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Duke Regional Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,842
James E Davis Ambulatory Surg, same ZIP
Outpatient here
$11,653
252 Medicare cases, APC 5115
Inpatient here
$16,364
37 Medicare stays, MS-DRG 470

Medicare prices at Duke Regional Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,364$59,0463.6×$11,653
Shoulder replacement$20,750$91,6054.4×$16,774
Hip replacement after a fracture (DRG 522)$17,427$65,0633.7×—

Quality

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.

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Questions

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

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).

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

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.

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

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.

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

Medicare paid Duke Regional Hospital more than 76% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.