Duke University Hospital

2301 Erwin Rd, Durham, NC 27705 · (919) 684-8111

General hospitalProprietaryEmergency roomCMS rating ★★★★★

The money

$23what care cost the hospital for every $100 it billed

$289.1Mnet income, all sources

4.5%margin on patient care alone

$114.6Mcost of charity care (3.4% of costs)

$42.0Munpaid bills written off (bad debt)

1,266beds

From the hospital's Medicare cost report for the year ending June 2025.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid.

Billed (list price)Actually paid (Medicare + patient)

Stay	Medicare stays	Billed	Paid
Sepsis, with major complications 871	347	$67,361	$25,363
Heart failure, with major complications 291	316	$42,399	$17,678
Heart valve replacement through a catheter (TAVR) 267	165	$262,179	$48,140
Heart catheterization, with major complications 286	134	$98,496	$34,104
Hip or knee replacement 470	128	$55,756	$20,913
Lung infection, with major complications 177	126	$58,620	$23,014
Stomach and digestive disorders 392	123	$27,522	$11,914
Urinary tract infection 690	109	$24,489	$11,765
Stomach or intestinal bleeding, with complications 378	108	$32,842	$12,928
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847	106	$58,061	$18,964
Stroke, with complications or clot-busting drug 065	98	$44,424	$13,784
Other kidney and urinary problems, with complications 699	98	$32,831	$13,920
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027	95	$67,991	$24,241
Other kidney and urinary problems, with major complications 698	91	$45,551	$20,539
Respiratory failure 189	90	$49,346	$17,418
Pneumonia, with major complications 193	90	$42,747	$17,521
Craniotomy and Endovascular Intracranial Procedures with Mcc 025	88	$114,445	$45,701
Irregular heartbeat, with complications 309	87	$25,277	$10,734
Sepsis 872	87	$36,578	$14,504
Stroke, with major complications 064	83	$85,069	$27,987
Major Chest Procedures with Cc 164	83	$79,012	$28,143
Coronary Bypass Without Cardiac Catheterization Without Mcc 236	82	$124,474	$42,976
Hip or thigh bone surgery (not replacement), with complications 481	82	$79,111	$23,824
Infection needing surgery, with major complications 853	76	$190,929	$59,702
Dehydration and electrolyte problems 641	75	$26,461	$11,699
Heart catheterization 287	74	$47,223	$13,831
Other circulation problems, with major complications 314	73	$67,410	$26,485
Kidney failure, with complications 683	73	$25,943	$12,417
Dehydration and electrolyte problems, with major complications 640	72	$51,382	$19,437
Degenerative nerve disorders (e.g. Parkinson's, dementia) 057	69	$29,855	$17,853
Stomach and digestive disorders, with major complications 391	69	$42,724	$17,340
Other Respiratory System Diagnoses with Mcc 205	68	$67,623	$24,885
Heart stent 322	68	$90,947	$20,209
Kidney failure, with major complications 682	68	$45,962	$20,978
Anemia and blood disorders 812	68	$30,919	$13,123
Skin infection (cellulitis) 603	67	$21,443	$12,322
Other Major Cardiovascular Procedures with Mcc 270	66	$228,126	$65,353
Spinal fusion (lower or mid back) 460	66	$129,935	$38,625
Fainting 312	65	$29,573	$11,669
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220	62	$246,148	$66,027
Irregular heartbeat, with major complications 308	61	$34,143	$15,409
Bowel surgery, with complications 330	60	$65,945	$27,091
Pneumonia, with complications 194	59	$34,829	$11,659
Heart stent, with major complications or 4+ stents 321	59	$133,132	$32,236
Stomach or intestinal bleeding, with major complications 377	56	$78,224	$24,973
Urinary tract infection, with major complications 689	54	$33,533	$16,180
Major Chest Procedures Without Cc/Mcc 165	53	$60,770	$20,083
Lung infection, with complications 178	52	$45,219	$14,147
Other Digestive System Diagnoses with Mcc 393	52	$66,607	$23,687
Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455	52	$202,129	$51,637
Kidney and Ureter Procedures for Non-Neoplasm with Cc 660	52	$48,696	$16,407
Heart procedure through a catheter (e.g. ablation, valve clip) 274	51	$159,639	$32,592
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442	50	$35,148	$14,797
Revision of Hip or Knee Replacement Without Cc/Mcc 468	49	$90,725	$27,445
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809	49	$69,057	$19,045
Anemia and blood disorders, with major complications 811	49	$49,844	$18,593
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219	48	$281,421	$88,938
Revision of Hip or Knee Replacement with Cc 467	48	$113,017	$36,719
Craniotomy and Endovascular Intracranial Procedures with Cc 026	47	$67,246	$31,251
Bowel surgery, with major complications 329	47	$165,782	$55,033
Other digestive problems, with complications 394	45	$31,263	$12,884
Combined Anterior and Posterior Spinal Fusion with Cc 454	45	$236,625	$66,608
Complications of Treatment with Mcc 919	45	$74,721	$26,437
Other Vascular Procedures with Mcc 252	44	$131,958	$43,905
Bowel obstruction, with complications 389	44	$25,093	$11,596
Cirrhosis and Alcoholic Hepatitis with Mcc 432	43	$89,220	$32,228
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981	43	$165,846	$60,476
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175	42	$46,550	$17,144
COPD, with major complications 190	42	$33,587	$14,853
Cervical Spinal Fusion with Cc 472	42	$88,751	$30,805
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003	40	$911,161	$275,733
Seizures 101	40	$34,971	$12,550
Major Small and Large Bowel Procedures Without Cc/Mcc 331	40	$50,352	$17,965
Diabetes, with complications 638	40	$27,272	$12,233
Other Respiratory System Diagnoses Without Mcc 206	39	$97,163	$21,093
Other Vascular Procedures with Cc 253	39	$82,826	$29,749
Other Circulatory System Diagnoses with Cc 315	39	$49,107	$14,420
Pancreas, Liver and Shunt Procedures with Cc 406	39	$75,880	$31,170
Cervical Spinal Fusion Without Cc/Mcc 473	39	$69,451	$24,915
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023	38	$196,540	$61,589
Hip replacement after a hip fracture 522	38	$73,992	$26,086
Seizures with Mcc 100	37	$72,353	$25,435
Heart attack, with major complications 280	37	$56,660	$20,928
Lymphoma and Non-Acute Leukemia with Mcc 840	37	$194,025	$67,227
Complications of Treatment with Cc 920	37	$36,503	$14,436
Nervous System Neoplasms with Mcc 054	36	$51,522	$18,560
Heart Transplant or Implant of Heart Assist System with Mcc 001	35	$1,034,932	$307,565
Disorders of the Biliary Tract with Cc 445	35	$38,589	$14,419
Signs and Symptoms Without Mcc 948	35	$25,753	$11,745
Respiratory Neoplasms with Mcc 180	34	$65,296	$23,267
Heart attack, with complications 281	34	$33,253	$12,192
Irregular heartbeat 310	34	$16,560	$8,339
Malignancy of Hepatobiliary System or Pancreas with Mcc 435	33	$57,999	$21,422
Kidney Transplant 652	33	$211,606	$34,274
Coagulation Disorders 813	33	$68,485	$21,602
Other Disorders of Nervous System with Mcc 091	32	$70,975	$26,149
Major Chest Procedures with Mcc 163	32	$151,213	$53,816
Interstitial Lung Disease with Mcc 196	32	$69,804	$26,831
Back problems (no surgery) 552	32	$36,716	$14,282
Other Disorders of Nervous System with Cc 092	31	$35,498	$14,791
Other O.r. Procedures for Injuries with Mcc 907	31	$162,145	$54,058
Other Cerebrovascular Disorders with Mcc 070	30	$61,880	$25,867
Heart valve replacement through a catheter (TAVR), with major complications 266	30	$313,424	$69,983
Hip or thigh bone surgery (not replacement), with major complications 480	30	$97,204	$34,788
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543	30	$36,832	$15,002
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857	30	$49,974	$24,509
Breathing problem needing a ventilator (up to 4 days) 208	28	$99,077	$33,509
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216	28	$298,143	$95,183
Other Circulatory System O.r. Procedures 264	28	$138,422	$49,673
Percutaneous and Other Intracardiac Procedures with Mcc 273	28	$182,726	$46,832
Acute Leukemia with Mcc 834	28	$323,241	$99,273
Heart Failure and Shock with Cc 292	27	$29,811	$13,348
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521	27	$88,380	$35,417
Other O.r. Procedures for Injuries with Cc 908	27	$50,824	$21,911
Permanent Cardiac Pacemaker Implant with Cc 243	26	$115,445	$25,917
Medical Back Problems with Mcc 551	26	$62,209	$21,517
Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856	26	$147,455	$58,669
Peripheral Vascular Disorders with Cc 300	25	$30,204	$12,987
Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407	25	$53,623	$23,662
Laparoscopic Cholecystectomy Without C.d.e. with Cc 418	25	$62,643	$19,584
Disorders of the Biliary Tract with Mcc 444	25	$70,256	$22,237
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457	25	$241,445	$79,922
Endocrine Disorders with Cc 644	25	$32,158	$14,333
Kidney and Ureter Procedures for Neoplasm with Cc 657	25	$60,996	$21,194
Stomach, Esophageal and Duodenal Procedures with Cc 327	24	$72,940	$27,788
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493	24	$122,287	$31,202
Other Kidney and Urinary Tract Procedures with Mcc 673	24	$118,826	$50,814
Postoperative and Post-Traumatic Infections with Mcc 862	24	$59,002	$23,679
Fever and Inflammatory Conditions 864	24	$38,241	$11,809
Other Respiratory System O.r. Procedures with Cc 167	23	$56,259	$20,837
Pulmonary Embolism Without Mcc 176	23	$29,809	$11,353
Major Chest Trauma with Mcc 183	23	$69,949	$23,429
Major Chest Trauma with Cc 184	23	$49,051	$14,100
Other Major Cardiovascular Procedures with Cc 271	23	$129,043	$38,076
Major Joint or Limb Reattachment Procedures of Upper Extremities 483	23	$99,094	$26,973
Coronary Bypass Without Cardiac Catheterization with Mcc 235	22	$191,352	$67,569
Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658	22	$48,489	$16,768
Viral Illness Without Mcc 866	22	$23,347	$11,835
Liver Transplant with Mcc or Intestinal Transplant 005	21	$448,897	$137,594
Other Cardiothoracic Procedures Without Mcc 229	21	$171,153	$34,537
Other Vascular Procedures Without Cc/Mcc 254	21	$73,292	$19,968
Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328	21	$52,112	$18,872
Digestive Malignancy with Cc 375	21	$38,562	$15,912
Gastrointestinal Obstruction with Mcc 388	21	$37,276	$18,688
Disorders of Pancreas Except Malignancy with Cc 439	21	$36,301	$14,522
Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517	21	$32,744	$16,879
Bone Diseases and Arthropathies Without Mcc 554	21	$32,311	$12,675
Lymphoma and Non-Acute Leukemia with Cc 841	21	$106,000	$33,226
Postoperative and Post-Traumatic Infections Without Mcc 863	21	$24,431	$12,894
Respiratory Neoplasms with Cc 181	20	$36,968	$14,194
Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234	20	$176,453	$54,052
Peripheral Vascular Disorders with Mcc 299	20	$42,579	$20,657
Stomach, Esophageal and Duodenal Procedures with Mcc 326	20	$138,967	$59,512
Gastrointestinal Obstruction Without Cc/Mcc 390	20	$18,785	$8,976
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441	20	$39,436	$22,952
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846	20	$196,898	$53,901
Ventricular Shunt Procedures Without Cc/Mcc 033	19	$61,957	$17,457
Cranial and Peripheral Nerve Disorders Without Mcc 074	19	$44,254	$13,400
Other Respiratory System O.r. Procedures with Mcc 166	19	$92,285	$38,634
Permanent Cardiac Pacemaker Implant with Mcc 242	19	$169,678	$49,797
Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269	19	$213,675	$44,733
Other Digestive System O.r. Procedures with Mcc 356	19	$162,127	$50,816
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427	19	$313,093	$90,124
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428	19	$239,445	$58,771
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516	19	$60,737	$22,981
Cellulitis with Mcc 602	19	$46,975	$21,592
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659	19	$123,751	$35,426
Signs and Symptoms with Mcc 947	19	$72,569	$21,808
Pneumothorax with Cc 200	18	$51,052	$16,077
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371	18	$54,072	$28,546
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372	18	$32,428	$15,059
Digestive Malignancy with Mcc 374	18	$62,105	$26,055
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402	18	$126,772	$39,321
Cirrhosis and Alcoholic Hepatitis with Cc 433	18	$31,954	$14,467
Adrenal and Pituitary Procedures Without Cc/Mcc 615	18	$42,866	$15,344
Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661	18	$46,341	$13,120
Lung Transplant 007	17	$611,496	$130,487
Chronic Obstructive Pulmonary Disease with Cc 191	17	$22,801	$11,597
Bronchitis and Asthma with Cc/Mcc 202	17	$25,811	$13,884
Cardiac Defibrillator Implant Without Mcc 277	17	$281,442	$53,492
Pancreas, Liver and Shunt Procedures with Mcc 405	17	$160,783	$60,970
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542	17	$81,771	$28,674
Connective Tissue Disorders with Mcc 545	17	$136,339	$42,465
Fracture or sprain (not hip or thigh) 563	17	$24,436	$12,605
Diabetes, with major complications 637	17	$34,601	$18,405
Major Bladder Procedures with Cc 654	17	$101,188	$33,470
Respiratory System Diagnosis with Ventilator Support >96 Hours 207	16	$220,741	$78,226
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217	16	$212,964	$69,058
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463	16	$119,904	$51,788
Major Male Pelvic Procedures Without Cc/Mcc 708	16	$41,900	$16,272
Delirium and other mental confusion 884	16	$29,058	$20,163
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982	16	$85,269	$30,442
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024	15	$169,241	$38,294
Degenerative Nervous System Disorders with Mcc 056	15	$92,501	$27,834
Other Cerebrovascular Disorders with Cc 071	15	$40,582	$13,915
Cardiac Pacemaker Revision Except Device Replacement with Mcc 260	15	$169,397	$50,168
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464	15	$67,805	$33,021
Back and Neck Procedures Except Spinal Fusion with Cc 519	15	$87,705	$28,543
Connective Tissue Disorders with Cc 546	15	$34,188	$15,485
Endocrine Disorders with Mcc 643	15	$46,803	$20,254
Other Kidney and Urinary Tract Procedures with Cc 674	15	$116,918	$39,949
Infectious and Parasitic Diseases with O.r. Procedures with Cc 854	15	$66,929	$24,976
Poisoning and Toxic Effects of Drugs with Mcc 917	15	$41,112	$19,382
Extracranial Procedures Without Cc/Mcc 039	14	$48,993	$12,730
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239	14	$178,265	$54,822
High blood pressure 305	14	$24,863	$11,354
Malignancy of Hepatobiliary System or Pancreas with Cc 436	14	$30,312	$14,637
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808	14	$94,724	$32,252
Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837	14	$359,737	$113,284
Other Multiple Significant Trauma with Cc 964	14	$57,224	$20,190
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987	14	$139,454	$48,865
Nervous System Neoplasms Without Mcc 055	13	$60,555	$19,053
Headaches Without Mcc 103	13	$20,810	$10,044
Neurological Eye Disorders 123	13	$42,782	$11,290
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240	13	$110,550	$35,304
Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244	13	$75,805	$19,222
Multiple Level Spinal Fusion Except Cervical Without Mcc 448	13	$140,499	$41,801
Single Level Spinal Fusion Except Cervical Without Mcc 451	13	$92,073	$31,630
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469	13	$151,104	$41,728
Fractures of Hip and Pelvis Without Mcc 536	13	$21,701	$11,938
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617	13	$66,212	$23,797
Urinary Stones Without Mcc 694	13	$33,161	$10,690
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827	13	$62,954	$25,730
Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838	13	$74,580	$31,623
Other O.r. Procedures for Injuries Without Cc/Mcc 909	13	$65,202	$16,848
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012	12	$141,730	$43,411
Other Disorders of the Eye Without Mcc 125	12	$29,642	$12,070
Other Respiratory System O.r. Procedures Without Cc/Mcc 168	12	$45,797	$14,909
Respiratory Signs and Symptoms 204	12	$27,901	$10,096
Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233	12	$245,441	$79,113
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419	12	$44,439	$15,265
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494	12	$85,911	$22,504
Kidney Transplant with Hemodialysis with Mcc 650	12	$270,999	$63,626
Kidney and Ureter Procedures for Neoplasm with Mcc 656	12	$116,648	$41,329
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066	11	$33,066	$10,292
Mini-stroke (TIA) 069	11	$46,443	$9,880
Other Cardiothoracic Procedures with Mcc 228	11	$223,704	$54,135
Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268	11	$241,948	$84,689
Chest pain 313	11	$28,413	$9,906
Other Digestive System O.r. Procedures with Cc 357	11	$67,955	$25,490
Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474	11	$170,778	$59,447
Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520	11	$57,852	$19,441
Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605	11	$34,101	$13,098
Adrenal and Pituitary Procedures with Cc/Mcc 614	11	$60,236	$24,867
Transurethral Procedures with Cc 669	11	$35,524	$18,142
Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822	11	$38,458	$13,505
Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823	11	$167,975	$61,347
Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843	11	$56,512	$23,214
Septicemia or Severe Sepsis with Mv >96 Hours 870	11	$232,653	$83,694
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897	11	$31,733	$12,467
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956	11	$146,585	$57,119

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