75/100
#494 nationally
North Carolina Specialty Hospital
3916 Ben Franklin Boulevard, Durham, NC 27704 · (919) 956-9300
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, North Carolina Specialty Hospital billed $3.45 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
- 3.5x
- volume-weighted across all its priced work
- Procedures priced
- 20
- inpatient and outpatient combined
- Rank in NC
- #15
- 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 56% of U.S. hospitals.
Better than 92% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 57% 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 |
591 | $5,202 | $2,084 | -56% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
415 | $40,601 | $11,671 | -35% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
122 | $26,436 | $6,453 | -34% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
87 | $62,422 | $16,281 | -25% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
51 | $2,822 | $1,837 | -78% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
43 | $8,679 | $1,709 | -24% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
42 | $10,564 | $3,668 | -49% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
40 | $42,319 | $12,492 | -47% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
36 | $8,898 | $2,890 | -56% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
25 | $3,450 | $2,108 | -76% |
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 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$29,890 | $6,169 | +14% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,679 | $1,709 | -24% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$82,345 | $20,257 | -24% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$62,422 | $16,281 | -25% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$123,917 | $33,463 | -30% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$26,436 | $6,453 | -34% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$40,601 | $11,671 | -35% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$65,594 | $16,519 | -36% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$2,822 | $1,837 | -78% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$3,450 | $2,108 | -76% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$2,835 | $1,450 | -75% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$11,797 | $5,204 | -66% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$8,898 | $3,121 | -62% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,206 | $1,462 | -58% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$8,898 | $2,890 | -56% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,202 | $2,084 | -56% |
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.