Heart valve replacement through a catheter (TAVR), with major complications in North Carolina
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$231,886typical hospital bill
$54,730typical amount paid
$40,279–$74,494range paid across 13 hospitals
North Carolina hospitals billed Medicare a typical $231,886 for this stay in 2024, about 4.2 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 | |
|---|---|---|---|---|---|
| Frye Regional Medical Center | Hickory | 15 | $322,755 | $40,279 | |
| Rex Hospital | Raleigh | 56 | $168,564 | $44,241 | |
| Carolinas Medical Center-Northeast | Concord | 16 | $244,085 | $45,347 | |
| Novant Health Presbyterian Medical Center | Charlotte | 39 | $186,668 | $46,295 | |
| Memorial Mission Hospital and Asheville Surgery Ce | Asheville | 46 | $310,469 | $46,497 | |
| Ecu Health Medical Center | Greenville | 28 | $172,485 | $52,906 | |
| Carolinas Medical Center/Behav Health | Charlotte | 64 | $231,886 | $54,730 | |
| Wakemed, Raleigh Campus | Raleigh | 21 | $340,983 | $54,899 | |
| Novant Health New Hanover Regional Medical Center | Wilmington | 49 | $190,492 | $57,115 | |
| The Moses H. Cone Memorial Hospital | Greensboro | 24 | $214,440 | $59,171 | |
| North Carolina Baptist Hospital | Winston-Salem | 41 | $263,907 | $60,423 | |
| Duke University Hospital | Durham | 30 | $313,424 | $69,983 | |
| Unc Hospitals | Chapel Hill | 14 | $168,425 | $74,494 |
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.