64/100
#812 nationally
Duke Health Raleigh Hospital
3400 Wake Forest Rd, Raleigh, NC 27609
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Duke Health Raleigh Hospital billed $4.49 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 59
- inpatient and outpatient combined
- Rank in NC
- #34
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 59% of U.S. hospitals.
Better than 62% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 69% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
407 | $11,670 | $2,090 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
133 | $7,795 | $1,252 | -23% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
119 | $2,325 | $615 | -26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
111 | $60,571 | $11,558 | -3% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
102 | $68,200 | $16,594 | -18% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
93 | $12,814 | $2,380 | -34% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
84 | $16,160 | $3,626 | -22% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
77 | $26,887 | $4,659 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
74 | $26,008 | $6,372 | -35% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
73 | $43,009 | $14,278 | -34% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$163,175 | $27,876 | +45% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$12,453 | $1,528 | +9% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
$93,137 | $16,744 | +8% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$18,655 | $2,433 | +6% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$136,214 | $21,328 | about average |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$224,269 | $50,976 | about average |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$11,670 | $2,090 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,598 | $1,693 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$21,831 | $7,011 | -63% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$18,364 | $7,713 | -50% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$19,385 | $2,328 | -46% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$16,455 | $7,548 | -46% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$22,638 | $8,119 | -45% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$49,387 | $15,626 | -44% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$32,296 | $12,269 | -43% |
|
Cervical Spinal Fusion without Complications/mcc
MS-DRG 473 · Inpatient stay |
$51,893 | $18,253 | -43% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.