60/100
#951 nationally
Duke University Hospital
2301 Erwin Rd, Durham, NC 27705 · (919) 684-8111
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Duke University Hospital billed $3.62 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
- 3.6x
- volume-weighted across all its priced work
- Procedures priced
- 312
- inpatient and outpatient combined
- Rank in NC
- #36
- 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 70% of U.S. hospitals.
Better than 54% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 51% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,492 | $3,222 | $613 | about average |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
1,160 | $14,837 | $2,079 | +26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
879 | $8,020 | $1,422 | -20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
633 | $16,085 | $2,419 | -17% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
624 | $20,292 | $2,867 | -20% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
603 | $12,818 | $1,683 | +9% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
582 | $9,018 | $1,814 | -30% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
568 | $20,390 | $2,545 | +15% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
526 | $20,735 | $3,656 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
518 | $51,180 | $11,678 | -18% |
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 |
|---|---|---|---|
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay |
$97,163 | $21,093 | +110% |
|
Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy a
MS-DRG 837 · Inpatient stay |
$359,737 | $113,284 | +93% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications
MS-DRG 846 · Inpatient stay |
$196,898 | $53,901 | +83% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
$155,159 | $21,208 | +65% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$132,626 | $19,684 | +64% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$10,165 | $1,328 | +59% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$161,572 | $27,684 | +43% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$262,179 | $48,140 | +38% |
Where it charges least relative to everyone else
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.