CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Duke University Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 0.8× the $118 Medicare rate · typically $64–$182
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Below the fair price — a good deal
about $14 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $95 This hospital $81 Cash price $165 Hospital's list price $330

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

On the higher side — 7 of 8 other NC hospitals charge less.

Cheapest $48 Priciest $85

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

A fair price for a New patient office visit (30-44 min) is about $95 (about 0.8× the $118 Medicare rate). Duke University Hospital charges insurers about $81, or about $165 in cash — below the fair price — a good deal. 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 $61 - $309 52%
Blue Cross Blue Shieldmajor $61 - $250 52%
Aetnamajor $75 - $223 64%
Cignamajor $70 - $262 60%
Humanamajor $78 - $90 66%
AmeriHealth $61 - $89 52%
Sentara $153 130%
+ 8 smaller / regional plans $61 - $89

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Facility Profile & Credentials

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