CostGrade

All published prices at Duke University Hospital

312 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.

C
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%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

479 $18,583 $2,769 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

470 $20,717 $3,246 -9%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

360 $129,769 $21,094 about average
Sepsis (severe)

MS-DRG 871 · Inpatient stay

347 $67,361 $25,363 +3%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

316 $42,399 $17,678 about average
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

312 $54,727 $9,725 -19%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

293 $17,271 $3,075 -16%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

284 $14,732 $2,084 about average
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

282 $23,949 $4,575 -13%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

263 $41,941 $9,204 -30%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

261 $35,343 $6,320 -11%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

238 $25,233 $5,135 -28%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

233 $26,043 $3,925 -28%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

207 $8,158 $1,497 -28%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

192 $23,649 $5,205 -31%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

178 $16,742 $3,017 -28%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

174 $10,046 $1,734 -11%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

167 $99,812 $16,593 +20%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

165 $262,179 $48,140 +38%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

156 $47,991 $6,142 +25%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

153 $21,368 $3,420 -10%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

150 $28,307 $5,757 -28%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

145 $18,098 $2,859 -11%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

143 $15,030 $2,532 -9%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

134 $98,496 $34,104 +12%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

128 $55,756 $20,913 -30%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

126 $58,620 $23,014 +7%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

123 $27,522 $11,914 -15%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

109 $24,489 $11,765 -18%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

109 $28,003 $4,405 -7%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

108 $32,842 $12,928 -20%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

108 $161,572 $27,684 +43%
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications

MS-DRG 847 · Inpatient stay

106 $58,061 $18,964 +8%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

98 $44,424 $13,784 about average
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

98 $32,831 $13,920 -13%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

98 $26,815 $4,714 +11%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

95 $67,991 $24,241 -44%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

94 $43,490 $8,204 about average
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

91 $45,551 $20,539 -20%
Respiratory Failure

MS-DRG 189 · Inpatient stay

90 $49,346 $17,418 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

90 $42,747 $17,521 -8%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

90 $32,174 $5,064 -7%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

88 $114,445 $45,701 -41%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

87 $25,277 $10,734 -17%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

87 $36,578 $14,504 -7%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

87 $62,240 $9,621 +21%
Stroke (severe)

MS-DRG 064 · Inpatient stay

83 $85,069 $27,987 +12%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

83 $79,012 $28,143 -27%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

82 $124,474 $42,976 -32%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

82 $79,111 $23,824 -5%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

82 $83,630 $15,592 -12%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

82 $20,478 $4,356 -32%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

77 $21,212 $3,275 -3%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

77 $22,998 $6,806 -61%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

76 $190,929 $59,702 +7%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

75 $26,461 $11,699 -13%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

74 $47,223 $13,831 -13%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

74 $15,644 $2,759 -14%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

73 $67,410 $26,485 -14%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

73 $25,943 $12,417 -21%
Level 4 Extraocular, Repair, and Plastic Eye Procedures

APC 5504 · Hospital outpatient visit

73 $25,736 $3,487 +10%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

72 $51,382 $19,437 +6%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

69 $29,855 $17,853 -38%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

69 $42,724 $17,340 -17%
Other Respiratory System Diagnoses with Major Complications

MS-DRG 205 · Inpatient stay

68 $67,623 $24,885 -11%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

68 $90,947 $20,209 -11%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

68 $45,962 $20,978 -13%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

68 $30,919 $13,123 -17%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

68 $35,941 $5,136 +37%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

67 $21,443 $12,322 -30%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

67 $203,250 $28,943 +37%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

67 $25,418 $6,735 -38%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

66 $129,935 $38,625 -10%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

66 $228,126 $65,353 about average
Fainting

MS-DRG 312 · Inpatient stay

65 $29,573 $11,669 -19%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

62 $246,148 $66,027 +6%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

62 $42,018 $7,619 +11%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

61 $34,143 $15,409 -28%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

61 $10,921 $1,407 about average
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

60 $65,945 $27,091 -34%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

59 $34,829 $11,659 +10%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

59 $133,132 $32,236 -7%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

57 $11,316 $1,610 -40%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

56 $78,224 $24,973 +10%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

56 $4,690 $1,445 -45%
Level 8 Urology and Related Services

APC 5378 · Hospital outpatient visit

56 $100,768 $17,030 +16%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

54 $33,533 $16,180 -18%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

53 $60,770 $20,083 -27%
Level 3 Neurostimulator and Related Procedures

APC 5463 · Hospital outpatient visit

53 $51,300 $12,270 -12%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

52 $45,219 $14,147 +22%

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.