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Duke Health Raleigh Hospital: what a joint replacement costs

Raleigh, NC 27609 · CMS Certification Number 340073. 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
$8,762
Healthsouth Blue Ridge Surgery, 5.6 mi
Outpatient here
$11,558
111 Medicare cases, APC 5115
Inpatient here
$14,527
20 Medicare stays, MS-DRG 470

Medicare prices at Duke Health Raleigh Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,527$58,6444.0×$11,558
Shoulder replacement$18,577$78,3334.2×$16,594

Quality

218 beds

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

Open the interactive price tagBuild a reportAll North Carolina hospitals

Questions

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

In 2024 Medicare paid Duke Health Raleigh Hospital an average of $14,527 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,558 per outpatient case (APC 5115, 111 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,644, 4.0× 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 Health Raleigh Hospital?

Yes for Medicare facility payments. Healthsouth Blue Ridge Surgery, an orthopedic surgery center 5.6 mi away, is paid about $8,762 by Medicare for a knee replacement (CPT 27447), $5,765 less than an inpatient stay at Duke Health Raleigh Hospital. Not every patient is a surgery-center candidate.

How does Duke Health Raleigh Hospital compare with other North Carolina hospitals?

Medicare paid Duke Health Raleigh Hospital more than 51% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.