Duke Regional Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Duke Regional Hospital, Durham, NC in 2024, from traditional Medicare claims. Back to the Duke Regional Hospital profile, with quality ratings, finances and negotiated rates.
2,013
Medicare inpatient discharges
In 68 published DRGs
1.67
Case mix index
IPPS FY 2027
15%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
2,080
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system385 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 161 | $29,577 | $9,329 | $8,518 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $21,330 | $5,436 | $6,143 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $36,554 | $11,376 | $10,527 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 27 | $18,511 | $6,323 | $5,331 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $58,842 | $14,789 | $16,946 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $42,803 | $15,302 | $12,327 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 20 | $30,055 | $6,668 | $8,656 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $24,128 | $9,311 | $6,949 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $33,751 | $8,158 | $9,720 | 1.08 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $91,507 | $24,275 | $26,354 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $81,856 | $13,311 | $23,575 | 1.82 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $19,040 | $6,868 | $5,483 | 0.86 |
Respiratory system318 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 73 | $32,969 | $12,096 | $9,495 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 50 | $30,633 | $9,686 | $8,822 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 44 | $35,719 | $9,779 | $10,287 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 36 | $21,550 | $6,325 | $6,206 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $27,112 | $8,365 | $7,808 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 23 | $19,658 | $6,779 | $5,662 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 18 | $24,317 | $7,645 | $7,003 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 15 | $18,899 | $6,647 | $5,443 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $41,895 | $10,465 | $12,066 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $70,286 | $18,991 | $20,242 | 2.70 |
Infectious and parasitic diseases272 discharges in 3 DRGs
| 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 | 204 | $41,783 | $13,409 | $12,034 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 43 | $27,429 | $7,592 | $7,900 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 25 | $116,528 | $34,535 | $33,560 | 5.00 |
Digestive system256 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 59 | $22,371 | $5,880 | $6,443 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 56 | $25,269 | $7,066 | $7,278 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 30 | $44,974 | $12,115 | $12,952 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $69,347 | $16,490 | $19,972 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $30,642 | $9,306 | $8,825 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $35,419 | $6,419 | $10,201 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $105,759 | $30,825 | $30,459 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $15,338 | $3,673 | $4,417 | 0.56 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $27,464 | $10,264 | $7,910 | 1.45 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $19,966 | $6,362 | $5,750 | 0.80 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 11 | $42,418 | $10,692 | $12,217 | 1.60 |
Kidney and urinary tract240 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $18,959 | $6,146 | $5,460 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 46 | $19,526 | $6,873 | $5,623 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 45 | $26,501 | $8,938 | $7,632 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 33 | $26,838 | $11,062 | $7,729 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 32 | $33,704 | $12,336 | $9,707 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $21,496 | $7,695 | $6,191 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $48,063 | $3,824 | $13,842 | 1.35 |
Musculoskeletal system and connective tissue207 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 37 | $59,046 | $13,073 | $17,005 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $63,301 | $15,153 | $18,231 | 2.07 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 26 | $91,605 | $19,031 | $26,382 | 2.48 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 25 | $98,108 | $20,064 | $28,255 | 2.96 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $65,063 | $15,423 | $18,738 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $23,951 | $7,263 | $6,898 | 0.97 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 14 | $27,476 | $8,560 | $7,913 | 1.09 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $95,348 | $23,160 | $27,460 | 3.49 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $81,001 | $16,470 | $23,328 | 2.40 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 12 | $92,738 | $19,508 | $26,708 | 2.67 |
Endocrine, nutritional and metabolic156 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 52 | $33,658 | $8,585 | $9,693 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 47 | $20,951 | $5,663 | $6,034 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 21 | $17,728 | $7,106 | $5,106 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 13 | $54,537 | $12,375 | $15,707 | 1.98 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $28,869 | $11,086 | $8,314 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $20,383 | $8,215 | $5,870 | 1.06 |
Nervous system117 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 34 | $31,886 | $7,151 | $9,183 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $37,313 | $14,674 | $10,746 | 2.00 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $26,961 | $7,913 | $7,765 | 1.06 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $48,728 | $12,846 | $14,034 | 1.79 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $27,063 | $9,883 | $7,794 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 13 | $21,610 | $7,014 | $6,224 | 0.91 |
Skin, subcutaneous tissue and breast34 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 34 | $15,819 | $6,424 | $4,556 | 0.88 |
Blood and immune system15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $24,717 | $7,160 | $7,119 | 0.90 |
Liver, gallbladder and pancreas13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $52,679 | $12,377 | $15,172 | 1.63 |
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.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 290 | 273 | $12,237 | $1,940 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 252 | 238 | $50,843 | $10,021 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 207 | 200 | $28,932 | $3,700 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 127 | 116 | $16,702 | $1,994 | $2,141 |
| Level 1 Endovascular ProceduresAPC 5191 | 110 | 110 | $23,878 | $2,094 | $2,208 |
| Level 2 Endovascular ProceduresAPC 5192 | 110 | 79 | $24,197 | $3,956 | $4,338 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 93 | 92 | $83,489 | $15,142 | $15,763 |
| Level 3 Vascular ProceduresAPC 5183 | 93 | 84 | $14,705 | $2,217 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 75 | 75 | $29,235 | $4,089 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 73 | 68 | $6,832 | $1,149 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 70 | 66 | $130,028 | $19,172 | $21,117 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 66 | 65 | $41,438 | $4,908 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 63 | 55 | $50,719 | $8,283 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 55 | 55 | $22,421 | $2,441 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 46 | 43 | $17,186 | $2,505 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 45 | 35 | $11,896 | $1,464 | $1,516 |
| Level 2 Vascular ProceduresAPC 5182 | 40 | 37 | $2,838 | $1,121 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 34 | $24,618 | $2,326 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 29 | 27 | $30,711 | $3,813 | $3,946 |
| Level 2 Upper GI ProceduresAPC 5302 | 27 | 27 | $13,141 | $1,273 | $1,445 |
| Level 4 Gynecologic ProceduresAPC 5414 | 27 | 27 | $19,250 | $1,997 | $2,389 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 23 | 23 | $43,114 | $7,149 | $8,164 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $41,575 | $5,815 | $6,514 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 21 | 21 | $53,725 | $7,958 | $8,569 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 20 | 20 | $111,927 | $15,905 | $17,052 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $6,984 | $1,155 | $1,196 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 16 | 16 | $188,366 | $26,208 | $29,375 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 14 | $16,241 | $1,937 | $2,176 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 12 | $78,950 | $14,146 | $14,606 |
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.