The Price of Medicare Procedures in North Carolina



This table shows the 100 most frequently charged procedures/diagnosis in North Carolina to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 North-Carolina 1045 $18020 $5409 $12611
Acute Myocardial Infarction Discharged Alive With Complications
 North-Carolina 1768 $23032 $7922 $15110
Acute Myocardial Infarction Discharged Alive With Major Complications
 North-Carolina 2821 $31268 $12140 $19128
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 North-Carolina 941 $11813 $4506 $7307
Atherosclerosis No Major Complications
 North-Carolina 1457 $11840 $4012 $7828
Back And Neck Proc Exc Spinal Fusion No Complications
 North-Carolina 837 $22983 $6763 $16220
Bronchitis And Asthma No Complications
 North-Carolina 501 $11970 $4139 $7831
Bronchitis And Asthma With Complications
 North-Carolina 1137 $15255 $5911 $9344
Cardiac Arrhythmia And Conduction Disorders No Complications
 North-Carolina 4481 $10855 $3934 $6921
Cardiac Arrhythmia And Conduction Disorders With Complications
 North-Carolina 4280 $14669 $5810 $8859
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 North-Carolina 2756 $22422 $8780 $13642
Cellulitis No Major Complications
 North-Carolina 4003 $13979 $5681 $8298
Cellulitis With Major Complications
 North-Carolina 587 $25278 $10884 $14394
Cervical Spinal Fusion No Complications
 North-Carolina 1268 $47046 $14014 $33032
Chest Pain
 North-Carolina 5327 $12542 $3788 $8754
Chronic Obstructive Pulmonary Disease No Complications
 North-Carolina 3476 $13090 $4841 $8249
Chronic Obstructive Pulmonary Disease With Complications
 North-Carolina 5023 $16598 $6474 $10124
Chronic Obstructive Pulmonary Disease With Major Complications
 North-Carolina 5450 $20025 $7977 $12048
Circulatory Disorders Except Ami With Card Cath No Major Complications
 North-Carolina 5052 $25160 $7715 $17445
Circulatory Disorders Except Ami With Card Cath With Major Complications
 North-Carolina 1030 $41835 $15188 $26647
Cranial And Peripheral Nerve Disorders No Major Complications
 North-Carolina 949 $18343 $6343 $12000
Degenerative Nervous System Disorders No Major Complications
 North-Carolina 1067 $18880 $6931 $11949
Diabetes With Complications
 North-Carolina 2217 $14802 $5742 $9060
Disorders Of Pancreas Except Malignancy With Complications
 North-Carolina 881 $18942 $7209 $11733
Dysequilibrium
 North-Carolina 582 $14303 $4317 $9986
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 North-Carolina 8467 $14805 $5010 $9795
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 North-Carolina 1772 $22492 $8308 $14184
Extracranial Procedures No Complications
 North-Carolina 1141 $22007 $7052 $14955
Fractures Of Hip And Pelvis No Major Complications
 North-Carolina 763 $12703 $4921 $7782
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 North-Carolina 393 $14058 $5221 $8837
Gi Hemorrhage No Complications
 North-Carolina 982 $13258 $4913 $8345
Gi Hemorrhage With Complications
 North-Carolina 5245 $17587 $6877 $10710
Gi Hemorrhage With Major Complications
 North-Carolina 1883 $30201 $12281 $17920
Gi Obstruction No Complications
 North-Carolina 1172 $12805 $4533 $8272
Gi Obstruction With Complications
 North-Carolina 1598 $16501 $6542 $9959
Heart Failure And Shock No Complications
 North-Carolina 2933 $12262 $4640 $7622
Heart Failure And Shock With Complications
 North-Carolina 7889 $16617 $6986 $9631
Heart Failure And Shock With Major Complications
 North-Carolina 7777 $23957 $10019 $13938
Hip And Femur Procedures Except Major Joint No Complications
 North-Carolina 676 $29817 $10162 $19655
Hip And Femur Procedures Except Major Joint With Complications
 North-Carolina 2952 $36549 $12287 $24262
Hip And Femur Procedures Except Major Joint With Major Complications
 North-Carolina 788 $51964 $20393 $31571
Hypertension No Major Complications
 North-Carolina 886 $13258 $4339 $8919
Infectious And Parasitic Diseases Or Procedure With Major Complications
 North-Carolina 1358 $92138 $38487 $53651
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 North-Carolina 2321 $16936 $5642 $11294
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 North-Carolina 4370 $21044 $7833 $13211
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 North-Carolina 2609 $33640 $13385 $20255
Kidney And Urinary Tract Infections No Major Complications
 North-Carolina 6338 $14052 $5326 $8726
Kidney And Urinary Tract Infections With Major Complications
 North-Carolina 2795 $19339 $8154 $11185
Laparoscopic Cholecystectomy No Cde No Complications
 North-Carolina 577 $24457 $7823 $16634
Laparoscopic Cholecystectomy No Cde With Complications
 North-Carolina 649 $35564 $11600 $23964
Major Cardiovasc Procedures No Major Complications
 North-Carolina 1231 $68486 $22417 $46069
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 North-Carolina 932 $19451 $9005 $10446
Major Joint Replacement Of Lower Extremity No Major Complications
 North-Carolina 15820 $42293 $13554 $28739
Major Joint Replacement Of Lower Extremity With Major Complications
 North-Carolina 827 $61187 $22053 $39134
Major Small And Large Bowel Procedures With Complications
 North-Carolina 1836 $48047 $18338 $29709
Major Small And Large Bowel Procedures With Major Complications
 North-Carolina 1280 $94398 $37641 $56757
Medical Back Problems No Major Complications
 North-Carolina 1703 $16502 $5833 $10669
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 North-Carolina 5051 $13158 $4790 $8368
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 North-Carolina 2187 $19995 $8055 $11940
Other Circulatory System Diagnoses With Complications
 North-Carolina 617 $19173 $7357 $11816
Other Circulatory System Diagnoses With Major Complications
 North-Carolina 1939 $32616 $13658 $18958
Other Digestive System Diagnoses With Complications
 North-Carolina 1416 $18330 $7138 $11192
Other Kidney And Urinary Tract Diagnoses With Complications
 North-Carolina 879 $21486 $8647 $12839
Other Kidney And Urinary Tract Diagnoses With Major Complications
 North-Carolina 1002 $25965 $11967 $13998
Other Vascular Procedures No Complications
 North-Carolina 696 $37046 $11415 $25631
Other Vascular Procedures With Complications
 North-Carolina 1065 $52462 $17477 $34985
Other Vascular Procedures With Major Complications
 North-Carolina 1010 $59432 $22749 $36683
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 North-Carolina 1026 $58042 $14213 $43829
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 North-Carolina 3787 $58820 $13946 $44874
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 North-Carolina 941 $82893 $23286 $59607
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 North-Carolina 1282 $51126 $12571 $38555
Peripheral Vascular Disorders No Complications
 North-Carolina 428 $12337 $4767 $7570
Peripheral Vascular Disorders With Complications
 North-Carolina 1207 $16496 $6846 $9650
Permanent Cardiac Pacemaker Implant No Complications
 North-Carolina 878 $44272 $13890 $30382
Permanent Cardiac Pacemaker Implant With Complications
 North-Carolina 946 $57481 $18672 $38809
Poisoning And Toxic Effects Of Drugs No Major Complications
 North-Carolina 1154 $13125 $4359 $8766
Poisoning And Toxic Effects Of Drugs With Major Complications
 North-Carolina 906 $25574 $10443 $15131
Psychoses
 North-Carolina 2359 $13330 $6188 $7142
Pulmonary Edema And Respiratory Failure
 North-Carolina 5037 $21562 $8579 $12983
Pulmonary Embolism No Major Complications
 North-Carolina 1469 $18944 $7213 $11731
Red Blood Cell Disorders No Major Complications
 North-Carolina 3310 $14717 $5673 $9044
Red Blood Cell Disorders With Major Complications
 North-Carolina 1065 $22881 $9162 $13719
Renal Failure No Complications
 North-Carolina 781 $11357 $4583 $6774
Renal Failure With Complications
 North-Carolina 6124 $16705 $6949 $9756
Renal Failure With Major Complications
 North-Carolina 4394 $26632 $11435 $15197
Respiratory Infections And Inflammations With Complications
 North-Carolina 2154 $22947 $9860 $13087
Respiratory Infections And Inflammations With Major Complications
 North-Carolina 3483 $30856 $13291 $17565
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 North-Carolina 932 $93755 $36776 $56979
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 North-Carolina 2526 $45134 $16101 $29033
Seizures No Major Complications
 North-Carolina 1462 $16903 $5529 $11374
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 North-Carolina 4575 $19865 $7684 $12181
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 North-Carolina 13098 $32059 $12838 $19221
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 North-Carolina 755 $109177 $42735 $66442
Signs And Symptoms No Major Complications
 North-Carolina 1484 $13822 $4799 $9023
Simple Pneumonia And Pleurisy No Complications
 North-Carolina 2041 $13441 $4784 $8657
Simple Pneumonia And Pleurisy With Complications
 North-Carolina 5811 $17495 $6811 $10684
Simple Pneumonia And Pleurisy With Major Complications
 North-Carolina 5458 $25424 $9800 $15624
Spinal Fusion Except Cervical No Major Complications
 North-Carolina 2648 $85627 $26535 $59092
Syncope And Collapse
 North-Carolina 4197 $14967 $4973 $9994
Transient Ischemia
 North-Carolina 2833 $15482 $4882 $10600


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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