Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in North Carolina

MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc

$89,006typical hospital bill

$23,986typical amount paid

$20,245–$37,270range paid across 10 hospitals

North Carolina hospitals billed Medicare a typical $89,006 for this stay in 2024, about 3.7 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)

Hospital	City	Medicare stays	Billed	Paid
Novant Health Forsyth Medical Center	Winston-Salem	18	$88,987	$20,245
The Moses H. Cone Memorial Hospital	Greensboro	21	$71,755	$23,109
Carolinas Medical Center-Northeast	Concord	11	$129,987	$23,228
Cape Fear Valley Medical Center	Fayetteville	21	$84,423	$23,327
Wakemed, Raleigh Campus	Raleigh	13	$96,145	$23,983
Novant Health New Hanover Regional Medical Center	Wilmington	43	$89,025	$23,989
Memorial Mission Hospital and Asheville Surgery Ce	Asheville	21	$125,093	$24,366
Ecu Health Medical Center	Greenville	26	$74,239	$25,759
Duke University Hospital	Durham	27	$88,380	$35,417
North Carolina Baptist Hospital	Winston-Salem	21	$151,705	$37,270

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.