North Carolina / Duke Regional Hospital
CMS certification 340155 · Durham, NC · 2 entries in CMS's price-transparency list
Duke Regional Hospital: charges and Medicare payments
Duke Regional Hospital reported 2,013 Medicare inpatient stays across 68 DRGs in 2024. Across them it charged 2.93 times what it was paid — among the lower ratios in North Carolina, number 52 of 73 hospitals with at least 100 stays (state median 3.55×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 204 stays at an average charge of $41,783, 54% below the national average. It also billed 2,080 outpatient services, charging 6.49 times what Medicare paid.
- 1Medicare inpatient stays 2,013
- 2Charge ÷ paid, inpatient 2.93×
- 3Rank in NC (highest ratio = 1) 52 of 73
- 4CMS price-transparency actions 2
Inpatient stays
For the 68 DRGs that can be compared with the national average, Duke Regional Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 204 | $41,783 | -54% | $15,852 |
| 291 Heart Failure and Shock with MCC | 161 | $29,577 | -48% | $11,017 |
| 177 Respiratory Infections and Inflammations with MCC | 73 | $32,969 | -53% | $13,807 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 59 | $22,371 | -44% | $7,598 |
| 378 Gastrointestinal Hemorrhage with CC | 56 | $25,269 | -48% | $9,212 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $33,658 | -44% | $11,561 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $30,633 | -49% | $11,564 |
| 690 Kidney and Urinary Tract Infections without MCC | 50 | $18,959 | -50% | $7,762 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 47 | $20,951 | -43% | $7,661 |
| 683 Renal Failure with CC | 46 | $19,526 | -52% | $8,306 |
| 689 Kidney and Urinary Tract Infections with MCC | 45 | $26,501 | -48% | $10,809 |
| 189 Pulmonary Edema and Respiratory Failure | 44 | $35,719 | -38% | $11,176 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $27,429 | -44% | $9,732 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 37 | $59,046 | -37% | $16,364 |
| 194 Simple Pneumonia and Pleurisy with CC | 36 | $21,550 | -44% | $8,052 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $31,886 | -43% | $9,003 |
| 603 Cellulitis without MCC | 34 | $15,819 | -58% | $8,166 |
| 682 Renal Failure with MCC | 33 | $26,838 | -59% | $12,483 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $27,112 | -46% | $10,107 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $33,704 | -54% | $13,932 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $44,974 | -47% | $15,249 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $21,330 | -41% | $7,223 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $36,554 | -52% | $12,828 |
| 312 Syncope and Collapse | 27 | $18,511 | -59% | $8,363 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $63,301 | -37% | $17,163 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 26 | $58,842 | -48% | $16,654 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 26 | $91,605 | -27% | $20,750 |
| 472 Cervical Spinal Fusion with CC | 25 | $98,108 | -31% | $24,921 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $65,063 | -36% | $17,427 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $116,528 | -49% | $37,457 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 23 | $19,658 | -50% | $8,330 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $21,496 | -55% | $9,507 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $37,313 | -63% | $16,421 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $42,803 | -55% | $17,002 |
| 638 Diabetes with CC | 21 | $17,728 | -57% | $8,640 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $30,055 | -40% | $8,580 |
| 071 Other Cerebrovascular Disorders with CC | 19 | $26,961 | -47% | $9,717 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $24,317 | -46% | $9,243 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $24,128 | -57% | $10,983 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $33,751 | -47% | $9,722 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $69,347 | -42% | $19,385 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $30,642 | -50% | $11,019 |
| 394 Other Digestive System Diagnoses with CC | 16 | $35,419 | -25% | $10,465 |
| 070 Other Cerebrovascular Disorders with MCC | 15 | $48,728 | -36% | $15,563 |
| 202 Bronchitis and Asthma with CC/MCC | 15 | $18,899 | -59% | $8,196 |
| 252 Other Vascular Procedures with MCC | 15 | $91,507 | -46% | $28,590 |
| 552 Medical Back Problems without MCC | 15 | $23,951 | -51% | $9,110 |
| 812 Red Blood Cell Disorders without MCC | 15 | $24,717 | -44% | $8,500 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $27,063 | -52% | $11,972 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $41,895 | -36% | $12,646 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 14 | $27,476 | -44% | $10,117 |
| 101 Seizures without MCC | 13 | $21,610 | -56% | $8,495 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $70,286 | -48% | $20,589 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $81,856 | -29% | $15,274 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $105,759 | -51% | $33,834 |
| 390 Gastrointestinal Obstruction without CC/MCC | 13 | $15,338 | -45% | $6,235 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 13 | $52,679 | -43% | $13,854 |
| 467 Revision of Hip or Knee Replacement with CC | 13 | $95,348 | -40% | $27,634 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 13 | $81,001 | -32% | $20,419 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 13 | $54,537 | -37% | $16,028 |
Showing the 60 most frequent of 68 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Duke Regional Hospital charged $41,783 on average, 27% less than the North Carolina average of $56,936, and was paid $15,852 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Duke Regional Hospital charged $29,577 on average, 17% less than the North Carolina average of $35,799, and was paid $11,017 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), Duke Regional Hospital charged $32,969 on average, 31% less than the North Carolina average of $47,554, and was paid $13,807 against a state average of $14,260. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Duke Regional Hospital charged $22,371 on average, 21% less than the North Carolina average of $28,251, and was paid $7,598 against a state average of $7,797. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,237 was 35% below the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,843 was 17% below the state average of $61,166. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $28,932 was 4% above the state average of $27,826. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $16,702 was 6% below the state average of $17,735.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Duke Regional Hospital in Durham, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-23 (CMS case 3988)
- Closure Notice — 2025-07-28 (CMS case 3988)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.