Other Respiratory System O.r. Procedures with Mcc in North Carolina
MS-DRG 166: Other respiratory system o.r. procedures with mcc
$108,199typical hospital bill
$35,989typical amount paid
$30,945–$44,482range paid across 6 hospitals
North Carolina hospitals billed Medicare a typical $108,199 for this stay in 2024, about 3.0 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 | 15 | $176,304 | $30,945 | |
| Carolina East Medical Center | New Bern | 11 | $61,801 | $33,509 | |
| Novant Health New Hanover Regional Medical Center | Wilmington | 22 | $120,331 | $34,949 | |
| Ecu Health Medical Center | Greenville | 21 | $96,067 | $37,029 | |
| Duke University Hospital | Durham | 19 | $92,285 | $38,634 | |
| Carolinas Medical Center/Behav Health | Charlotte | 23 | $195,310 | $44,482 |
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.