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Duke University Hospital: what a joint replacement costs

Durham, NC 27705 · CMS Certification Number 340030. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,842
James E Davis Ambulatory Surg, 8.6 mi
Outpatient here
$11,678
518 Medicare cases, APC 5115
Inpatient here
$20,913
128 Medicare stays, MS-DRG 470

Medicare prices at Duke University Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,913$55,7562.7×$11,678
Shoulder replacement$26,973$99,0943.7×$16,593
Hip replacement after a fracture (DRG 522)$26,086$73,9922.8×—

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. For-profit · Acute · 1019 beds

North Carolina requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Duke University Hospital for a knee or hip replacement?

In 2024 Medicare paid Duke University Hospital an average of $20,913 per inpatient hip or knee replacement stay (MS-DRG 470, 128 stays) and $11,678 per outpatient case (APC 5115, 518 cases).

What is Duke University Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,756, 2.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Duke University Hospital?

Yes for Medicare facility payments. James E Davis Ambulatory Surg, an orthopedic surgery center 8.6 mi away, is paid about $8,842 by Medicare for a knee replacement (CPT 27447), $12,071 less than an inpatient stay at Duke University Hospital. Not every patient is a surgery-center candidate.

How does Duke University Hospital compare with other North Carolina hospitals?

Medicare paid Duke University Hospital more than 93% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.