Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in North Carolina
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$85,911typical hospital bill
$15,894typical amount paid
$14,095–$22,504range paid across 5 hospitals
North Carolina hospitals billed Medicare a typical $85,911 for this stay in 2024, about 5.4 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 | 23 | $95,587 | $14,095 | |
| Novant Health New Hanover Regional Medical Center | Wilmington | 14 | $68,226 | $15,682 | |
| Wakemed, Raleigh Campus | Raleigh | 11 | $78,286 | $15,894 | |
| Carolinas Medical Center/Behav Health | Charlotte | 12 | $116,404 | $20,645 | |
| Duke University Hospital | Durham | 12 | $85,911 | $22,504 |
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.