |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.