Duke University Health System · Raleigh, NC
194
Beds
9,856
Inpatient discharges a year
$637.3M
Net patient revenue a year
27
In-network payers
Duke Raleigh Hospital is a 194-bed voluntary non-profit - private hospital in Raleigh, NC, affiliated with Duke University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 419 disclosed rate categories.
The 24 services Duke Raleigh Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 460
$7,066 - $43,881
from 4 insurers · median $28,633
115 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 473
$18,240 - $34,826
from 4 insurers · median $26,796
64 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$471 - $1,925
from 4 insurers · median $1,329
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$484 - $1,396
from 4 insurers · median $908
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$22,331 - $27,517
from 4 insurers · median $24,537
20 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$1,420 - $2,193
from 4 insurers · median $1,686
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,310 - $7,100
from 4 insurers · median $2,222
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$471 - $1,396
from 4 insurers · median $1,305
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$46,192 - $190,887
from 4 insurers · median $103,504
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 66984
$1,667 - $9,975
from 4 insurers · median $2,945
407 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 71275
$475 - $1,396
from 4 insurers · median $1,154
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,671 - $8,100
from 4 insurers · median $2,692
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,006 - $7,700
from 4 insurers · median $1,707
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,394 - $4,334
from 4 insurers · median $3,141
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$738 - $2,440
from 4 insurers · median $1,690
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,310 - $7,700
from 4 insurers · median $2,222
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$128 - $239
from 4 insurers · median $227
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$738 - $2,440
from 4 insurers · median $1,343
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$59 - $202
from 4 insurers · median $149
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$757 - $2,440
from 4 insurers · median $1,280
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,015 - $6,700
from 4 insurers · median $1,721
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$1,394 - $2,440
from 4 insurers · median $1,645
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$2,739 - $8,100
from 4 insurers · median $4,838
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,312 - $3,247
from 4 insurers · median $2,399
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 300% | 20 | 2 |
| Insurer B* | 24 | 299% | 0 | 4 |
| Insurer C* | 24 | 284% | 15 | 8 |
| Insurer D* | 24 | 168% | 3 | 7 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Duke Raleigh Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Medicare readmissions penalty (-0.41%)
See quality ratingsDoctors and services
No Medicare-funded residents
Finances
$637.3M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Duke Raleigh Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 56-2070036(multi-state) Duke University Hospital | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more | 1992703540 Duke University Health System Inc.1013916352 Duke University Health System Inc1871592113 Duke University Health System Inc.and 98 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
3400 Wake Forest Road, Raleigh, NC 27609
(919) 954-3000
How Medicare adjusts Duke Raleigh Hospital's inpatient payments for its readmissions, quality and cost results.
-0.41% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
+1.85% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Duke Raleigh Hospital reported to Medicare in its latest cost report, covering Jul 1, 2023 to May 31, 2024.
9,856
Inpatient discharges
Medicare 28%, Medicaid 3%
50,063
Inpatient days
77% of available bed days used
2,059
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 827765). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Duke Raleigh Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 13,831 | 1,893 | 34,339 | 50,063 |
| Discharges | 2,762 | 292 | 6,802 | 9,856 |
| Average length of stay | 5.0 days | 6.5 days | 5.0 days | 5.1 days |
| Average daily census | 41.2 | 5.6 | 102.2 | 149.0 |
16,679
Medicare Advantage days
2,867 discharges
4,268
Medicaid managed care days
7,980
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 166 | 45,768 | 13,019 | 82% |
| Intensive care unit | 28 | 4,295 | 812 | 46% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827765, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Duke Raleigh Hospital treats Medicare patients for most often, in 2024. 530 Medicare discharges in 23 published DRGs; 35% surgical; 54% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 73 | $43,009 | $12,561 | $14,322 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 52 | $29,056 | $9,083 | $9,676 | 1.28 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 42 | $155,700 | $31,396 | $51,848 | 4.61 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 31 | $97,328 | $23,803 | $32,410 | 3.66 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 27 | $224,269 | $49,357 | $74,682 | 6.12 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $22,638 | $6,789 | $7,539 | 0.98 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 24 | $51,893 | $15,888 | $17,280 | 2.46 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $32,670 | $6,772 | $10,879 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $34,357 | $8,673 | $11,441 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $23,586 | $5,709 | $7,854 | 0.79 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $58,644 | $12,875 | $19,528 | 1.88 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $36,068 | $11,801 | $12,011 | 1.70 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 17 | $49,387 | $14,309 | $16,446 | 2.16 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 17 | $78,333 | $15,810 | $26,085 | 2.48 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $21,363 | $5,972 | $7,114 | 0.90 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 15 | $73,644 | $19,973 | $24,523 | 2.96 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $22,465 | $6,047 | $7,481 | 0.81 |
| Cellulitis without MCCMS-DRG 603, medical | 13 | $16,455 | $6,381 | $5,479 | 0.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 12 | $17,974 | $5,741 | $5,985 | 0.74 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $32,296 | $10,432 | $10,755 | 1.65 |
See all 23 Medicare inpatient DRGs at Duke Raleigh Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Duke Raleigh Hospital billed Medicare for most in 2024: 2,107 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 407 | 259 | $11,670 | $1,662 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 133 | 127 | $7,795 | $995 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 119 | 56 | $2,325 | $479 | $502 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 111 | 110 | $60,571 | $9,926 | $10,772 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 102 | 102 | $68,200 | $14,962 | $15,763 |
| Comprehensive Observation ServicesAPC 8011 | 93 | 92 | $12,814 | $1,884 | $2,090 |
| Level 2 Intraocular ProceduresAPC 5492 | 84 | 72 | $16,160 | $2,882 | $3,116 |
| Level 5 Urology and Related ServicesAPC 5375 | 77 | 73 | $26,887 | $3,707 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 74 | 74 | $26,008 | $5,059 | $5,339 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 72 | 72 | $12,272 | $1,654 | $1,780 |
See all 36 Medicare outpatient services at Duke Raleigh Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
Revenue, expenses and income Duke Raleigh Hospital reported to Medicare for Jul 1, 2023 to May 31, 2024. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $2.3B | 354.2% |
| Inpatient | $545.2M | 85.5% |
| Outpatient | $1.7B | 268.7% |
| Contractual allowances and discounts | -$1.6B | -254.2% |
| Net patient revenue | $637.3M | 100.0% |
| Operating expenses | -$610.8M | -95.8% |
| Operating income from patient care | $26.5M | 4.2% |
| Other income | $8.2M | 1.3% |
| Net income | $34.6M | 5.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $517.9M | 23.7% |
| Medicaid (including managed care) | $166.9M | 7.7% |
| Other payers and self-pay | $1.5B | 68.6% |
| Total charges | $2.2B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827765, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Duke Raleigh Hospital's latest cost report.
4.2%
Operating margin
Operating income from patient care / net patient revenue
5.4%
Total margin
Net income / net patient revenue plus other income
8.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
36% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.13
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
8.5%
Return on assets
Net income for a year / total assets
10.3%
Return on equity
Net income for a year / fund balance
1.53
Current ratio
Current assets / current liabilities
38 days
Days in patient receivables
Net patient receivables / daily net patient revenue
40 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.58
Asset turnover
Total revenue for a year / total assets
12.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 827765, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Duke Raleigh Hospital owned and owed at the end of its reporting period (May 2024), across all fund types: $443.1M in total assets and a $363.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Patient receivables, net | $72.1M | 16.3% |
| Inventory | $18.3M | 4.1% |
| Total current assets | $105.7M | 23.9% |
| Property and equipment, net of depreciation | $315.1M | 71.1% |
| Investments and other assets | $22.3M | 5.0% |
| Total assets | $443.1M | 100.0% |
| Current liabilities | $69.3M | 15.6% |
| Total liabilities | $79.3M | 17.9% |
| Fund balance (net assets) | $363.8M | 82.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827765, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Duke Raleigh Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$20.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$14.1M
Bad debt
Patient bills written off as uncollectible, at charges
-$8.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$24M
Total unreimbursed and uncompensated care
3.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 827765, amended. Hospitals report these figures themselves; they are not audited financial statements.
Duke Raleigh Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | May 2024 |
|---|---|---|---|---|---|
| Net patient revenue | $501.8M | $564.8M | $623.3M | $683M | $637.3M |
| Operating expenses | $501.3M | $539.6M | $622.8M | $657.7M | $610.8M |
| Operating margin | 0.1% | 4.5% | 0.1% | 3.7% | 4.2% |
| Net income | $28M | $59M | $22.9M | $51.2M | $34.6M |
| Total assets | $371.7M | $457.1M | $450.6M | $443.9M | $443.1M |
| Discharges | 9,921 | 9,833 | 9,386 | 10,222 | 9,856 |
| Inpatient days | 48,880 | 51,468 | 54,127 | 54,913 | 50,063 |
| Medicare Advantage days | 10,786 | 12,462 | 14,201 | 16,014 | 16,679 |
| Beds | 175 | 175 | 186 | 186 | 194 |
| Employees (FTE) | 1,744 | 1,861 | 1,950 | 1,980 | 2,059 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827765, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Duke Raleigh Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $95.9M | $508.6M | 0.19 | ||
| Operating room | $22.7M | $62.5M | $183.9M | 0.34 | 85,463 |
| Medical supplies charged to patient | $50.4M | $144.4M | 0.35 | ||
| Impl. dev. charged to patients | $48M | $234M | 0.20 | ||
| Radiology-diagnostic | $9.2M | $22.8M | $97.8M | 0.23 | 21,160 |
| Laboratory | $22.4M | $280M | 0.08 | 8,880 | |
| Radiology-therapeutic | $8.7M | $19.8M | $94.7M | 0.21 | 28,543 |
| Emergency | $15.3M | $14.5M | $113M | 0.13 | 9,327 |
| Physical therapy | $6M | $10M | $26.9M | 0.37 | 11,106 |
| Observation beds (non-distinct part | $9.7M | $5.9M | 1.64 | ||
| Duke cancer ctr macon pond rd | $2.4M | $7.2M | $23.4M | 0.31 | 8,854 |
| Duke cancer center cary | $1.9M | $5.7M | $26.3M | 0.22 | 4,651 |
| Cardiac catheterization | $1.9M | $5.6M | $45.4M | 0.12 | 5,016 |
| Ct scan | $1.9M | $4.7M | $152.4M | 0.03 | 2,339 |
| Mri | $1.1M | $4.2M | $55.3M | 0.08 | 2,895 |
| Respiratory therapy | $2M | $3.5M | $8.1M | 0.43 | 1,357 |
| Blood storing processing & trans. | $3.5M | $10.1M | 0.34 | 327 | |
| Surgical oncology clinic | $830,929 | $2M | $3.7M | 0.55 | 4,870 |
| Wound healing center | $1.1M | $1.9M | $4.9M | 0.39 | 3,766 |
| Electroencephalography | $879,773 | $1.8M | $11.1M | 0.17 | 2,325 |
| Clinic | $572,756 | $1.3M | $4.3M | 0.29 | 2,214 |
| Anesthesiology | $2.9M | $1.2M | $83.7M | 0.01 | 935 |
| Hematology clinic mob 7 ste302-303 | $414,476 | $1.2M | $2M | 0.60 | 1,918 |
| Renal dialysis | $978,874 | $2.2M | 0.44 | 620 | |
| Electrocardiology | $470,818 | $867,035 | $16.5M | 0.05 | |
| Disease management | $544,189 | $582,996 | $732,793 | 0.80 | 1,147 |
| Op specialties clinic | $204,399 | $473,856 | $275,484 | 1.72 | 2,256 |
| Cardiac rehabilitation | $360,517 | $876,579 | 0.41 | 694 | |
| Drah covid 19 vacc clinic | $1,160 | $1,829 | $2 | 914.50 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $31.1M | $65.3M | $33.6M | 1.95 | 74,842 |
| Intensive care unit | $5M | $12.4M | $6.3M | 1.98 | 19,179 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $15.1M | $78.6M | 272,989 | $51.34 | 29,188 |
| Cap rel costs-bldg & fixt | $21.7M | 509,976 | |||
| Operation of plant | $2.6M | $18.4M | 73,121 | $34.92 | 109,500 |
| Pharmacy | $6.4M | $8.5M | 134,621 | $47.43 | 3,339 |
| Nursing administration | $5M | $5.6M | 110,231 | $44.16 | 838 |
| Housekeeping | $3M | $5.3M | 141,901 | $21.45 | 2,562 |
| Central services & supply | $2.4M | $3.3M | 95,762 | $24.81 | 3,473 |
| Cafeteria | $2.3M | 91,126 | $22.72 | 10,781 | |
| Dietary | $2.8M | $1.6M | 33,790 | $22.72 | 3,997 |
| Laundry & linen service | $1.4M | ||||
| Employee benefits department | $711,966 | $1.1M | 15,386 | $46.27 | 2,978 |
| Pastoral services | $584,531 | $505,509 | 11,454 | $30.69 | 1,334 |
| Pastoral education | $320,299 | 1,073 | |||
| Cap rel costs-mvble equip | $85,816 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827765, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Duke Raleigh Hospital for an inpatient stay.
2.01
Case mix index
Higher than 80% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
19.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
2,010
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 2.00 | 2.00 | 2.03 | 2.03 | 2.02 | 2.01 |
| Wage index | 0.951 | 0.960 | 0.959 | 0.934 | 0.945 | 0.986 |
| Readmissions adjustment | -0.70% | -0.56% | -0.60% | -0.13% | -0.48% | -0.41% |
| Value-based purchasing adjustment | -0.34% | +0.23% | +0.23% | +0.37% | +1.72% | +1.85% |
| Medicare inpatient stays | 4,176 | 4,176 | 3,343 | 3,022 | 3,071 | 2,010 |
Source: CMS IPPS final rule Impact File (FY 2026).
The officers and board members on Duke Raleigh Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Duke University Health System Inc files the Form 990 for the tax ID insurers list for Duke Raleigh Hospital, so these people may lead the wider organization rather than Duke Raleigh Hospital alone.
| Name | Title |
|---|---|
| A Eugene Washington MD | Director/president |
| John P Mordach | SVP, CFO, Part Year Treasurer |
| Thomas A Owens MD | Executive Vice President, Duhs |
| Craig T Albanese MD | CEO |
| Monte D Brown MD | VP For Administration/secretary |
| Mary K Martin | Chief Operating Officer, Duh |
| Robert N Willis | VP Finance/controller/cao/interim Treasurer |
| Kathleen Galbraith | Part Year President, Duke Regional Hospital |
| Barbara M Griffith MD | President, Duke Raleigh Hospital |
| Mary Ann Fuchs | VP Patient Care/chief Nursing Officer |
| Devdutta Sangvai MD | Part Year President, Duke Regional Hospital |
Board members: Vincent E Price, Mary E Klotman MD, Moira Rynn MD, Erik Paulson, Gail Belvett MD DDS, Leslie E Bains, Denise Bennett, Gerald Hassell, William Hawkins, Rosemary Jackson MD, Federico Manon, Carmichael S Roberts, Nancy M Schlichting, Laurene Sperling, Susan M Stalnecker, G Richard Wagoner Jr, Jim Whitehurst.
Source: IRS Form 990 Part VII filed by Duke University Health System Inc (EIN 56-2070036), via the IRS e-file data. A health system's return can cover several hospitals.
About Duke Raleigh Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Duke Raleigh Hospital range from $738 to $2,440 across 4 insurers. UnitedHealthcare's rate is $2,440. The median at nearby comparable hospitals is $823. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Duke Raleigh Hospital range from $471 to $1,925 across 4 insurers. Cigna's rate is $1,262. The median at nearby comparable hospitals is $635. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Duke Raleigh Hospital range from $1,310 to $7,100 across 4 insurers. Aetna's rate is $7,100. The median at nearby comparable hospitals is $3,699. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Duke Raleigh Hospital range from $128 to $239 across 4 insurers. Cigna's rate is $239. The median at nearby comparable hospitals is $140. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Duke Raleigh Hospital range from $22,331 to $27,517 across 4 insurers. Aetna's rate is $22,331. The median at nearby comparable hospitals is $27,635. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Duke Raleigh Hospital for fiscal year 2026.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Duke Raleigh Hospital's base inpatient payments by an estimated 0.41% in fiscal year 2026 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (73 discharges), heart failure and shock with mcc (52 discharges), combined anterior and posterior spinal fusion without cc/mcc (42 discharges).
Duke Raleigh Hospital's Medicare case mix index is 2.01 for fiscal year 2026, higher than 80% of hospitals paid under the inpatient prospective payment system.
Duke Raleigh Hospital reported 9,856 inpatient discharges and 50,063 inpatient days from Jul 1, 2023 to May 31, 2024.
Duke Raleigh Hospital reported 2,059 full-time-equivalent employees on payroll from Jul 1, 2023 to May 31, 2024.
Duke Raleigh Hospital reported $637.3M in net patient revenue on $2.3B of gross charges for Jul 1, 2023 to May 31, 2024, an operating margin of 4.2%, and net income of $34.6M.
Duke Raleigh Hospital reported $24M of unreimbursed and uncompensated care for Jul 1, 2023 to May 31, 2024, including $20.8M of charity care at cost.
Insurers' price transparency files list Duke Raleigh Hospital under employer identification number 56-2070036 ((multi-state) Duke University Hospital). 50 health plans and networks list 56-2070036 for it.
CMS lists 30 services at Duke Raleigh Hospital, including Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Chemotherapy, Clinical Laboratory, CT Scan.
Duke Raleigh Hospital has 194 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Duke Raleigh Hospital is located at 3400 Wake Forest Road, Raleigh, NC 27609. Its main phone number is (919) 954-3000.
Duke Raleigh Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 340073.
The National Provider Identifier (NPI) on file for Duke Raleigh Hospital is 1013916352.
Duke Raleigh Hospital is affiliated with Duke University Health System.
Duke Raleigh Hospital lists 27 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
419 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers