Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in North Carolina
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$292,206typical hospital bill
$72,965typical amount paid
$55,502–$105,264range paid across 12 hospitals
North Carolina hospitals billed Medicare a typical $292,206 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| Rex Hospital | Raleigh | 27 | $138,745 | $55,502 | |
| Atrium Health Pineville | Charlotte | 27 | $325,616 | $58,245 | |
| Memorial Mission Hospital and Asheville Surgery Ce | Asheville | 11 | $420,492 | $61,238 | |
| Wakemed, Raleigh Campus | Raleigh | 24 | $240,395 | $63,521 | |
| The Moses H. Cone Memorial Hospital | Greensboro | 12 | $253,308 | $64,103 | |
| Carolinas Medical Center/Behav Health | Charlotte | 43 | $340,427 | $72,543 | |
| Ecu Health Medical Center | Greenville | 30 | $204,496 | $73,387 | |
| Novant Health Presbyterian Medical Center | Charlotte | 11 | $367,363 | $74,020 | |
| Novant Health Forsyth Medical Center | Winston-Salem | 12 | $293,360 | $82,554 | |
| North Carolina Baptist Hospital | Winston-Salem | 28 | $360,111 | $86,352 | |
| Duke University Hospital | Durham | 48 | $281,421 | $88,938 | |
| Unc Hospitals | Chapel Hill | 14 | $291,053 | $105,264 |
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.