CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Duke University Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$40
about 1.0× the $40 Medicare rate · typically $14–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $40 Fair price $40 This hospital $41 Cash price $85 Hospital's list price $316

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $41

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $40 (about 1.0× the $40 Medicare rate). Duke University Hospital charges insurers about $41, or about $85 in cash — about the fair price. Located in Durham, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $19 - $70 47%
Blue Cross Blue Shieldmajor $16 - $123 40%
Aetnamajor $21 - $145 52%
Cignamajor $37 - $297 92%
Humanamajor $14 - $86 35%
AmeriHealth $16 - $18 40%
Sentara $63 156%
+ 7 smaller / regional plans $16 - $42
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2301 Erwin Rd, Durham, NC 27705
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals