CostGrade

All published prices at Duke Health Raleigh Hospital

59 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.

B
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%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

72 $12,272 $2,083 -15%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

71 $19,385 $2,328 -46%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

69 $11,598 $1,693 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

65 $22,000 $2,873 -13%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

61 $18,655 $2,433 +6%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

52 $29,056 $10,395 -33%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

49 $136,214 $21,328 about average
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

48 $10,662 $1,709 -6%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

45 $10,090 $1,834 -22%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

43 $15,460 $3,081 -25%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

42 $155,700 $36,720 -12%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

36 $21,417 $5,080 -39%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

35 $14,619 $2,973 -37%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

34 $17,596 $2,778 -14%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

34 $21,734 $3,293 -4%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

31 $97,328 $26,597 -33%
Level 8 Urology and Related Services

APC 5378 · Hospital outpatient visit

30 $93,137 $16,744 +8%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

27 $224,269 $50,976 about average
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

25 $22,638 $8,119 -45%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

24 $32,670 $8,657 -17%
Cervical Spinal Fusion without Complications/mcc

MS-DRG 473 · Inpatient stay

24 $51,893 $18,253 -43%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

24 $20,892 $5,105 -39%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

22 $34,357 $10,889 -26%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

22 $23,586 $6,969 -27%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

22 $38,769 $9,263 -35%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

20 $58,644 $14,527 -27%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

19 $36,068 $12,802 -34%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

19 $25,870 $5,871 -35%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

19 $13,544 $2,870 -29%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

17 $49,387 $15,626 -44%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

17 $78,333 $18,577 -24%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

17 $21,147 $3,432 -11%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

17 $8,887 $1,311 -21%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

17 $14,546 $2,528 -12%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

16 $21,363 $7,746 -43%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

16 $12,453 $1,528 +9%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

15 $73,644 $21,535 -38%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

15 $49,161 $9,346 -27%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

14 $22,465 $7,029 -25%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

14 $163,175 $27,876 +45%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

13 $16,455 $7,548 -46%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

12 $17,974 $6,582 -41%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

12 $32,296 $12,269 -43%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

12 $6,257 $1,346 -27%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

12 $21,831 $7,011 -63%
Fainting

MS-DRG 312 · Inpatient stay

11 $18,364 $7,713 -50%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

11 $35,627 $11,739 -33%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

11 $48,749 $12,441 -35%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

11 $15,409 $2,815 -15%

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.