69/100
#670 nationally
Duke Regional Hospital
3643 N Roxboro Street, Durham, NC 27704 · (919) 470-4000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Duke Regional Hospital billed $3.79 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
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 97
- inpatient and outpatient combined
- Rank in NC
- #28
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 73% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 73% of U.S. hospitals.
Better than 71% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
290 | $12,237 | $2,436 | -37% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
252 | $50,843 | $11,653 | -19% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
207 | $28,932 | $4,649 | +5% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
204 | $41,783 | $15,852 | -36% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
161 | $29,577 | $11,017 | -32% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
127 | $16,702 | $2,515 | -6% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
110 | $23,878 | $2,925 | -5% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
110 | $24,197 | $5,007 | -30% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
93 | $83,489 | $16,774 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
93 | $14,705 | $2,803 | -23% |
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 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$188,366 | $27,840 | +27% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$24,618 | $2,920 | +21% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$111,927 | $17,537 | +17% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$13,141 | $1,615 | +12% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$41,575 | $7,372 | +10% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$19,250 | $2,570 | +6% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$28,932 | $4,649 | +5% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$53,725 | $9,590 | +4% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$2,838 | $1,416 | -67% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$27,464 | $12,045 | -52% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$18,899 | $8,196 | -52% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$37,313 | $16,421 | -51% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$18,511 | $8,363 | -49% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$26,838 | $12,483 | -49% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$24,128 | $10,983 | -49% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$28,869 | $12,615 | -49% |
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.