Healthcare Pricing Data: DURHAM, NC
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
4.1x
Across all procedures
vs National Average
-26%
Chargemaster rates
About This Data
DURHAM, NC has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 4.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in DURHAM is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $159,013 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $128,440 | 3 | 4.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $51,313 | 3 | 3.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $159,013 | 2 | 4.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $157,145 | 2 | 4.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $122,863 | 2 | 6.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $100,723 | 2 | 3.5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $96,806 | 2 | 3.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $90,471 | 2 | 4.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $80,012 | 2 | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $73,797 | 2 | 4.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $65,779 | 2 | 3.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $64,421 | 2 | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $64,098 | 2 | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $61,165 | 2 | 3.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $59,703 | 2 | 3.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $57,472 | 2 | 4.0x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $57,147 | 2 | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $54,157 | 2 | 3.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $53,544 | 2 | 3.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $53,128 | 2 | 3.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $52,989 | 2 | 4.5x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $51,347 | 2 | 4.0x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $48,559 | 2 | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $47,657 | 2 | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $47,647 | 2 | 3.3x |
| DIABETES WITH MCC | 637 | $41,974 | 2 | 4.0x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $39,758 | 2 | 5.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $39,117 | 2 | 3.0x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,823 | 2 | 5.0x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,637 | 2 | 3.6x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in DURHAM With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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