North Carolina Specialty Hospital

3916 Ben Franklin Boulevard · Durham, NC 27704

🤖AI Overview

⚠️ This hospital charges 4.0x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$11.6M

Medicare Payments

$2.9M

Discharges

184

Avg Length of Stay

2.3 days

Markup Ratio

4.0x

Risk Score

1.06

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

North Carolina Specialty Hospital charges an average of $63,151 per discharge, but Medicare only pays $15,702 — a markup of 4.0x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

4.0x

State Avg

4.6x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$63,151

State Avg

$62,329

National Avg

$69,838

Avg Length of Stay

This Hospital

2.3 days

State Avg

5.6 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

0.0%

65–74

46.5%

75–84

43.6%

85+

0.0%

Gender

61.6%

Female

38.4%

Male

Dual Eligibility

0.0%

Dual Eligible

0.0%

Non-Dual

Race & Ethnicity

White

84.3%

Black

13.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

75.0%

Mood Disorders

44.2%

Depression

43.0%

Anxiety

42.4%

Diabetes

27.3%

Chronic Kidney Disease

25.6%

Ischemic Heart Disease

22.7%

Osteoporosis

20.4%

Asthma

18.6%

Atrial Fibrillation

18.0%

Heart Failure

15.7%

Cancer

14.5%

COPD

12.8%

Stroke/TIA

8.7%

Bipolar Disorder

7.6%

Substance Use

7.0%

Tobacco Use

7.0%

Alzheimer's/Dementia

4.7%

ADHD/Conduct Disorders

4.7%

Personality Disorders

2.3%

PTSD

1.7%

Parkinson's

1.2%

Schizophrenia/Psychosis

1.2%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.