Summary

4 facilities within 25 miles of Chapel Hill publish prices for Left Heart Catheterization. Cash prices range from $4,827 to $7,162 — a 1.5x difference for an identical procedure. The North Carolina average is $11,860.

$4,827 lowest
$7,162 highest
Best Value

Duke University Hospital

Durham, VA · Duke Health · 10.4 mi

$4,827 Cash price
5/5 CMS rating
80.0% Patient satisfaction

Lowest price among hospitals rated 5 stars or above. Patient satisfaction: 80%. Cash price of $4,827 is below the statewide average of $11,860.

All facilities ranked by price

1
Duke University Hospital 5★ · 10.4 mi · For-profit
$4,827
2
Duke Regional Hospital 4★ · 10.4 mi · Local government
$4,827
3
Unc Hospitals 5★ · 0.0 mi · State government
$7,162
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Duke University Hospital Duke Health Durham, NC · 10.4 mi $4,827 $17,876 3.7x 5/5 80.0% For-profit
2 Duke Regional Hospital Duke Health Durham, NC · 10.4 mi $4,827 $17,876 3.7x 4/5 71.0% Local government
3 Unc Hospitals UNC Health Chapel Hill, NC · 0.0 mi $7,162 $11,937 1.67x 5/5 78.0% State government
4 Duke Health Raleigh Hospital Duke Health Raleigh, NC · 25.0 mi $18,576

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Left Heart Catheterization. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Duke University Hospital

Cash: $4,827
Insurance Plan Negotiated Rate vs Cash
Aetna Medicare Advantage HMO $2,989 -$1,837
Blue Cross Blue Shield Medicare Advantage/Medicare Advantage HMO/Medicare Advantage PPO $3,094 -$1,732
UnitedHealthcare Medicare Advantage $3,094 -$1,732
Aetna Medicare Advantage PPO $3,107 -$1,719
Humana Medicare Advantage $3,125 -$1,701
Troy Health Medicare Advantage $3,133 -$1,694
VOANS Medicare Advantage $3,133 -$1,694
Cigna Medicare Advantage $3,195 -$1,631
Liberty Medicare Advantage $3,195 -$1,631
Alliance Health Managed Medicaid $4,042 -$785
AmeriHealth Managed Medicaid $4,042 -$785
Blue Cross Blue Shield Managed Medicaid $4,042 -$785
Carolina Complete Health Managed Medicaid $4,042 -$785
Trillium Managed Medicaid $4,042 -$785
UnitedHealthcare Managed Medicaid $4,042 -$785

10 additional plans not shown.

Duke Regional Hospital

Cash: $4,827
Insurance Plan Negotiated Rate vs Cash
AmeriHealth Managed Medicaid $2,876 -$1,950
Blue Cross Blue Shield Managed Medicaid $2,876 -$1,950
Carolina Complete Health Managed Medicaid $2,876 -$1,950
Trillium Managed Medicaid $2,876 -$1,950
Aetna Medicare Advantage HMO $3,026 -$1,800
Blue Cross Blue Shield Medicare Advantage/Medicare Advantage HMO/Medicare Advantage PPO $3,133 -$1,694
UnitedHealthcare Medicare Advantage $3,133 -$1,694
Troy Health Medicare Advantage $3,133 -$1,694
VOANS Medicare Advantage $3,133 -$1,694
Aetna Medicare Advantage PPO $3,195 -$1,631
Cigna Medicare Advantage $3,195 -$1,631
Liberty Medicare Advantage $3,195 -$1,631
Alliance Health Managed Medicaid $3,196 -$1,630
Partners Managed Medicaid $3,196 -$1,630
Humana Medicare Advantage $3,211 -$1,616

10 additional plans not shown.

Unc Hospitals

Cash: $7,162
Insurance Plan Negotiated Rate vs Cash
Aetna MEDICARE ADVANTAGE $3,138 -$4,025
ALIGNMENT MEDICARE ADVANTAGE $3,138 -$4,025
ALIGNMENT PREFERRED PLUS HMO $3,138 -$4,025
Blue Cross Blue Shield MEDICARE ADVANTAGE $3,138 -$4,025
Cigna MEDICARE ADVANTAGE $3,138 -$4,025
Medicare MEDICARE ADVANTAGE $3,138 -$4,025
HEALTH TEAM ADVANTAGE MEDICARE ADVANTAGE $3,138 -$4,025
Humana MEDICARE ADVANTAGE GOLD PLUS $3,138 -$4,025
Humana MEDICARE ADVANTAGE STATE HEALTH PLAN $3,138 -$4,025
LIBERTY MEDICARE ADVANTAGE $3,138 -$4,025
UnitedHealthcare MEDICARE ADVANTAGE $3,138 -$4,025
WELLCARE MEDICARE ADVANTAGE $3,138 -$4,025
TRICARE HMO $3,138 -$4,025
Blue Cross Blue Shield BLUE HOME $3,631 -$3,531
ALLIANCE MANAGED MEDICAID $3,677 -$3,486

19 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Left Heart Catheterization (CPT 93458). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Duke University Hospital For-profit N/A (for-profit)
Duke Regional Hospital Local government N/A (for-profit)
Unc Hospitals State government N/A (for-profit)
Duke Health Raleigh Hospital N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.