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Short Term Acute Care HospitalProprietary

Duke University Hospital

Duke University Health System · Durham, NC

2301 Erwin Road, Durham, NC 27705(919) 684-8111

5 of 5

CMS star rating

1,266

Beds

57,595

Inpatient discharges a year

$4.8B

Net patient revenue a year

31

In-network payers

About this hospital

Duke University Hospital is a 1266-bed proprietary hospital in Durham, NC, affiliated with Duke University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 441 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
340030
NPI
1992703540
Health system
Duke University Health System
Teaching
Major teaching hospital
County
Durham County
Metro area
Durham-Chapel Hill, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2010

Prices for common services

The 24 services Duke University 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,460 - $9,089

from 4 insurers · median $5,821

Cigna$6,172
Insurer A*$2,460
Insurer B*$5,470
Insurer C*$9,089

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,392 - $8,830

from 4 insurers · median $7,884

Cigna$7,743
Insurer A*$6,392
Insurer B*$8,024
Insurer C*$8,830

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$471 - $1,396

from 2 insurers · median $934

Aetna$471
Insurer A*$1,396
Medicare $332Nearby hospitals $1,08014% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$484 - $1,396

from 2 insurers · median $940

Aetna$484
Insurer A*$1,396
Medicare $99Nearby hospitals $376150% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Duke University Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*14
735%
102
Insurer B*23
303%
118
Insurer C*7
172%
14
Insurer D*5
-
02

How we chose these services: 7 appear in this hospital's own Medicare claims, 15 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 University Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    5 of 5 stars

    • 317 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.01%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 50 services, including trauma & transplant care
    • 3,740 affiliated clinicians
    See doctors and services

  • Finances

    $4.8B net patient revenue

    • Operating margin on patient care 4.5%
    • $124.5M unreimbursed and uncompensated care
    • $289.1M net income
    See finances

  • Ownership and leadership

    Private (for profit)

    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Duke University Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-2070036(multi-state) Duke University Hospital66Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 61 more1992703540 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.

Location

2301 Erwin Road, Durham, NC 27705

(919) 684-8111

Get directions

Frequently asked questions

About Duke University Hospital's rates and hospital price transparency.

How much does an MRI cost at Duke University Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Duke University Hospital range from $738 to $2,440 across 2 insurers. UnitedHealthcare's rate is $2,440. The median at nearby comparable hospitals is $952. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Duke University Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Duke University Hospital range from $471 to $1,396 across 2 insurers. Aetna's rate is $471. The median at nearby comparable hospitals is $1,080. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Duke University Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Duke University Hospital range from $7,100 to $7,100 across 1 insurers. Aetna's rate is $7,100. The median at nearby comparable hospitals is $3,150. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Duke University Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Duke University Hospital range from $2,460 to $9,089 across 4 insurers. Cigna's rate is $6,172. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Duke University Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Duke University Hospital range from $220 to $239 across 2 insurers. Cigna's rate is $239. The median at nearby comparable hospitals is $216. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Duke University Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Duke University Hospital range from $22,331 to $27,517 across 4 insurers. Blue Cross Blue Shield's rate is $25,824. The median at nearby comparable hospitals is $26,051. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Duke University Hospital's CMS star rating?

Duke University Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Duke University Hospital a teaching hospital?

Yes. CMS counts 0.52 Medicare-funded residents per bed at Duke University Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Duke University Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Duke University Hospital's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Duke University Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (347 discharges), heart failure and shock with mcc (316 discharges), endovascular cardiac valve replacement and supplement procedures without mcc (165 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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