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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,913 | $55,756 | 2.7× | $11,678 |
| Shoulder replacement | $26,973 | $99,094 | 3.7× | $16,593 |
| Hip replacement after a fracture (DRG 522) | $26,086 | $73,992 | 2.8× | — |
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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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).
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.
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.
Medicare paid Duke University Hospital more than 93% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.