CostGrade

All published prices at Carolinas Medical Center/Behav Health

256 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

D
Procedure Patients Charged Actually paid vs national
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

1,020 $3,112 $584 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

465 $14,963 $1,675 +27%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

462 $20,743 $2,434 +7%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

428 $24,943 $2,443 +41%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

427 $87,927 $11,505 +41%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

367 $45,451 $4,589 +65%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

342 $14,072 $1,416 +40%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

314 $28,439 $3,087 +38%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

293 $24,126 $2,756 +26%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

293 $12,575 $1,767 about average
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

273 $238,806 $21,143 +80%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

267 $37,851 $2,901 +50%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

260 $94,586 $24,644 +45%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

252 $50,392 $4,995 +44%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

213 $82,979 $8,973 +39%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

212 $62,768 $6,339 +57%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

176 $117,791 $16,540 +42%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

176 $76,913 $9,739 +14%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

164 $31,980 $6,031 -17%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

155 $49,953 $15,709 +15%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

138 $196,776 $40,376 +4%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

124 $23,842 $3,343 +5%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

120 $37,559 $2,793 +84%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

109 $9,328 $1,394 +9%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

106 $57,839 $17,765 +24%
Stroke (severe)

MS-DRG 064 · Inpatient stay

105 $99,498 $25,066 +30%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

102 $38,356 $4,543 +6%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

102 $18,239 $3,387 -17%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

99 $37,077 $11,532 +15%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

98 $50,412 $4,946 +46%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

93 $86,654 $23,508 +57%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

93 $111,781 $13,900 +17%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

91 $33,991 $3,346 +43%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

91 $55,188 $5,757 +40%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

90 $162,088 $41,732 -16%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

89 $272,176 $57,121 +23%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

87 $138,689 $28,757 +11%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

84 $63,201 $16,652 +30%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

84 $26,947 $4,975 -10%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

82 $29,686 $3,049 +28%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

80 $136,913 $23,563 +64%
Psychoses

MS-DRG 885 · Inpatient stay

80 $44,769 $19,557 +24%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

78 $37,089 $12,608 +25%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

76 $213,570 $42,301 +21%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

75 $46,959 $14,296 +24%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

73 $28,971 $1,678 +155%
Fainting

MS-DRG 312 · Inpatient stay

71 $48,294 $12,684 +32%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

70 $67,258 $9,579 +31%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

67 $211,439 $54,158 -8%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

66 $77,250 $20,667 +36%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

66 $186,350 $34,596 +29%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

66 $41,600 $5,159 +21%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

65 $43,645 $12,976 +37%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

64 $231,886 $54,730 -4%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

62 $115,434 $25,610 +15%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

61 $59,494 $17,518 +46%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

58 $40,723 $4,411 +36%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

57 $54,023 $13,256 +19%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

57 $139,547 $28,715 +17%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

56 $37,251 $11,185 +22%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

56 $129,455 $24,708 +19%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

56 $145,200 $29,354 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

56 $31,943 $2,769 +76%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

56 $220,721 $6,997 +273%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

55 $38,517 $13,177 +26%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

54 $47,402 $15,626 about average
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

53 $317,084 $73,556 +78%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

53 $44,084 $5,497 +68%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

51 $17,880 $1,501 +57%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

50 $37,166 $12,667 +13%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

50 $19,143 $2,482 +15%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

49 $124,152 $27,759 +41%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

49 $66,853 $18,401 +26%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

47 $44,554 $13,723 +14%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

47 $184,780 $32,819 +42%
Respiratory Failure

MS-DRG 189 · Inpatient stay

45 $52,021 $16,359 +7%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

44 $47,426 $13,724 +55%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

44 $115,832 $21,264 +45%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

43 $340,427 $72,543 about average
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

43 $15,047 $1,444 +34%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

43 $114,950 $18,773 +42%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

42 $114,943 $31,861 +47%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

42 $65,885 $20,437 -7%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

42 $247,219 $54,076 +35%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

41 $834,180 $189,440 -5%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

40 $232,924 $40,402 +41%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

40 $53,500 $12,897 +30%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

39 $184,059 $46,121 about average
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

39 $56,279 $17,002 +10%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

39 $42,460 $13,588 +14%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

39 $213,832 $37,192 +42%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

38 $58,272 $20,838 +22%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

38 $132,671 $18,458 +30%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

38 $129,195 $23,630 +6%
Kidney Transplant

MS-DRG 652 · Inpatient stay

38 $286,403 $64,149 -3%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

36 $57,432 $17,733 about average
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

36 $21,947 $12,010 -33%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

35 $180,419 $37,495 +24%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

35 $62,082 $20,893 -3%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

35 $143,469 $23,741 +40%

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.