US Health Care Costs

Heart valve replacement through a catheter (TAVR) in North Carolina

MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc

$183,209typical hospital bill
$39,667typical amount paid
$33,964–$48,140range paid across 17 hospitals

North Carolina hospitals billed Medicare a typical $183,209 for this stay in 2024, about 4.6 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)

HospitalCityMedicare staysBilledPaid
Rex HospitalRaleigh74$139,110$33,964
Firsthealth Moore Regional HospitalPinehurst23$131,833$34,106
Novant Health Forsyth Medical CenterWinston-Salem40$149,886$34,373
Memorial Mission Hospital and Asheville Surgery CeAsheville36$239,362$35,145
Novant Health Presbyterian Medical CenterCharlotte76$156,178$35,188
Carolinas Medical Center-NortheastConcord22$204,146$35,191
Wakemed, Raleigh CampusRaleigh85$259,413$37,779
Caromont Regional Medical CenterGastonia29$183,209$38,263
Ecu Health Medical CenterGreenville90$144,877$39,667
Novant Health New Hanover Regional Medical CenterWilmington71$151,024$40,096
Carolinas Medical Center/Behav HealthCharlotte138$196,776$40,376
The Moses H. Cone Memorial HospitalGreensboro28$177,994$40,961
Carolina East Medical CenterNew Bern47$223,409$42,207
Cape Fear Valley Medical CenterFayetteville25$251,553$43,763
North Carolina Baptist HospitalWinston-Salem64$224,307$45,550
Unc HospitalsChapel Hill54$88,539$47,912
Duke University HospitalDurham165$262,179$48,140

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.