North Carolina / Alamance Regional Medical Center
CMS certification 340070 · Burlington, NC · 4 entries in CMS's price-transparency list
Alamance Regional Medical Center: charges and Medicare payments
Alamance Regional Medical Center reported 1,016 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 2.89 times what it was paid — among the lower ratios in North Carolina, number 54 of 73 hospitals with at least 100 stays (state median 3.55×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 192 stays at an average charge of $39,474, 56% below the national average. It also billed 1,420 outpatient services, charging 6.16 times what Medicare paid.
- 1Medicare inpatient stays 1,016
- 2Charge ÷ paid, inpatient 2.89×
- 3Rank in NC (highest ratio = 1) 54 of 73
- 4CMS price-transparency actions 4
Inpatient stays
For the 36 DRGs that can be compared with the national average, Alamance Regional Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 192 | $39,474 | -56% | $15,174 |
| 291 Heart Failure and Shock with MCC | 114 | $29,559 | -48% | $10,905 |
| 177 Respiratory Infections and Inflammations with MCC | 44 | $30,464 | -57% | $13,045 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $30,868 | -48% | $10,939 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $23,432 | -52% | $9,018 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $29,832 | -46% | $8,790 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $30,432 | -37% | $10,119 |
| 377 Gastrointestinal Hemorrhage with MCC | 27 | $44,889 | -47% | $14,374 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $55,348 | -45% | $15,741 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $101,311 | -56% | $37,536 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $37,743 | -34% | $10,735 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $27,377 | -55% | $10,262 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $47,759 | -37% | $12,634 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $26,535 | -48% | $9,679 |
| 682 Renal Failure with MCC | 22 | $36,275 | -45% | $12,136 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $24,163 | -40% | $8,087 |
| 603 Cellulitis without MCC | 21 | $19,531 | -48% | $7,985 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $19,732 | -47% | $7,073 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $17,381 | -52% | $6,798 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $26,602 | -30% | $7,126 |
| 951 Other Factors Influencing Health Status | 18 | $14,801 | -42% | $5,691 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $33,089 | -67% | $15,140 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $30,485 | -40% | $7,973 |
| 389 Gastrointestinal Obstruction with CC | 16 | $36,842 | -5% | $10,325 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $38,849 | -47% | $12,933 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $33,357 | -34% | $9,616 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $21,400 | -53% | $8,468 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $65,372 | -42% | $19,072 |
| 638 Diabetes with CC | 14 | $22,472 | -46% | $10,501 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $63,519 | -38% | $16,349 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $18,699 | -56% | $7,764 |
| 683 Renal Failure with CC | 13 | $22,823 | -44% | $8,076 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $51,515 | -9% | $11,205 |
| 312 Syncope and Collapse | 12 | $24,204 | -47% | $7,270 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $20,402 | -47% | $7,368 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $77,004 | -33% | $16,240 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Alamance Regional Medical Center charged $39,474 on average, 31% less than the North Carolina average of $56,936, and was paid $15,174 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Alamance Regional Medical Center charged $29,559 on average, 17% less than the North Carolina average of $35,799, and was paid $10,905 against a state average of $11,305. For Respiratory Infections and Inflammations with MCC (DRG 177), Alamance Regional Medical Center charged $30,464 on average, 36% less than the North Carolina average of $47,554, and was paid $13,045 against a state average of $14,260. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Alamance Regional Medical Center charged $30,868 on average, 23% less than the North Carolina average of $39,905, and was paid $10,939 against a state average of $11,523. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,440 was 7% below the state average of $10,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,856 was 21% below the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $51,040 was 17% below the state average of $61,166. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,263 was 23% below the state average of $9,423.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Alamance Regional Medical Center in Burlington, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-12-22 (CMS case 1236)
- Closure Notice — 2023-04-14 (CMS case 1236)
- Warning Notice — 2025-07-15 (CMS case 5720)
- Closure Notice — 2025-08-22 (CMS case 5720)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.