DUKE UNIVERSITY HOSPITAL
DURHAM, NC 27705 · Acute Care Hospitals
212 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
212
With CMS pricing data
Avg Charge-to-Medicare Ratio
4.2x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
0%
Compared to NC hospitals
Understanding Your Costs
When you receive a bill from DUKE UNIVERSITY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, DUKE UNIVERSITY HOSPITAL lists chargemaster rates that average 4.2x the corresponding Medicare reimbursement amount across 212 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NC has a chargemaster-to-Medicare ratio of 4.3x, with ratios across the state ranging from 1.2x to 8.8x. At 4.2x, this facility’s average ratio is below the state median. 78 hospitals in NC report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at DUKE UNIVERSITY HOSPITAL is OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC (DRG 206). The listed chargemaster rate is $101,409, while Medicare reimburses $12,734 for the same procedure — a ratio of 8.0x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
DUKE UNIVERSITY HOSPITAL is a proprietary acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $101,409 | $12,734 | 8.0x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $185,078 | $24,543 | 7.5x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $94,921 | $13,277 | 7.2x | 0th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $267,698 | $39,652 | 6.8x | 0th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $128,648 | $21,092 | 6.1x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $98,006 | $16,348 | 6.0x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $174,831 | $29,145 | 6.0x | 1th | Compare your bill |
| VIRAL ILLNESS WITHOUT MCC | 866 | $42,007 | $7,134 | 5.9x | 0th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $90,206 | $15,414 | 5.8x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $78,961 | $13,619 | 5.8x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $123,414 | $21,299 | 5.8x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $254,600 | $44,045 | 5.8x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $47,222 | $8,343 | 5.7x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $113,439 | $20,070 | 5.7x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $174,503 | $30,915 | 5.6x | 1th | Compare your bill |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $77,145 | $13,821 | 5.6x | 0th | Compare your bill |
| LUNG TRANSPLANT | 007 | $764,126 | $139,752 | 5.5x | 0th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $42,707 | $7,869 | 5.4x | — | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $37,762 | $7,001 | 5.4x | 1th | Compare your bill |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $74,812 | $13,878 | 5.4x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | 823 | $316,548 | $59,358 | 5.3x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $70,360 | $13,397 | 5.3x | 1th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $198,689 | $37,839 | 5.3x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $164,570 | $31,447 | 5.2x | 1th | Compare your bill |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $165,681 | $31,746 | 5.2x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $142,785 | $27,800 | 5.1x | 1th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $46,339 | $9,025 | 5.1x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $83,547 | $16,315 | 5.1x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $111,640 | $21,809 | 5.1x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $72,917 | $14,281 | 5.1x | 0th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $45,322 | $8,872 | 5.1x | 0th | Compare your bill |
| ACUTE LEUKEMIA WITH MCC | 834 | $305,963 | $60,239 | 5.1x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $41,381 | $8,168 | 5.1x | 0th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $325,344 | $64,214 | 5.1x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $219,614 | $43,489 | 5.0x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $41,246 | $8,246 | 5.0x | 0th | Compare your bill |
| SEIZURES WITH MCC | 100 | $97,751 | $19,565 | 5.0x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $54,015 | $10,800 | 5.0x | 0th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $34,757 | $6,948 | 5.0x | 0th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $148,374 | $29,808 | 5.0x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $45,804 | $9,241 | 5.0x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $37,583 | $7,636 | 4.9x | 0th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $193,926 | $39,494 | 4.9x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | 357 | $83,544 | $17,014 | 4.9x | 0th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $162,994 | $33,202 | 4.9x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $39,387 | $8,059 | 4.9x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $31,139 | $6,484 | 4.8x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $71,851 | $15,157 | 4.7x | 0th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $279,399 | $59,131 | 4.7x | 1th | Compare your bill |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $72,547 | $15,324 | 4.7x | 0th | Compare your bill |
Showing 50 of 212 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NC hospitals
78 hospitals in NC report pricing data to CMS. This facility's average ratio of 4.2x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About DUKE UNIVERSITY HOSPITAL
How much does DUKE UNIVERSITY HOSPITAL charge compared to Medicare?
According to CMS IPPS data, DUKE UNIVERSITY HOSPITAL's listed chargemaster rates average 4.2x the Medicare reimbursement amount across 212 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at DUKE UNIVERSITY HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at DUKE UNIVERSITY HOSPITAL is OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC (DRG 206), with a listed charge of $101,409 compared to Medicare reimbursement of $12,734 — a ratio of 8.0x. Source: CMS IPPS Provider Summary.
Is DUKE UNIVERSITY HOSPITAL expensive compared to other NC hospitals?
DUKE UNIVERSITY HOSPITAL's average chargemaster-to-Medicare ratio is 4.2x. Ratios vary significantly across NC hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for DUKE UNIVERSITY HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from DUKE UNIVERSITY HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does DUKE UNIVERSITY HOSPITAL in DURHAM, NC accept Medicare?
DUKE UNIVERSITY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact DUKE UNIVERSITY HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.