Major Chest Procedures with Mcc in North Carolina
MS-DRG 163: Major chest procedures with mcc
$151,213typical hospital bill
$42,594typical amount paid
$30,609–$72,652range paid across 11 hospitals
North Carolina hospitals billed Medicare a typical $151,213 for this stay in 2024, about 3.6 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 | |
|---|---|---|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte | 17 | $160,614 | $30,609 | |
| Rex Hospital | Raleigh | 18 | $75,963 | $33,856 | |
| Carolinas Medical Center-Northeast | Concord | 17 | $152,424 | $34,343 | |
| Memorial Mission Hospital and Asheville Surgery Ce | Asheville | 50 | $174,031 | $35,438 | |
| Cape Fear Valley Medical Center | Fayetteville | 12 | $124,741 | $37,483 | |
| Carolinas Medical Center/Behav Health | Charlotte | 18 | $226,145 | $42,594 | |
| Novant Health New Hanover Regional Medical Center | Wilmington | 21 | $114,006 | $43,431 | |
| Ecu Health Medical Center | Greenville | 19 | $122,781 | $48,814 | |
| Unc Hospitals | Chapel Hill | 35 | $108,576 | $50,481 | |
| Duke University Hospital | Durham | 32 | $151,213 | $53,816 | |
| North Carolina Baptist Hospital | Winston-Salem | 11 | $270,683 | $72,652 |
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.