Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in North Carolina
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$246,148typical hospital bill
$44,210typical amount paid
$38,930–$66,027range paid across 13 hospitals
North Carolina hospitals billed Medicare a typical $246,148 for this stay in 2024, about 5.6 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 | 20 | $132,956 | $38,930 | |
| Memorial Mission Hospital and Asheville Surgery Ce | Asheville | 45 | $259,131 | $39,940 | |
| Novant Health Presbyterian Medical Center | Charlotte | 18 | $259,967 | $40,414 | |
| Atrium Health Pineville | Charlotte | 14 | $276,362 | $41,680 | |
| Novant Health Forsyth Medical Center | Winston-Salem | 14 | $159,893 | $42,573 | |
| Novant Health New Hanover Regional Medical Center | Wilmington | 18 | $224,493 | $43,645 | |
| Carolina East Medical Center | New Bern | 11 | $133,620 | $44,210 | |
| The Moses H. Cone Memorial Hospital | Greensboro | 13 | $201,189 | $46,926 | |
| Wakemed, Raleigh Campus | Raleigh | 34 | $278,228 | $49,407 | |
| North Carolina Baptist Hospital | Winston-Salem | 31 | $268,947 | $58,372 | |
| Carolinas Medical Center/Behav Health | Charlotte | 34 | $349,171 | $59,876 | |
| Unc Hospitals | Chapel Hill | 20 | $159,721 | $60,446 | |
| Duke University Hospital | Durham | 62 | $246,148 | $66,027 |
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.