Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in North Carolina
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$374,847typical hospital bill
$87,070typical amount paid
$78,397–$103,005range paid across 4 hospitals
North Carolina hospitals billed Medicare a typical $374,847 for this stay in 2024, about 4.3 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 | |
|---|---|---|---|---|---|
| Memorial Mission Hospital and Asheville Surgery Ce | Asheville | 24 | $451,551 | $78,397 | |
| Rex Hospital | Raleigh | 11 | $264,775 | $78,957 | |
| Duke University Hospital | Durham | 28 | $298,143 | $95,183 | |
| Carolinas Medical Center/Behav Health | Charlotte | 14 | $506,124 | $103,005 |
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.