CMS certification 340030
Duke University Hospital
2301 Erwin Rd, Durham, NC 27705
Duke University Hospital has a CMS overall rating of 5 out of 5 stars. 80% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. Of the 27 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 10 and worse on 1. Emergency patients spend a median of 5 h 17 min in its emergency department before leaving (US median 2 h 42 min).
Every figure on this page is published by CMS; we arrange and explain it, and score nothing ourselves.
What patients said
Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 1,341 completed surveys, 22% response rate, Oct 2024 – Sep 2025.
Emergency department
How long emergency patients spent here and how some time-critical care went, from CMS's timely and effective care measures, Oct 2024 – Sep 2025. CMS classes this emergency department's patient volume as very high; busier departments tend to have longer times, so the national median for departments of the same volume is shown too. These are medians over a year of visits, not a live wait time.
| Measure | This hospital | NC | US |
|---|---|---|---|
| Median time in the emergency department before leaving Lower is better · 435 visits sampled · US median for EDs of the same volume: 3 h 21 min | 5 h 17 min | 3 h 7 min | 2 h 42 min |
| Median time for psychiatric and mental health patients Lower is better · 14 visits sampled | 6 h 57 min | 5 h | 4 h 17 min |
| Left before being seen Lower is better · 112,076 patients | 5% | 2% | 2% |
| Stroke symptoms: brain scan read within 45 minutes Higher is better · 15 patients | 73% | 71% | 69% |
| Severe sepsis and septic shock: all recommended care given Higher is better · 169 patients | 49% | 64% | 65% |
How Duke University Hospital compares with nearby hospitals
The closest hospitals of the same kind that CMS rates or surveys - the same city first, then the same county and ZIP area. Every figure is CMS's: the overall star rating, the share of patients who would definitely recommend the hospital, the median time emergency patients spent before leaving, and how many death, complication, infection and readmission measures CMS found better or worse than the national rate.
| Hospital | CMS stars | Would recommend | ER median time | Vs the nation |
|---|---|---|---|---|
| Duke University HospitalThis hospital | 5/5 | 80% | 5 h 17 min | 10 better 1 worse |
| Durham VA Medical CenterSame city | 4/5 | 75% | — | 4 better 1 worse |
| Duke Regional HospitalSame city | 5/5 | 76% | 4 h 15 min | 4 better 1 worse |
| North Carolina Specialty HospitalSame city | Not rated | 84% | — | 1 worse |
Hospitals differ in size and in how sick their patients are. CMS adjusts its outcome measures for that, but a star or a percentage is a starting point for questions, not a verdict. All hospitals in Durham.
Deaths
How many patients died within 30 days of admission, adjusted by CMS for how sick they were. Lower is better. Data from Jul 2022 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| All patients, hospital-wide 10,510 cases | Too few cases | 2.3% | 3.9% |
| Heart attack 351 cases | Too few cases | 10.4% | 11.9% |
| Heart failure 814 cases | Too few cases | 9.1% | 11.1% |
| Pneumonia 530 cases | Too few cases | 9.6% | 15.2% |
| Stroke 684 cases | Too few cases | 11.4% | 11.9% |
| COPD 175 cases | Too few cases | 6.4% | 8.6% |
| Heart bypass surgery (CABG) 277 cases | Too few cases | 1.6% | 2.4% |
Complications
How often patients had serious complications, most of them after surgery, adjusted for how sick they were. Lower is better. Data from Jul 2022 – Jun 2024.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Serious complications, combined measure | No different | 1.1 likely 0.94 – 1.26 | 1 |
| After hip or knee replacement 293 cases | Too few cases | 4.9% | 4.1% |
| Deaths after a serious but treatable surgical complication 366 cases | Worse | 216.01 per 1,000 likely 186.77 per 1,000 – 245.25 per 1,000 | 173.3 per 1,000 |
| Pressure ulcers (bed sores) 14,819 cases | No different | 0.5 per 1,000 likely 0.15 per 1,000 – 0.85 per 1,000 | 0.63 per 1,000 |
| Collapsed lung caused by a procedure 15,279 cases | No different | 0.16 per 1,000 likely 0 per 1,000 – 0.32 per 1,000 | 0.21 per 1,000 |
| Broken bones from falls in the hospital 16,992 cases | No different | 0.2 per 1,000 likely 0.04 per 1,000 – 0.36 per 1,000 | 0.27 per 1,000 |
| Bleeding or hematoma after surgery 5,880 cases | No different | 2.62 per 1,000 likely 1.69 per 1,000 – 3.56 per 1,000 | 2.34 per 1,000 |
| Kidney injury needing dialysis after surgery 3,680 cases | Worse | 2.95 per 1,000 likely 2.11 per 1,000 – 3.79 per 1,000 | 1.67 per 1,000 |
| Breathing failure after surgery 3,482 cases | No different | 8.88 per 1,000 likely 6.29 per 1,000 – 11.47 per 1,000 | 9.42 per 1,000 |
| Blood clots in the lungs or legs after surgery 6,581 cases | Worse | 5.5 per 1,000 likely 4.26 per 1,000 – 6.75 per 1,000 | 3.52 per 1,000 |
| Sepsis after surgery 3,644 cases | No different | 5.96 per 1,000 likely 4.07 per 1,000 – 7.84 per 1,000 | 5.27 per 1,000 |
| Surgical wound splitting open 1,495 cases | No different | 2.49 per 1,000 likely 1.26 per 1,000 – 3.72 per 1,000 | 1.77 per 1,000 |
| Accidental cut or tear during abdominal surgery 4,083 cases | No different | 0.91 per 1,000 likely 0.21 per 1,000 – 1.61 per 1,000 | 1.06 per 1,000 |
Infections caught in the hospital
Standardized infection ratio: 1.0 means as many infections as CMS predicted for a hospital like this one. Lower is better. Data from Oct 2024 – Sep 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Bloodstream infections from central lines (CLABSI) | Better | 0.73 likely 0.57 – 0.92 | 1 |
| Urinary tract infections from catheters (CAUTI) | Better | 0.37 likely 0.25 – 0.55 | 1 |
| Surgical site infections after colon surgery | No different | 1.05 likely 0.68 – 1.55 | 1 |
| Surgical site infections after abdominal hysterectomy | No different | 1.37 likely 0.44 – 3.31 | 1 |
| MRSA bloodstream infections | Better | 0.59 likely 0.4 – 0.86 | 1 |
| C. diff intestinal infections | Better | 0.4 likely 0.32 – 0.49 | 1 |
Readmissions and return visits
How often patients had to come back to a hospital after going home. Lower is better. Data from Jul 2023 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Readmitted after a heart attack 688 cases | Too few cases | 12.7% | 14.4% |
| Readmitted after heart failure 1,551 cases | Too few cases | 20.6% | 21.3% |
| Readmitted after pneumonia 861 cases | Too few cases | 15.9% | 17.3% |
| Readmitted after COPD 367 cases | Too few cases | 20.1% | 20% |
| Readmitted after heart bypass surgery 312 cases | Too few cases | 9.7% | 11% |
| Readmitted after hip or knee replacement 320 cases | Too few cases | 5.9% | 5.8% |
| Days back in hospital after a heart attack 428 cases | Too few cases | 7.3 days per 100 | — |
| Days back in hospital after heart failure 963 cases | Too few cases | -20.2 days per 100 | — |
| Days back in hospital after pneumonia 554 cases | Too few cases | -14.2 days per 100 | — |
| Unplanned visits after an outpatient colonoscopy 2,489 cases | No different | 12.7 per 1,000 likely 10.2 per 1,000 – 16 per 1,000 | 13 per 1,000 |
| Hospital admissions during outpatient chemotherapy 2,101 cases | Better | 8.6 per 100 likely 7.5 per 100 – 9.8 per 100 | 10.7 per 100 |
| ER visits during outpatient chemotherapy 2,101 cases | No different | 4.9 per 100 likely 4.1 per 100 – 5.8 per 100 | 5.4 per 100 |
| Unplanned visits after outpatient surgery 2,623 cases | No different | 0.9 likely 0.8 – 1 | — |
1 more measure had too few cases here to report.
Clinicians registered at this address
1,035 clinicians give this hospital's street address as their practice location in NPPES, the federal provider registry, plus 1,026 residents and trainees. The same address can take in offices and clinics in the building, and a listing does not prove admitting privileges or current employment.
| Specialty | Clinicians |
|---|---|
| Diagnostic Radiology | 109 |
| Physical Therapist | 76 |
| Nurse Anesthetist, Certified Registered | 63 |
| Internal Medicine | 57 |
| Physician Assistant | 54 |
| Occupational Therapist | 48 |
| Acute Care | 43 |
| Pediatrics | 38 |
| Emergency Medicine | 36 |
| Anesthesiology | 35 |
| Nurse Practitioner | 32 |
| Registered Nurse | 24 |
First 12 alphabetically
Money from drug and device companies
Drug and device makers have to report what they pay teaching hospitals to CMS's Open Payments program. At many teaching hospitals most of it is research funding, or royalties for inventions the hospital licensed to a company. A payment on its own does not show a conflict of interest.
- 2019 $33.5M
- 2020 $4.3M
- 2021 $4.5M
- 2022 $5.8M
- 2023 $8.7M
- 2024 $11.3M
- 2025 $4.1M
What the 2025 general payments were for
| Type of payment | Amount | Payments |
|---|---|---|
| Grants | $732,085 | 17 |
| Consulting fees | $401,217 | 25 |
| Space rental and facility fees | $259,434 | 18 |
| Medical devices and supplies on long-term loan | $104,012 | 15 |
| Education | $72,613 | 8 |
| Debt forgiveness | $52,430 | 16 |
| Royalties and licensing fees | $44,927 | 12 |
| Speaking, teaching and other services | $39,032 | 10 |
| Gifts | $695 | 1 |
| Food and beverage | $358 | 2 |
Largest paying companies, 2025
| Company | Amount | Payments |
|---|---|---|
| Siemens Medical Solutions USA, Inc. | $670,169 | 24 |
| Edwards Lifesciences Corporation | $446,391 | 36 |
| Sumitomo Pharma America, Inc. | $401,217 | 25 |
| Transmedics, INC. | $261,421 | 18 |
| Paragon 28, Inc. | $257,740 | 7 |
| Takeda Pharmaceuticals U.S.A., Inc. | $223,950 | 8 |
| Exactech, INC. | $208,972 | 13 |
| Merck Sharp & Dohme LLC | $180,470 | 1 |
Largest research studies funded here, 2025
| Study | Amount |
|---|---|
| The OCS Liver Perfusion (OLP?II) Registr TRANSMEDICS, INC. | $190,856 |
| STUDY NAME#A Study of DapansutRile Plus PEmbrolizumab in Patients with PD-1 Refractory Advanced Melanoma DREAM Merck Sharp & Dohme LLC | $180,470 |
| CR16-002 VANTAGE TOTAL ANKLE STUDY-FIXED EXACTECH, INC. | $167,169 |
| Trial of Sequential Medications After TNFi failure in Juvenile Idiopathic Arthritis SMART JIA Fresenius Kabi USA, LLC | $160,536 |
| Safety and Efficacy of XPERIENCE Irrigation Solution to Prevent Fracture Related Infection: a Preclinical Study Osteoremedies, LLC | $142,755 |
| Acumen HPI Smart Alerts and Smart Trends to Improve Compliance With an Intra-operative Hemodynamic Management Algorithm and Reduce Renal Injury Follo… Becton, Dickinson and Company | $140,848 |
| A Prospective Cohort Post Market Registry Evaluating Outcomes of Bridge-Enhanced ACL Restoration (BEAR) Miach Orthopaedics, Inc. · NCT05398341 | $91,954 |
| Expansion of the Duke Molecular Tumor Board to community oncology sites across theSoutheast to support adoption of comprehensive genomic profiling an… TAIHO ONCOLOGY, INC. | $74,964 |
Amounts are as the paying companies reported them to CMS; Open Payments data retrieved 13 Sep 2026. Full record on CMS Open Payments.
How to read this page
- Everything here is published by CMS on Care Compare. We arrange it and explain it; the star ratings and the better / worse verdicts are CMS's, not ours.
- “No different” is the most common result on most measures at most hospitals. CMS only calls a result better or worse when the difference from the national rate is statistically clear.
- Death, complication and readmission rates are adjusted by CMS for how sick patients were, so hospitals that treat sicker patients can be compared fairly.
- Infection results are ratios: 1.0 means as many infections as CMS predicted for a hospital like this one, below 1.0 is fewer.
- These are hospital-wide results. They do not rate an individual doctor, nurse or department, and they are not medical advice.
CMS Care Compare data retrieved 4 Oct 2026, refreshed weekly. Where this data comes from and how we handle it · Report an error
Common questions about Duke University Hospital
Is Duke University Hospital a good hospital?
Duke University Hospital has a CMS overall rating of 5 out of 5 stars. Of the 27 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 10 and worse on 1. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.
Would patients recommend Duke University Hospital?
80% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 1,341 completed HCAHPS surveys.
How long is the wait in the Duke University Hospital emergency room?
Emergency patients spend a median of 5 h 17 min in its emergency department before leaving (US median 2 h 42 min). Among US emergency departments with very high patient volume, like this one, the median is 3 h 21 min. 5% of emergency patients left before being seen (US 2%). These are medians over a year of visits, not a live wait time.
Does Duke University Hospital receive money from drug and device companies?
Drug and device makers reported $4.1M in payments to Duke University Hospital for 2025, most of it research funding, under the federal Open Payments program. A payment on its own does not show a conflict of interest.