US Health Care Costs

Hip or thigh bone surgery (not replacement), with complications in North Carolina

MS-DRG 481: Hip and femur procedures except major joint with cc

$73,548typical hospital bill
$15,778typical amount paid
$13,734–$27,451range paid across 52 hospitals

North Carolina hospitals billed Medicare a typical $73,548 for this stay in 2024, about 4.7 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)

HospitalCityMedicare staysBilledPaid
Wakemed, Cary HospitalCary52$98,844$13,734
Frye Regional Medical CenterHickory13$123,772$13,844
Atrium Health PinevilleCharlotte52$97,393$14,281
Pardee Hospital Henderson CountyHendersonville50$51,143$14,315
Haywood Regional Medical CenterClyde18$73,016$14,353
Duke Health Lake Norman HospitalMooresville12$83,968$14,431
Caldwell Memorial HospitalLenoir11$56,026$14,534
Northern Regional HospitalMount Airy18$26,013$14,581
Unc Health NashRocky Mount25$59,030$14,623
Novant Health Matthews Medical CenterMatthews19$79,170$14,643
Novant Health Rowan Medical CenterSalisbury15$72,621$14,821
Iredell Memorial Hospital IncStatesville16$101,890$14,861
Johnston HealthSmithfield23$71,065$14,892
Firsthealth Moore Regional HospitalPinehurst61$74,170$15,018
Ecu Health North HospitalRoanoke Rapids15$46,933$15,065
Rex HospitalRaleigh52$54,205$15,190
Wilkes Regional Medical CenterNorth Wilkesboro15$80,803$15,322
Stanly Regional Medical CenterAlbemarle15$74,081$15,325
Atrium Health UnionMonroe30$86,538$15,351
High Point Regional Health SystemHigh Point25$76,116$15,437
Catawba Valley Medical CenterHickory32$57,771$15,439
Memorial Mission Hospital and Asheville Surgery CeAsheville135$97,083$15,460
Novant Health Forsyth Medical CenterWinston-Salem54$59,454$15,556
Novant Health Huntersville Medical CenterHuntersville27$70,205$15,601
Novant Health Brunswick Medical CenterSupply20$84,303$15,724
Alamance Regional Medical CenterBurlington27$55,348$15,741
Harris Regional HospitalSylva16$94,418$15,814
Caromont Regional Medical CenterGastonia47$75,938$15,894
Vidant Roanoke Chowan HospitalAhoskie11$46,279$15,920
Rutherford Regional Medical CenterRutherfordton13$86,081$15,941
Novant Health Presbyterian Medical CenterCharlotte47$91,496$16,067
Atrium Health ClevelandShelby30$86,032$16,165
Carolinas Medical Center-NortheastConcord52$106,347$16,360
Wilson Medical CenterWilson11$134,193$16,761
Cape Fear Valley Medical CenterFayetteville53$57,418$16,881
Blue Ridge Healthcare Hospitals, IncMorganton23$71,357$16,949
Unc Health Care WayneGoldsboro31$47,869$17,103
Duke Regional HospitalDurham27$63,301$17,163
The Moses H. Cone Memorial HospitalGreensboro76$54,651$17,405
Atrium Health University CityCharlotte12$102,305$17,417
Carolina East Medical CenterNew Bern63$50,187$17,511
Carteret General HospitalMorehead City41$30,973$17,529
Wakemed, Raleigh CampusRaleigh80$98,782$17,559
Novant Health New Hanover Regional Medical CenterWilmington146$76,207$17,683
Sentara Albemarle Medical CenterElizabeth City26$66,082$17,689
Ecu Health Medical CenterGreenville107$62,946$19,430
Betsy Johnson Regional HospitalDunn12$52,451$19,849
Watauga Medical CenterBoone23$55,186$20,066
Carolinas Medical Center/Behav HealthCharlotte80$136,913$23,563
Duke University HospitalDurham82$79,111$23,824
North Carolina Baptist HospitalWinston-Salem57$121,767$26,751
Unc HospitalsChapel Hill47$66,396$27,451

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.