Durham, NC 27704 · CMS Certification Number 340155. 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 | $16,364 | $59,046 | 3.6× | $11,653 |
| Shoulder replacement | $20,750 | $91,605 | 4.4× | $16,774 |
| Hip replacement after a fracture (DRG 522) | $17,427 | $65,063 | 3.7× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 391 beds
North Carolina requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll North Carolina hospitals
In 2024 Medicare paid Duke Regional Hospital an average of $16,364 per inpatient hip or knee replacement stay (MS-DRG 470, 37 stays) and $11,653 per outpatient case (APC 5115, 252 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,046, 3.6× 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 same ZIP away, is paid about $8,842 by Medicare for a knee replacement (CPT 27447), $7,522 less than an inpatient stay at Duke Regional Hospital. Not every patient is a surgery-center candidate.
Medicare paid Duke Regional Hospital more than 76% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.