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DUKE UNIVERSITY HEALTH SYSTEM, INC.

General Acute Care Hospital·DURHAM, NC·NPI: 1992703540Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.4M

$44,352,192

Total Claims

1.0M

Beneficiaries

862K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$5.3M
+1%
2019
$5.4M
-33%
2020
$3.6M
+107%
2021
$7.4M
+2%
2022
$7.5M
-7%
2023
$7.0M
+14%
2024
$8.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 14% of total spending.

99212Normal range

Office/outpatient visit, low complexity

$6.2M

189K claims · 14.0%

Your Cost: $32.86/claim|Median: $25.06
1.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$6.2M

17K claims · 13.9%

Your Cost: $367.60/claim|Median: $85.65
4.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$4.9M

23K claims · 11.0%

Your Cost: $210.83/claim|Median: $42.48
5.0× median
99284Top 5%

Emergency dept visit, high complexity

$3.0M

10K claims · 6.8%

Your Cost: $296.24/claim|Median: $69.51
4.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.7M

19K claims · 3.9%

Your Cost: $89.10/claim|Median: $63.08
1.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$1.3M

31K claims · 3.0%

Your Cost: $42.93/claim|Median: $37.81
1.1× median
97530Top 25%

Therapeutic activities, each 15 min

$1.3M

20K claims · 3.0%

Your Cost: $64.53/claim|Median: $33.11
1.9× median
92507Top 25%

Speech/hearing/language treatment

$1.1M

15K claims · 2.5%

Your Cost: $73.79/claim|Median: $49.45
1.5× median
J0585Top 5%

Injection, onabotulinumtoxinA, 1 unit

$815K

608 claims · 1.8%

Your Cost: $1,340.36/claim|Median: $470.36
2.8× median
59025Top 25%

Fetal non-stress test

$812K

14K claims · 1.8%

Your Cost: $57.37/claim|Median: $26.45
2.2× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$668K

6,685 claims · 1.5%

Your Cost: $99.85/claim|Median: $58.55
1.7× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$642K

13K claims · 1.4%

Your Cost: $49.54/claim|Median: $34.62
1.4× median
U0005Top 5%

Infectious disease detection, COVID-19, antigen

$590K

20K claims · 1.3%

Your Cost: $29.62/claim|Median: $15.76
1.9× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$574K

5,728 claims · 1.3%

Your Cost: $100.20/claim|Median: $36.79
2.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$554K

1,487 claims · 1.2%

Your Cost: $372.53/claim|Median: $54.68
6.8× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$540K

3,110 claims · 1.2%

Your Cost: $173.56/claim|Median: $106.79
1.6× median
80053Normal range

Comprehensive metabolic panel

$476K

48K claims · 1.1%

Your Cost: $9.96/claim|Median: $7.24
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$464K

60K claims · 1.0%

Your Cost: $7.72/claim|Median: $4.71
1.6× median
93303Top 5%

Echocardiography, transthoracic, limited

$460K

1,049 claims · 1.0%

Your Cost: $438.37/claim|Median: $112.83
3.9× median
92567Top 1%

$405K

2,524 claims · 0.9%

Your Cost: $160.31/claim|Median: $11.50
13.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$382K

15K claims · 0.9%

Your Cost: $25.56/claim|Median: $7.50
3.4× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$365K

7,410 claims · 0.8%

Your Cost: $49.22/claim|Median: $39.70
1.2× median
J3490Normal range

Unclassified drugs

$336K

37K claims · 0.8%

Your Cost: $9.10/claim|Median: $5.70
1.6× median
36415Top 25%

Collection of venous blood by venipuncture

$316K

95K claims · 0.7%

Your Cost: $3.32/claim|Median: $1.57
2.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$305K

9,739 claims · 0.7%

Your Cost: $31.34/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$305K

9,738 claims · 0.7%

Your Cost: $31.34/claim|Median: $23.39
1.3× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$274K

3,210 claims · 0.6%

Your Cost: $85.25/claim|Median: $58.16
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$268K

650 claims · 0.6%

Your Cost: $412.19/claim|Median: $233.73
1.8× median
J1750Top 5%

$258K

756 claims · 0.6%

Your Cost: $341.21/claim|Median: $97.22
3.5× median
93505Normal range

$253K

338 claims · 0.6%

Your Cost: $747.41/claim|Median: $544.91
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$249K

2,358 claims · 0.6%

Your Cost: $105.77/claim|Median: $75.28
1.4× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$238K

1,977 claims · 0.5%

Your Cost: $120.48/claim|Median: $37.35
3.2× median
Q5103Top 10%

$232K

68 claims · 0.5%

Your Cost: $3,405.16/claim|Median: $1,075.28
3.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$198K

2,615 claims · 0.4%

Your Cost: $75.67/claim|Median: $65.64
1.2× median
70551Top 5%

MRI brain without contrast

$197K

420 claims · 0.4%

Your Cost: $469.74/claim|Median: $85.39
5.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$177K

3,206 claims · 0.4%

Your Cost: $55.24/claim|Median: $35.43
1.6× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$159K

1,274 claims · 0.4%

Your Cost: $125.06/claim|Median: $74.78
1.7× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$159K

1,888 claims · 0.4%

Your Cost: $84.26/claim|Median: $54.77
1.5× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$158K

5,413 claims · 0.4%

Your Cost: $29.14/claim|Median: $18.03
1.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$155K

324 claims · 0.3%

Your Cost: $478.44/claim|Median: $763.43
0.6× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$153K

406 claims · 0.3%

Your Cost: $378.02/claim|Median: $255.03
1.5× median
93320Top 5%

$146K

1,053 claims · 0.3%

Your Cost: $138.89/claim|Median: $28.68
4.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$141K

2,739 claims · 0.3%

Your Cost: $51.51/claim|Median: $24.49
2.1× median
82306Top 25%

Vitamin D, 25 hydroxy

$135K

4,746 claims · 0.3%

Your Cost: $28.53/claim|Median: $18.18
1.6× median
72082Top 25%

$132K

1,964 claims · 0.3%

Your Cost: $67.04/claim|Median: $31.02
2.2× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$131K

7,838 claims · 0.3%

Your Cost: $16.75/claim|Median: $9.87
1.7× median
G0463Normal range

Hospital outpatient clinic visit

$131K

6,515 claims · 0.3%

Your Cost: $20.14/claim|Median: $26.41
0.8× median
95700Top 5%

$128K

286 claims · 0.3%

Your Cost: $449.24/claim|Median: $154.31
2.9× median
J1745Top 5%

Injection, infliximab, excludes biosimilar, 10 mg

$128K

19 claims · 0.3%

Your Cost: $6,722.08/claim|Median: $1,587.53
4.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$124K

3,930 claims · 0.3%

Your Cost: $31.63/claim|Median: $21.76
1.5× median

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