Duke Health Raleigh Hospital
Raleigh, North Carolina 27609
CCN: 340073
66
DRG Categories
2,050
Total Discharges
$46,095
Avg Charges
$12,841
Avg Payment
$10,629
Avg Medicare
3.59x
Charge-to-Payment
Compared to North Carolina Average
How this hospital compares to the average of 81 hospitals in North Carolina
Average Charges
$46,095 -32%
State avg: $67,353
Average Payment
$12,841 -28%
State avg: $17,813
Charge-to-Payment Ratio
3.59x Below avg
State avg: 3.84x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 215 | $45,782 | $13,602 | 3.37x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 137 | $28,481 | $8,772 | 3.25x |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 109 | $165,706 | $37,507 | 4.42x |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 98 | $100,802 | $26,065 | 3.87x |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | 63 | $60,718 | $17,348 | 3.5x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 59 | $23,954 | $6,223 | 3.85x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 50 | $38,096 | $12,857 | 2.96x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 49 | $26,918 | $7,169 | 3.75x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 48 | $27,684 | $7,255 | 3.82x |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 46 | $194,896 | $46,966 | 4.15x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 43 | $35,727 | $8,614 | 4.15x |
| 603 | CELLULITIS WITHOUT MCC | 42 | $17,096 | $6,208 | 2.75x |
| 472 | CERVICAL SPINAL FUSION WITH CC | 38 | $77,306 | $21,717 | 3.56x |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 38 | $29,723 | $9,042 | 3.29x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 36 | $28,068 | $8,021 | 3.5x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 36 | $18,747 | $5,829 | 3.22x |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 32 | $38,645 | $8,831 | 4.38x |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 29 | $25,101 | $7,632 | 3.29x |
| 683 | RENAL FAILURE WITH CC | 29 | $20,582 | $6,466 | 3.18x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 28 | $31,773 | $6,953 | 4.57x |
Showing top 20 of 66 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.