Price AtlasInteractive atlas · All states · techysurgeon.comDuke 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.
Medicare prices at Duke Regional Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,137 | 1.7× | $18,646–$37,374 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $37,374 | 2.3× | 1 |
| Cigna | $28,354 | 1.7× | 1 |
| BCBS NC | $27,920 | 1.7× | 1 |
| Aetna | $18,646 | 1.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Duke Regional Hospital for an inpatient hip or knee replacement stay was $16,364 (MS-DRG 470, 37 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Duke Regional Hospital's average total payment per Medicare stay is higher than 76% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Duke Regional Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $28,137 across 4 insurers, ranging from $18,646 to $37,374.