Hospital · CCN 340030
Duke University Hospital
2301 Erwin Rd, Durham, NC 27705 · Durham County
Part of Duke University Health System · 1,048 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
251 admission types 69 outpatient services price file: ok
Billed per dollar paid, all admissions
3.07×
$854.7M billed against $278.0M paid across 9,300 Medicare discharges; the national figure is 5.03×.
5.5%
of adults in Durham County have medical debt in collections
10.6%
uninsured in the county · state 11.2%
$81K
median household income
3.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
36.1%
obesity in the countyⓘ
10.5%
diagnosed diabetes (PLACES)
5.0%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
347
$67,361
$25,363
2.7× st 3.5×
291
Heart failure and shock with mcc
316
$42,399
$17,678
2.4× st 3.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
165
$262,179
$48,140
5.4× st 4.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
134
$98,496
$34,104
2.9× st 3.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
128
$55,756
$20,913
2.7× st 4.5×
177
Respiratory infections and inflammations with mcc
126
$58,620
$23,014
2.5× st 3.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
123
$27,522
$11,914
2.3× st 3.6×
690
Kidney and urinary tract infections without mcc
109
$24,489
$11,765
2.1× st 3.5×
378
Gastrointestinal hemorrhage with cc
108
$32,842
$12,928
2.5× st 3.9×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
106
$58,061
$18,964
3.1× st 3.2×
699
Other kidney and urinary tract diagnoses with cc
98
$32,831
$13,920
2.4× st 3.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
98
$44,424
$13,784
3.2× st 4.2×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
95
$67,991
$24,241
2.8× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
91
$45,551
$20,539
2.2× st 3.0×
189
Pulmonary edema and respiratory failure
90
$49,346
$17,418
2.8× st 3.7×
193
Simple pneumonia and pleurisy with mcc
90
$42,747
$17,521
2.4× st 3.5×
025
Craniotomy and endovascular intracranial procedures with mcc
88
$114,445
$45,701
2.5× st 3.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
87
$36,578
$14,504
2.5× st 3.6×
309
Cardiac arrhythmia and conduction disorders with cc
87
$25,277
$10,734
2.4× st 3.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
83
$85,069
$27,987
3.0× st 3.7×
164
Major chest procedures with cc
83
$79,012
$28,143
2.8× st 4.1×
236
Coronary bypass without cardiac catheterization without mcc
82
$124,474
$42,976
2.9× st 4.2×
481
Hip and femur procedures except major joint with cc
82
$79,111
$23,824
3.3× st 4.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
76
$190,929
$59,702
3.2× st 3.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
75
$26,461
$11,699
2.3× st 3.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
74
$47,223
$13,831
3.4× st 4.6×
683
Renal failure with cc
73
$25,943
$12,417
2.1× st 3.4×
314
Other circulatory system diagnoses with mcc
73
$67,410
$26,485
2.5× st 3.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
72
$51,382
$19,437
2.6× st 3.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
69
$42,724
$17,340
2.5× st 3.4×
057
Degenerative nervous system disorders without mcc
69
$29,855
$17,853
1.7× st 3.0×
205
Other respiratory system diagnoses with mcc
68
$67,623
$24,885
2.7× st 2.9×
812
Red blood cell disorders without mcc
68
$30,919
$13,123
2.4× st 3.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
68
$90,947
$20,209
4.5× st 5.5×
682
Renal failure with mcc
68
$45,962
$20,978
2.2× st 3.3×
603
Cellulitis without mcc
67
$21,443
$12,322
1.7× st 3.0×
270
Other major cardiovascular procedures with mcc
66
$228,126
$65,353
3.5× st 3.7×
460
Spinal fusion except cervical without mcc
66
$129,935
$38,625
3.4× st 4.8×
312
Syncope and collapse
65
$29,573
$11,669
2.5× st 3.9×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
62
$246,148
$66,027
3.7× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
61
$34,143
$15,409
2.2× st 3.6×
330
Major small and large bowel procedures with cc
60
$65,945
$27,091
2.4× st 4.0×
194
Simple pneumonia and pleurisy with cc
59
$34,829
$11,659
3.0× st 3.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
59
$133,132
$32,236
4.1× st 4.7×
377
Gastrointestinal hemorrhage with mcc
56
$78,224
$24,973
3.1× st 3.7×
689
Kidney and urinary tract infections with mcc
54
$33,533
$16,180
2.1× st 3.3×
165
Major chest procedures without cc/mcc
53
$60,770
$20,083
3.0× st 4.2×
178
Respiratory infections and inflammations with cc
52
$45,219
$14,147
3.2× st 3.6×
455
Combined anterior and posterior spinal fusion without cc/mcc
52
$202,129
$51,637
3.9× st 4.4×
393
Other digestive system diagnoses with mcc
52
$66,607
$23,687
2.8× st 3.2×
660
Kidney and ureter procedures for non-neoplasm with cc
52
$48,696
$16,407
3.0× st 4.0×
274
Percutaneous and other intracardiac procedures without mcc
51
$159,639
$32,592
4.9× st 5.0×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
50
$35,148
$14,797
2.4× st 3.0×
811
Red blood cell disorders with mcc
49
$49,844
$18,593
2.7× st 3.4×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
49
$69,057
$19,045
3.6× st 3.2×
468
Revision of hip or knee replacement without cc/mcc
49
$90,725
$27,445
3.3× st 5.0×
467
Revision of hip or knee replacement with cc
48
$113,017
$36,719
3.1× st 4.5×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
48
$281,421
$88,938
3.2× st 3.8×
329
Major small and large bowel procedures with mcc
47
$165,782
$55,033
3.0× st 3.6×
026
Craniotomy and endovascular intracranial procedures with cc
47
$67,246
$31,251
2.2× st 3.8×
454
Combined anterior and posterior spinal fusion with cc
45
$236,625
$66,608
3.6× st 4.3×
394
Other digestive system diagnoses with cc
45
$31,263
$12,884
2.4× st 3.4×
919
Complications of treatment with mcc
45
$74,721
$26,437
2.8× st 3.1×
389
Gastrointestinal obstruction with cc
44
$25,093
$11,596
2.2× st 3.4×
252
Other vascular procedures with mcc
44
$131,958
$43,905
3.0× st 3.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
43
$165,846
$60,476
2.7× st 3.7×
432
Cirrhosis and alcoholic hepatitis with mcc
43
$89,220
$32,228
2.8× st 3.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
42
$46,550
$17,144
2.7× st 3.5×
190
Chronic obstructive pulmonary disease with mcc
42
$33,587
$14,853
2.3× st 3.6×
472
Cervical spinal fusion with cc
42
$88,751
$30,805
2.9× st 4.1×
101
Seizures without mcc
40
$34,971
$12,550
2.8× st 3.7×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
40
$911,161
$275,733
3.3× st 3.5×
331
Major small and large bowel procedures without cc/mcc
40
$50,352
$17,965
2.8× st 4.4×
638
Diabetes with cc
40
$27,272
$12,233
2.2× st 3.2×
473
Cervical spinal fusion without cc/mcc
39
$69,451
$24,915
2.8× st 3.3×
406
Pancreas, liver and shunt procedures with cc
39
$75,880
$31,170
2.4× st 3.8×
206
Other respiratory system diagnoses without mcc
39
$97,163
$21,093
4.6× st 4.1×
315
Other circulatory system diagnoses with cc
39
$49,107
$14,420
3.4× st 3.3×
253
Other vascular procedures with cc
39
$82,826
$29,749
2.8× st 3.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
38
$73,992
$26,086
2.8× st 4.6×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
38
$196,540
$61,589
3.2× st 3.6×
840
Lymphoma and non-acute leukemia with mcc
37
$194,025
$67,227
2.9× st 3.2×
100
Seizures with mcc
37
$72,353
$25,435
2.8× st 3.9×
280
Acute myocardial infarction, discharged alive with mcc
37
$56,660
$20,928
2.7× st 3.6×
920
Complications of treatment with cc
37
$36,503
$14,436
2.5× st 3.0×
054
Nervous system neoplasms with mcc
36
$51,522
$18,560
2.8× st 2.9×
948
Signs and symptoms without mcc
35
$25,753
$11,745
2.2× st 3.7×
001
Heart transplant or implant of heart assist system with mcc
35
$1,034,932
$307,565
3.4× st 3.6×
445
Disorders of the biliary tract with cc
35
$38,589
$14,419
2.7× st 4.1×
180
Respiratory neoplasms with mcc
34
$65,296
$23,267
2.8× st 3.3×
281
Acute myocardial infarction, discharged alive with cc
34
$33,253
$12,192
2.7× st 4.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
34
$16,560
$8,339
2.0× st 3.6×
652
Kidney transplant
33
$211,606
$34,274
6.2× st 5.2×
435
Malignancy of hepatobiliary system or pancreas with mcc
33
$57,999
$21,422
2.7× st 3.5×
813
Coagulation disorders
33
$68,485
$21,602
3.2× st 3.4×
196
Interstitial lung disease with mcc
32
$69,804
$26,831
2.6× st 3.3×
163
Major chest procedures with mcc
32
$151,213
$53,816
2.8× st 3.4×
552
Medical back problems without mcc
32
$36,716
$14,282
2.6× st 3.7×
091
Other disorders of nervous system with mcc
32
$70,975
$26,149
2.7× st 3.2×
092
Other disorders of nervous system with cc
31
$35,498
$14,791
2.4× st 3.5×
907
Other o.r. procedures for injuries with mcc
31
$162,145
$54,058
3.0× st 3.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
30
$36,832
$15,002
2.5× st 3.3×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
30
$49,974
$24,509
2.0× st 3.0×
070
Other cerebrovascular disorders with mcc
30
$61,880
$25,867
2.4× st 3.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
30
$313,424
$69,983
4.5× st 4.4×
480
Hip and femur procedures except major joint with mcc
30
$97,204
$34,788
2.8× st 4.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
28
$99,077
$33,509
3.0× st 3.6×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
28
$298,143
$95,183
3.1× st 4.3×
264
Other circulatory system o.r. procedures
28
$138,422
$49,673
2.8× st 3.0×
834
Acute leukemia with mcc
28
$323,241
$99,273
3.3× st 2.9×
273
Percutaneous and other intracardiac procedures with mcc
28
$182,726
$46,832
3.9× st 5.0×
521
Hip replacement with principal diagnosis of hip fracture with mcc
27
$88,380
$35,417
2.5× st 3.7×
292
Heart failure and shock with cc
27
$29,811
$13,348
2.2× st 3.0×
908
Other o.r. procedures for injuries with cc
27
$50,824
$21,911
2.3× st 2.7×
243
Permanent cardiac pacemaker implant with cc
26
$115,445
$25,917
4.5× st 4.8×
551
Medical back problems with mcc
26
$62,209
$21,517
2.9× st 3.4×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
26
$147,455
$58,669
2.5× st 3.4×
444
Disorders of the biliary tract with mcc
25
$70,256
$22,237
3.2× st 3.7×
657
Kidney and ureter procedures for neoplasm with cc
25
$60,996
$21,194
2.9× st 3.9×
644
Endocrine disorders with cc
25
$32,158
$14,333
2.2× st 3.2×
300
Peripheral vascular disorders with cc
25
$30,204
$12,987
2.3× st 3.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
25
$62,643
$19,584
3.2× st 4.8×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
25
$241,445
$79,922
3.0× st 4.1×
407
Pancreas, liver and shunt procedures without cc/mcc
25
$53,623
$23,662
2.3× st 2.3×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
24
$122,287
$31,202
3.9× st 4.5×
673
Other kidney and urinary tract procedures with mcc
24
$118,826
$50,814
2.3× st 2.8×
862
Postoperative and post-traumatic infections with mcc
24
$59,002
$23,679
2.5× st 2.5×
327
Stomach, esophageal and duodenal procedures with cc
24
$72,940
$27,788
2.6× st 3.9×
864
Fever and inflammatory conditions
24
$38,241
$11,809
3.2× st 3.2×
167
Other respiratory system o.r. procedures with cc
23
$56,259
$20,837
2.7× st 2.7×
176
Pulmonary embolism without mcc
23
$29,809
$11,353
2.6× st 3.6×
183
Major chest trauma with mcc
23
$69,949
$23,429
3.0× st 3.6×
184
Major chest trauma with cc
23
$49,051
$14,100
3.5× st 4.0×
483
Major joint or limb reattachment procedures of upper extremities
23
$99,094
$26,973
3.7× st 4.5×
271
Other major cardiovascular procedures with cc
23
$129,043
$38,076
3.4× st 4.3×
658
Kidney and ureter procedures for neoplasm without cc/mcc
22
$48,489
$16,768
2.9× st 4.6×
235
Coronary bypass without cardiac catheterization with mcc
22
$191,352
$67,569
2.8× st 3.6×
866
Viral illness without mcc
22
$23,347
$11,835
2.0× st 2.0×
328
Stomach, esophageal and duodenal procedures without cc/mcc
21
$52,112
$18,872
2.8× st 3.9×
005
Liver transplant with mcc or intestinal transplant
21
$448,897
$137,594
3.3× st 3.3×
229
Other cardiothoracic procedures without mcc
21
$171,153
$34,537
5.0× st 4.4×
841
Lymphoma and non-acute leukemia with cc
21
$106,000
$33,226
3.2× st 3.6×
388
Gastrointestinal obstruction with mcc
21
$37,276
$18,688
2.0× st 2.8×
554
Bone diseases and arthropathies without mcc
21
$32,311
$12,675
2.5× st 3.1×
375
Digestive malignancy with cc
21
$38,562
$15,912
2.4× st 3.1×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
21
$32,744
$16,879
1.9× st 3.4×
863
Postoperative and post-traumatic infections without mcc
21
$24,431
$12,894
1.9× st 2.4×
439
Disorders of pancreas except malignancy with cc
21
$36,301
$14,522
2.5× st 3.4×
254
Other vascular procedures without cc/mcc
21
$73,292
$19,968
3.7× st 4.0×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
20
$176,453
$54,052
3.3× st 4.6×
326
Stomach, esophageal and duodenal procedures with mcc
20
$138,967
$59,512
2.3× st 3.3×
299
Peripheral vascular disorders with mcc
20
$42,579
$20,657
2.1× st 2.8×
390
Gastrointestinal obstruction without cc/mcc
20
$18,785
$8,976
2.1× st 3.3×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
20
$196,898
$53,901
3.7× st 2.7×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
20
$39,436
$22,952
1.7× st 2.9×
181
Respiratory neoplasms with cc
20
$36,968
$14,194
2.6× st 2.8×
074
Cranial and peripheral nerve disorders without mcc
19
$44,254
$13,400
3.3× st 3.6×
428
Multiple level combined anterior and posterior spinal fusion except cervical without cc/
19
$239,445
$58,771
4.1× st 4.5×
242
Permanent cardiac pacemaker implant with mcc
19
$169,678
$49,797
3.4× st 4.2×
947
Signs and symptoms with mcc
19
$72,569
$21,808
3.3× st 3.7×
033
Ventricular shunt procedures without cc/mcc
19
$61,957
$17,457
3.5× st 4.1×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
19
$60,737
$22,981
2.6× st 4.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
19
$213,675
$44,733
4.8× st 4.8×
166
Other respiratory system o.r. procedures with mcc
19
$92,285
$38,634
2.4× st 3.4×
602
Cellulitis with mcc
19
$46,975
$21,592
2.2× st 3.1×
356
Other digestive system o.r. procedures with mcc
19
$162,127
$50,816
3.2× st 3.5×
659
Kidney and ureter procedures for non-neoplasm with mcc
19
$123,751
$35,426
3.5× st 3.8×
427
Multiple level combined anterior and posterior spinal fusion except cervical with cc
19
$313,093
$90,124
3.5× st 4.0×
200
Pneumothorax with cc
18
$51,052
$16,077
3.2× st 3.5×
402
Single level combined anterior and posterior spinal fusion except cervical
18
$126,772
$39,321
3.2× st 4.1×
433
Cirrhosis and alcoholic hepatitis with cc
18
$31,954
$14,467
2.2× st 3.2×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
18
$46,341
$13,120
3.5× st 4.2×
374
Digestive malignancy with mcc
18
$62,105
$26,055
2.4× st 3.0×
371
Major gastrointestinal disorders and peritoneal infections with mcc
18
$54,072
$28,546
1.9× st 3.2×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$32,428
$15,059
2.2× st 3.5×
615
Adrenal and pituitary procedures without cc/mcc
18
$42,866
$15,344
2.8× st 2.8×
277
Cardiac defibrillator implant without mcc
17
$281,442
$53,492
5.3× st 5.0×
654
Major bladder procedures with cc
17
$101,188
$33,470
3.0× st 4.3×
637
Diabetes with mcc
17
$34,601
$18,405
1.9× st 3.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$24,436
$12,605
1.9× st 3.4×
007
Lung transplant
17
$611,496
$130,487
4.7× st 4.7×
191
Chronic obstructive pulmonary disease with cc
17
$22,801
$11,597
2.0× st 3.5×
202
Bronchitis and asthma with cc/mcc
17
$25,811
$13,884
1.9× st 3.3×
405
Pancreas, liver and shunt procedures with mcc
17
$160,783
$60,970
2.6× st 3.0×
545
Connective tissue disorders with mcc
17
$136,339
$42,465
3.2× st 3.4×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
17
$81,771
$28,674
2.9× st 2.9×
708
Major male pelvic procedures without cc/mcc
16
$41,900
$16,272
2.6× st 4.4×
884
Organic disturbances and intellectual disability
16
$29,058
$20,163
1.4× st 2.6×
217
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
16
$212,964
$69,058
3.1× st 4.1×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
16
$119,904
$51,788
2.3× st 2.3×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
16
$85,269
$30,442
2.8× st 4.1×
207
Respiratory system diagnosis with ventilator support >96 hours
16
$220,741
$78,226
2.8× st 3.1×
674
Other kidney and urinary tract procedures with cc
15
$116,918
$39,949
2.9× st 2.7×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
15
$169,241
$38,294
4.4× st 4.2×
071
Other cerebrovascular disorders with cc
15
$40,582
$13,915
2.9× st 4.0×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
15
$67,805
$33,021
2.1× st 2.9×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$66,929
$24,976
2.7× st 4.0×
260
Cardiac pacemaker revision except device replacement with mcc
15
$169,397
$50,168
3.4× st 3.4×
917
Poisoning and toxic effects of drugs with mcc
15
$41,112
$19,382
2.1× st 3.5×
546
Connective tissue disorders with cc
15
$34,188
$15,485
2.2× st 2.2×
643
Endocrine disorders with mcc
15
$46,803
$20,254
2.3× st 3.1×
056
Degenerative nervous system disorders with mcc
15
$92,501
$27,834
3.3× st 3.3×
519
Back and neck procedures except spinal fusion with cc
15
$87,705
$28,543
3.1× st 4.2×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
14
$359,737
$113,284
3.2× st 2.6×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
14
$94,724
$32,252
2.9× st 3.4×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
14
$139,454
$48,865
2.9× st 3.3×
964
Other multiple significant trauma with cc
14
$57,224
$20,190
2.8× st 3.5×
039
Extracranial procedures without cc/mcc
14
$48,993
$12,730
3.8× st 4.5×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
14
$178,265
$54,822
3.3× st 2.9×
436
Malignancy of hepatobiliary system or pancreas with cc
14
$30,312
$14,637
2.1× st 2.6×
305
Hypertension without mcc
14
$24,863
$11,354
2.2× st 3.9×
451
Single level spinal fusion except cervical without mcc
13
$92,073
$31,630
2.9× st 4.4×
448
Multiple level spinal fusion except cervical without mcc
13
$140,499
$41,801
3.4× st 4.7×
244
Permanent cardiac pacemaker implant without cc/mcc
13
$75,805
$19,222
3.9× st 4.9×
240
Amputation for circulatory system disorders except upper limb and toe with cc
13
$110,550
$35,304
3.1× st 3.1×
909
Other o.r. procedures for injuries without cc/mcc
13
$65,202
$16,848
3.9× st 3.9×
123
Neurological eye disorders
13
$42,782
$11,290
3.8× st 3.8×
103
Headaches without mcc
13
$20,810
$10,044
2.1× st 3.9×
838
Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherap
13
$74,580
$31,623
2.4× st 2.0×
055
Nervous system neoplasms without mcc
13
$60,555
$19,053
3.2× st 3.2×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
13
$151,104
$41,728
3.6× st 4.2×
694
Urinary stones without mcc
13
$33,161
$10,690
3.1× st 3.1×
536
Fractures of hip and pelvis without mcc
13
$21,701
$11,938
1.8× st 3.6×
827
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
13
$62,954
$25,730
2.4× st 2.4×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$66,212
$23,797
2.8× st 3.3×
204
Respiratory signs and symptoms
12
$27,901
$10,096
2.8× st 2.8×
168
Other respiratory system o.r. procedures without cc/mcc
12
$45,797
$14,909
3.1× st 3.1×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$245,441
$79,113
3.1× st 4.0×
125
Other disorders of the eye without mcc
12
$29,642
$12,070
2.5× st 3.1×
650
Kidney transplant with hemodialysis with mcc
12
$270,999
$63,626
4.3× st 5.0×
656
Kidney and ureter procedures for neoplasm with mcc
12
$116,648
$41,329
2.8× st 3.6×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
12
$44,439
$15,265
2.9× st 4.2×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
12
$85,911
$22,504
3.8× st 5.2×
012
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
12
$141,730
$43,411
3.3× st 3.1×
069
Transient ischemia without thrombolytic
11
$46,443
$9,880
4.7× st 4.7×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
11
$146,585
$57,119
2.6× st 4.1×
669
Transurethral procedures with cc
11
$35,524
$18,142
2.0× st 3.7×
474
Amputation for musculoskeletal system and connective tissue disorders with mcc
11
$170,778
$59,447
2.9× st 2.9×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$31,733
$12,467
2.5× st 1.9×
843
Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mc
11
$56,512
$23,214
2.4× st 2.4×
520
Back and neck procedures except spinal fusion without cc/mcc
11
$57,852
$19,441
3.0× st 4.6×
614
Adrenal and pituitary procedures with cc/mcc
11
$60,236
$24,867
2.4× st 2.3×
357
Other digestive system o.r. procedures with cc
11
$67,955
$25,490
2.7× st 3.2×
823
Lymphoma and non-acute leukemia with other procedures with mcc
11
$167,975
$61,347
2.7× st 2.7×
268
Aortic and heart assist procedures except pulsation balloon with mcc
11
$241,948
$84,689
2.9× st 3.8×
822
Lymphoma and leukemia with major o.r. procedures without cc/mcc
11
$38,458
$13,505
2.8× st 2.8×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
11
$34,101
$13,098
2.6× st 3.6×
870
Septicemia or severe sepsis with mv >96 hours
11
$232,653
$83,694
2.8× st 3.6×
313
Chest pain
11
$28,413
$9,906
2.9× st 4.4×
228
Other cardiothoracic procedures with mcc
11
$223,704
$54,135
4.1× st 3.5×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$33,066
$10,292
3.2× st 4.6×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5372
Level 2 Urology and Related Services
1,492
$3,222
$613
5.3×
5491
Level 1 Intraocular Procedures
1,160
$14,837
$2,079
7.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
879
$8,020
$1,422
5.6×
8011
Comprehensive Observation Services
633
$16,085
$2,419
6.6×
5191
Level 1 Endovascular Procedures
624
$20,292
$2,867
7.1×
5302
Level 2 Upper GI Procedures
603
$12,818
$1,683
7.6×
5373
Level 3 Urology and Related Services
582
$9,018
$1,814
5.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
568
$20,390
$2,545
8.0×
5492
Level 2 Intraocular Procedures
526
$20,735
$3,656
5.7×
5115
Level 5 Musculoskeletal Procedures
518
$51,180
$11,678
4.4×
5183
Level 3 Vascular Procedures
479
$18,583
$2,769
6.7×
5154
Level 4 Airway Endoscopy
470
$20,717
$3,246
6.4×
5213
Level 3 Electrophysiologic Procedures
360
$129,769
$21,094
6.2×
5193
Level 3 Endovascular Procedures
312
$54,727
$9,725
5.6×
5374
Level 4 Urology and Related Services
293
$17,271
$3,075
5.6×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
284
$14,732
$2,084
7.1×
5375
Level 5 Urology and Related Services
282
$23,949
$4,575
5.2×
5362
Level 2 Laparoscopy and Related Services
263
$41,941
$9,204
4.6×
5114
Level 4 Musculoskeletal Procedures
261
$35,343
$6,320
5.6×
5361
Level 1 Laparoscopy and Related Services
238
$25,233
$5,135
4.9×
5184
Level 4 Vascular Procedures
233
$26,043
$3,925
6.6×
5153
Level 3 Airway Endoscopy
207
$8,158
$1,497
5.5×
5165
Level 5 ENT Procedures
192
$23,649
$5,205
4.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
178
$16,742
$3,017
5.5×
5431
Level 1 Nerve Procedures
174
$10,046
$1,734
5.8×
5116
Level 6 Musculoskeletal Procedures
167
$99,812
$16,593
6.0×
5155
Level 5 Airway Endoscopy
156
$47,991
$6,142
7.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
153
$21,368
$3,420
6.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
150
$28,307
$5,757
4.9×
5113
Level 3 Musculoskeletal Procedures
145
$18,098
$2,859
6.3×
5313
Level 3 Lower GI Procedures
143
$15,030
$2,532
5.9×
5331
Complex GI Procedures
109
$28,003
$4,405
6.4×
5465
Level 5 Neurostimulator and Related Procedures
108
$161,572
$27,684
5.8×
5493
Level 3 Intraocular Procedures
98
$26,815
$4,714
5.7×
5376
Level 6 Urology and Related Services
94
$43,490
$8,204
5.3×
5192
Level 2 Endovascular Procedures
90
$32,174
$5,064
6.4×
5223
Level 3 Pacemaker and Similar Procedures
87
$62,240
$9,621
6.5×
5415
Level 5 Gynecologic Procedures
82
$20,478
$4,356
4.7×
5194
Level 4 Endovascular Procedures
82
$83,630
$15,592
5.4×
5303
Level 3 Upper GI Procedures
77
$21,212
$3,275
6.5×
5627
Level 7 Radiation Therapy
77
$22,998
$6,806
3.4×
5414
Level 4 Gynecologic Procedures
74
$15,644
$2,759
5.7×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
73
$25,736
$3,487
7.4×
5462
Level 2 Neurostimulator and Related Procedures
68
$35,941
$5,136
7.0×
5416
Level 6 Gynecologic Procedures
67
$25,418
$6,735
3.8×
5232
Level 2 ICD and Similar Procedures
67
$203,250
$28,943
7.0×
5222
Level 2 Pacemaker and Similar Procedures
62
$42,018
$7,619
5.5×
5112
Level 2 Musculoskeletal Procedures
61
$10,921
$1,407
7.8×
5164
Level 4 ENT Procedures
57
$11,316
$1,610
7.0×
5378
Level 8 Urology and Related Services
56
$100,768
$17,030
5.9×
5182
Level 2 Vascular Procedures
56
$4,690
$1,445
3.2×
5463
Level 3 Neurostimulator and Related Procedures
53
$51,300
$12,270
4.2×
5224
Level 4 Pacemaker and Similar Procedures
51
$114,145
$17,537
6.5×
5464
Level 4 Neurostimulator and Related Procedures
36
$132,626
$19,684
6.7×
5166
Cochlear Implant Procedure
31
$164,817
$30,158
5.5×
5163
Level 3 ENT Procedures
29
$10,165
$1,328
7.7×
5432
Level 2 Nerve Procedures
27
$32,647
$4,896
6.7×
5200
Implantation Wireless PA Pressure Monitor
26
$144,759
$26,142
5.5×
5231
Level 1 ICD and Similar Procedures
17
$155,159
$21,208
7.3×
5461
Level 1 Neurostimulator and Related Procedures
16
$16,710
$3,069
5.4×
5377
Level 7 Urology and Related Services
12
$57,253
$11,564
5.0×
5244
Level 4 Blood Product Exchange and Related Services
—
—
—
—
5496
Level 6 Intraocular Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5495
Level 5 Intraocular Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via dukehealth.org/cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 04/01/2026, template 3.0.0, 415,871 rows scanned, 11,140 distinct code–setting items kept. 4,378 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Oncology (Solid Organ Neoplasm) Targeted Genomic Sequence Dna Analysis
$6,276
$1,695
$2,747
20
clean
Oncology (Solid Organ Neoplasm) Targeted Genomic Sequence Dna Analysis
$6,276
$1,695
$2,674
19
clean
Showing the first 200 of 11,140 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 26540/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $2,118
MS-DRG 308/i
warn
mrf_negotiated_above_gross
highest negotiated rate $59,148 exceeds the gross charge $35,266
CPT 26540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,223 exceeds the gross charge $2,118
CPT J3392/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,332,000 exceeds the gross charge $0
MS-DRG 311/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,313 exceeds the gross charge $12,686
CPT 61623/b
warn
mrf_negotiated_above_gross
highest negotiated rate $11,183 exceeds the gross charge $5,976
CPT 75822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,683 exceeds the gross charge $3,004
CPT J3392/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,332,000 exceeds the gross charge $0
MS-DRG 317/i
warn
mrf_negotiated_above_gross
highest negotiated rate $74,164 exceeds the gross charge $44,174
CPT 61623/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,266 exceeds the gross charge $5,976
MS-DRG 318/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,487 exceeds the gross charge $16,002
CPT 32994/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,267 exceeds the gross charge $5,837
CPT 44970/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,613 exceeds the gross charge $4,105
CPT 61626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,411 exceeds the gross charge $14,624
CPT J3393/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945,740 exceeds the gross charge $0
MS-DRG 332/i
warn
mrf_negotiated_above_gross
highest negotiated rate $67,498 exceeds the gross charge $23,920
CPT 32994/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,343 exceeds the gross charge $5,837
CPT 44970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,796 exceeds the gross charge $4,105
CPT 76014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $51
CPT J3393/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,948,213 exceeds the gross charge $0
MS-DRG 354/i
warn
mrf_negotiated_above_gross
highest negotiated rate $58,759 exceeds the gross charge $48,448
CPT 32998/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,753 exceeds the gross charge $5,159
CPT 45331/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,405 exceeds the gross charge $3,107
CPT G0481/b
warn
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $320
MS-DRG 359/i
warn
mrf_negotiated_above_gross
highest negotiated rate $39,828 exceeds the gross charge $22,717
CPT 32998/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,796 exceeds the gross charge $5,159
CPT G0481/o
warn
mrf_negotiated_above_gross
highest negotiated rate $411 exceeds the gross charge $320
CPT J3394/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,248,446 exceeds the gross charge $0
MS-DRG 360/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,475 exceeds the gross charge $15,950
CPT G0482/b
warn
mrf_negotiated_above_gross
highest negotiated rate $437 exceeds the gross charge $366
CPT J3394/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,286,000 exceeds the gross charge $0
CPT P9026/b
warn
mrf_negotiated_above_gross
highest negotiated rate $322 exceeds the gross charge $274
MS-DRG 370/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,705 exceeds the gross charge $17,599
CPT G0482/o
warn
mrf_negotiated_above_gross
highest negotiated rate $521 exceeds the gross charge $366
CPT P9026/o
warn
mrf_negotiated_above_gross
highest negotiated rate $314 exceeds the gross charge $274
MS-DRG 373/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,705 exceeds the gross charge $20,114
CPT 62280/b
warn
mrf_negotiated_above_gross
highest negotiated rate $878 exceeds the gross charge $805
CPT 87902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $566 exceeds the gross charge $467
CPT G0483/b
warn
mrf_negotiated_above_gross
highest negotiated rate $543 exceeds the gross charge $435
MS-DRG 385/i
warn
mrf_negotiated_above_gross
highest negotiated rate $29,254 exceeds the gross charge $21,163
CPT 62280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $884 exceeds the gross charge $805
CPT 87902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $467
CPT G0483/o
warn
mrf_negotiated_above_gross
highest negotiated rate $649 exceeds the gross charge $435
MS-DRG 390/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,705 exceeds the gross charge $17,691
CPT 62281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $878 exceeds the gross charge $805
CPT 76380/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,452 exceeds the gross charge $1,258
CPT 87903/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,075 exceeds the gross charge $845
MS-DRG 391/i
warn
mrf_negotiated_above_gross
highest negotiated rate $182,810 exceeds the gross charge $39,215
CPT 45385/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,969 exceeds the gross charge $4,011
CPT 62281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $884 exceeds the gross charge $805
CPT 76380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,452 exceeds the gross charge $1,258
CPT 87903/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,075 exceeds the gross charge $845
MS-DRG 393/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,752 exceeds the gross charge $47,971
CPT 33224/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49,919 exceeds the gross charge $27,462
CPT 45390/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,228 exceeds the gross charge $4,002
CPT 62282/b
warn
mrf_negotiated_above_gross
highest negotiated rate $878 exceeds the gross charge $859
CPT 87910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $618
CPT J3399/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,455,111 exceeds the gross charge $0
MS-DRG 395/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,705 exceeds the gross charge $20,959
CPT 33233/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,161 exceeds the gross charge $7,420
CPT 62282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $884 exceeds the gross charge $859
MS-DRG 413/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,592 exceeds the gross charge $10,970
CPT 33233/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,222 exceeds the gross charge $7,420
CPT 62294/b
warn
mrf_negotiated_above_gross
highest negotiated rate $878 exceeds the gross charge $776
CPT 76497/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,452 exceeds the gross charge $1,295
CPT J3399/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,439,003 exceeds the gross charge $0
MS-DRG 421/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,123 exceeds the gross charge $30,635
CPT 26706/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $2,071
CPT 33289/b
warn
mrf_negotiated_above_gross
highest negotiated rate $28,034 exceeds the gross charge $10,104
CPT 45910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,796 exceeds the gross charge $3,340
CPT 62294/o
warn
mrf_negotiated_above_gross
highest negotiated rate $884 exceeds the gross charge $776
CPT 76497/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,452 exceeds the gross charge $1,295
CPT 88120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,434 exceeds the gross charge $1,365
MS-DRG 426/i
warn
mrf_negotiated_above_gross
highest negotiated rate $107,853 exceeds the gross charge $72,812
CPT 26706/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,223 exceeds the gross charge $2,071
CPT 33289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $60,362 exceeds the gross charge $10,104
MS-DRG 429/i
warn
mrf_negotiated_above_gross
highest negotiated rate $108,497 exceeds the gross charge $59,522
CPT J3410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $213 exceeds the gross charge $134
MS-DRG 430/i
warn
mrf_negotiated_above_gross
highest negotiated rate $56,580 exceeds the gross charge $38,100
CPT 62328/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,446 exceeds the gross charge $1,935
MS-DRG 447/i
warn
mrf_negotiated_above_gross
highest negotiated rate $70,594 exceeds the gross charge $44,142
CPT 63650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,472 exceeds the gross charge $1,934
MS-DRG 448/i
warn
mrf_negotiated_above_gross
highest negotiated rate $44,582 exceeds the gross charge $28,017
CPT 63650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,520 exceeds the gross charge $1,934
MS-DRG 450/i
warn
mrf_negotiated_above_gross
highest negotiated rate $61,020 exceeds the gross charge $35,210
MS-DRG 461/i
warn
mrf_negotiated_above_gross
highest negotiated rate $102,109 exceeds the gross charge $100,026
CPT 93455/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,848 exceeds the gross charge $14,162
CPT Q0155/o
warn
mrf_negotiated_above_gross
highest negotiated rate $245 exceeds the gross charge $39
MS-DRG 463/i
warn
mrf_negotiated_above_gross
highest negotiated rate $105,372 exceeds the gross charge $97,106
MS-DRG 494/i
warn
mrf_negotiated_above_gross
highest negotiated rate $117,033 exceeds the gross charge $63,726
CPT 88249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $381 exceeds the gross charge $276
MS-DRG 503/i
warn
mrf_negotiated_above_gross
highest negotiated rate $51,602 exceeds the gross charge $29,457
CPT 88249/o
warn
mrf_negotiated_above_gross
highest negotiated rate $455 exceeds the gross charge $276
CPT 93462/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,513 exceeds the gross charge $8,680
MS-DRG 504/i
warn
mrf_negotiated_above_gross
highest negotiated rate $42,073 exceeds the gross charge $38,743
CPT 46220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,670 exceeds the gross charge $3,113
CPT 88261/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $471
MS-DRG 507/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,745 exceeds the gross charge $11,934
CPT 88261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $694 exceeds the gross charge $471
MS-DRG 515/i
warn
mrf_negotiated_above_gross
highest negotiated rate $149,175 exceeds the gross charge $108,123
CPT 35665/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,281 exceeds the gross charge $2,061
CPT 88271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $323 exceeds the gross charge $215
MS-DRG 537/i
warn
mrf_negotiated_above_gross
highest negotiated rate $11,082 exceeds the gross charge $6,305
CPT 35665/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,281 exceeds the gross charge $2,061
CPT 64420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,168 exceeds the gross charge $3,358
MS-DRG 538/i
warn
mrf_negotiated_above_gross
highest negotiated rate $11,082 exceeds the gross charge $4,759
CPT 93580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $93,351 exceeds the gross charge $19,460
MS-DRG 539/i
warn
mrf_negotiated_above_gross
highest negotiated rate $58,743 exceeds the gross charge $42,561
CPT 46606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,545 exceeds the gross charge $1,504
MS-DRG 541/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,557 exceeds the gross charge $14,103
CPT 47000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,257 exceeds the gross charge $1,704
CPT 93596/o
warn
mrf_negotiated_above_gross
highest negotiated rate $51,985 exceeds the gross charge $14,280
MS-DRG 546/i
warn
mrf_negotiated_above_gross
highest negotiated rate $94,417 exceeds the gross charge $41,085
CPT 47100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,702 exceeds the gross charge $837
CPT 88319/b
warn
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $448
CPT 93597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30,977 exceeds the gross charge $14,280
CPT Q0224/b
warn
mrf_negotiated_above_gross
highest negotiated rate $15,926 exceeds the gross charge $4,576
MS-DRG 558/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,513 exceeds the gross charge $14,515
CPT 27220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $234
CPT 47100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,702 exceeds the gross charge $837
CPT 88319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $812 exceeds the gross charge $448
CPT 93600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,483 exceeds the gross charge $4,311
MS-DRG 561/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,941 exceeds the gross charge $10,959
CPT 27220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $234
CPT 47382/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,796 exceeds the gross charge $5,730
CPT 76872/o
warn
mrf_negotiated_above_gross
highest negotiated rate $901 exceeds the gross charge $819
CPT 88321/o
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $117
CPT 93600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,538 exceeds the gross charge $4,311
CPT Q0224/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,750 exceeds the gross charge $4,576
MS-DRG 570/i
warn
mrf_negotiated_above_gross
highest negotiated rate $54,375 exceeds the gross charge $51,786
CPT 27222/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,992 exceeds the gross charge $463
CPT 47383/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,267 exceeds the gross charge $5,837
CPT 88325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $364 exceeds the gross charge $287
CPT 93602/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,483 exceeds the gross charge $4,679
MS-DRG 573/i
warn
mrf_negotiated_above_gross
highest negotiated rate $121,122 exceeds the gross charge $104,887
CPT 27222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,992 exceeds the gross charge $463
CPT 47383/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,343 exceeds the gross charge $5,837
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $439
CPT 93602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,538 exceeds the gross charge $4,679
MS-DRG 574/i
warn
mrf_negotiated_above_gross
highest negotiated rate $64,179 exceeds the gross charge $54,338
CPT 47490/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,480 exceeds the gross charge $2,060
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $812 exceeds the gross charge $439
CPT 93610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,483 exceeds the gross charge $4,679
MS-DRG 576/i
warn
mrf_negotiated_above_gross
highest negotiated rate $91,370 exceeds the gross charge $56,243
CPT 47490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,506 exceeds the gross charge $2,060
CPT 93610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,538 exceeds the gross charge $4,679
MS-DRG 577/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,006 exceeds the gross charge $46,841
CPT 47531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,480 exceeds the gross charge $1,479
CPT 88346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $357 exceeds the gross charge $214
CPT 93612/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,483 exceeds the gross charge $4,679
MS-DRG 600/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,257 exceeds the gross charge $16,687
CPT 47531/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,506 exceeds the gross charge $1,479
CPT 88346/o
warn
mrf_negotiated_above_gross
highest negotiated rate $357 exceeds the gross charge $214
CPT 93612/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,538 exceeds the gross charge $4,679
CPT J2310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $61
MS-DRG 618/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,092 exceeds the gross charge $9,370
CPT 47535/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,480 exceeds the gross charge $3,421
CPT 88350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $214
CPT 93656/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52,090 exceeds the gross charge $40,572
MS-DRG 622/i
warn
mrf_negotiated_above_gross
highest negotiated rate $65,802 exceeds the gross charge $60,041
CPT 47535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,506 exceeds the gross charge $3,421
CPT 88361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $712 exceeds the gross charge $690
MS-DRG 639/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,966 exceeds the gross charge $14,647
CPT 47536/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,480 exceeds the gross charge $3,014
CPT 88363/o
warn
mrf_negotiated_above_gross
highest negotiated rate $36 exceeds the gross charge $33
MS-DRG 645/i
warn
mrf_negotiated_above_gross
highest negotiated rate $36,288 exceeds the gross charge $22,372
CPT 47536/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,506 exceeds the gross charge $3,014
CPT 88367/o
warn
mrf_negotiated_above_gross
highest negotiated rate $764 exceeds the gross charge $729
MS-DRG 665/i
warn
mrf_negotiated_above_gross
highest negotiated rate $33,804 exceeds the gross charge $20,620
CPT 47541/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,153 exceeds the gross charge $4,840
MS-DRG 667/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,627 exceeds the gross charge $7,308
CPT 27503/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $234
CPT 47541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,199 exceeds the gross charge $4,840
CPT 77012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,563 exceeds the gross charge $2,439
MS-DRG 671/i
warn
mrf_negotiated_above_gross
highest negotiated rate $33,186 exceeds the gross charge $28,905
CPT 27503/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,590 exceeds the gross charge $234
CPT 47553/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,153 exceeds the gross charge $1,166
CPT 77013/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,924 exceeds the gross charge $2,741
CPT 88374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $694 exceeds the gross charge $609
MS-DRG 672/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,844 exceeds the gross charge $21,418
CPT 27510/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $1,100
CPT 47553/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,199 exceeds the gross charge $1,166
CPT 77063/b
warn
mrf_negotiated_above_gross
highest negotiated rate $106 exceeds the gross charge $101
CPT 88381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $473 exceeds the gross charge $365
MS-DRG 673/i
warn
mrf_negotiated_above_gross
highest negotiated rate $77,679 exceeds the gross charge $60,916
CPT 27510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,590 exceeds the gross charge $1,100
CPT 47554/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,267 exceeds the gross charge $7,027
CPT 77063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $106 exceeds the gross charge $101
MS-DRG 695/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,147 exceeds the gross charge $13,760
CPT 47554/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,343 exceeds the gross charge $7,027
CPT J7042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,231 exceeds the gross charge $63
MS-DRG 697/i
warn
mrf_negotiated_above_gross
highest negotiated rate $12,343 exceeds the gross charge $7,120
CPT 47555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,480 exceeds the gross charge $2,239
CPT 77293/o
warn
mrf_negotiated_above_gross
highest negotiated rate $820 exceeds the gross charge $610
MS-DRG 713/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,795 exceeds the gross charge $27,218
CPT 47555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,506 exceeds the gross charge $2,239
MS-DRG 715/i
warn
mrf_negotiated_above_gross
highest negotiated rate $41,363 exceeds the gross charge $19,728
CPT 47556/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,267 exceeds the gross charge $2,454
CPT 64493/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,910 exceeds the gross charge $2,654
MS-DRG 723/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,126 exceeds the gross charge $20,123
Showing the first 200 of 4,378 findings, errors first — every finding as JSON →
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Duke University Hospital — standard charges file · NC · updated 04/01/2026found via cms-hpt.txt · csv-wide · 950.0M bytes · fetched 2026-08-21 · sha256 4a3676408e3b…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.