Alaska / Alaska Regional Hospital

CMS certification 020017 · Anchorage, AK · 5 entries in CMS's price-transparency list

Alaska Regional Hospital: charges and Medicare payments

Alaska Regional Hospital reported 1,820 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 9.04 times what it was paid — among the higher ratios in Alaska, number 1 of 7 hospitals with at least 100 stays (state median 3.57×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 262 stays at an average charge of $146,991, 63% above the national average. It also billed 1,493 outpatient services, charging 14.44 times what Medicare paid.

1Medicare inpatient stays 1,820
2Charge ÷ paid, inpatient 9.04×
3Rank in AK (highest ratio = 1) 1 of 7
4CMS price-transparency actions 5

Average charge per stay at Alaska Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 60 DRGs that can be compared with the national average, Alaska Regional Hospital charged more than the national average in 60 (100%). 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	262	$146,991	+63%	$17,843
470 Major Hip and Knee Joint Replacement or Reattachment of...	122	$188,420	+102%	$17,946
291 Heart Failure and Shock with MCC	85	$110,753	+96%	$12,031
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	69	$76,367	+56%	$9,930
454 Combined Anterior and Posterior Spinal Fusion with CC	61	$744,774	+166%	$82,623
193 Simple Pneumonia and Pleurisy with MCC	54	$109,677	+84%	$11,744
472 Cervical Spinal Fusion with CC	52	$248,075	+73%	$31,347
274 Percutaneous and Other Intracardiac Procedures without MCC	50	$292,618	+87%	$29,293
468 Revision of Hip or Knee Replacement without CC/MCC	50	$236,189	+91%	$23,922
853 Infectious and Parasitic Diseases with O.R. Procedures with...	48	$488,612	+113%	$53,559
189 Pulmonary Edema and Respiratory Failure	46	$79,296	+38%	$11,743
467 Revision of Hip or Knee Replacement with CC	40	$293,635	+86%	$34,258
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	39	$194,381	+95%	$17,287
177 Respiratory Infections and Inflammations with MCC	33	$107,984	+53%	$14,912
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$91,718	+65%	$9,025
280 Acute Myocardial Infarction, Discharged Alive with MCC	31	$108,841	+44%	$14,434
481 Hip and Femur Procedures except Major Joint with CC	31	$224,906	+123%	$18,210
330 Major Small and Large Bowel Procedures with CC	30	$195,918	+65%	$22,235
683 Renal Failure with CC	30	$82,182	+102%	$14,098
682 Renal Failure with MCC	28	$127,601	+94%	$13,330
460 Spinal Fusion except Cervical without MCC	24	$487,455	+186%	$46,062
552 Medical Back Problems without MCC	24	$90,082	+84%	$8,557
483 Major Joint or Limb Reattachment Procedures of Upper...	23	$270,450	+114%	$29,675
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$70,149	+75%	$9,721
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$244,575	+139%	$18,587
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	19	$118,871	+97%	$14,951
023 Craniotomy with Major Device Implant or Acute Complex Cns...	18	$652,289	+132%	$64,071
100 Seizures with MCC	18	$175,945	+86%	$17,716
101 Seizures without MCC	18	$81,570	+67%	$9,296
163 Major Chest Procedures with MCC	18	$434,431	+106%	$47,017
321 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$371,455	+127%	$27,304
427 Multiple Level Combined Anterior and Posterior Spinal Fusion...	18	$868,319	+154%	$136,468
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	18	$560,028	+176%	$53,510
637 Diabetes with MCC	18	$102,668	+54%	$14,074
312 Syncope and Collapse	17	$89,694	+97%	$11,911
329 Major Small and Large Bowel Procedures with MCC	17	$372,947	+73%	$38,947
025 Craniotomy and Endovascular Intracranial Procedures with MCC	16	$462,422	+100%	$51,838
331 Major Small and Large Bowel Procedures without CC/MCC	16	$170,851	+99%	$14,735
378 Gastrointestinal Hemorrhage with CC	16	$85,104	+75%	$8,268
389 Gastrointestinal Obstruction with CC	16	$58,617	+51%	$8,760
069 Transient Ischemia without Thrombolytic	15	$73,844	+46%	$7,345
208 Respiratory System Diagnosis with Ventilator Support <=96...	15	$365,275	+169%	$57,617
394 Other Digestive System Diagnoses with CC	15	$85,912	+83%	$8,505
917 Poisoning and Toxic Effects of Drugs with MCC	15	$103,065	+38%	$18,219
057 Degenerative Nervous System Disorders without MCC	14	$105,172	+86%	$12,033
281 Acute Myocardial Infarction, Discharged Alive with CC	14	$84,811	+68%	$8,284
377 Gastrointestinal Hemorrhage with MCC	14	$120,902	+42%	$24,177
390 Gastrointestinal Obstruction without CC/MCC	14	$60,782	+118%	$6,408
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	14	$82,475	+122%	$7,847
066 Intracranial Hemorrhage or Cerebral Infarction without...	12	$78,649	+86%	$8,658
322 Percutaneous Cardiovascular Procedures with Intraluminal...	12	$304,019	+165%	$34,087
516 Other Musculoskeletal System and Connective Tissue O.R....	12	$176,454	+74%	$20,976
603 Cellulitis without MCC	12	$59,543	+60%	$8,015
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	12	$127,123	+88%	$12,067
024 Craniotomy with Major Device Implant or Acute Complex Cns...	11	$740,861	+285%	$48,111
314 Other Circulatory System Diagnoses with MCC	11	$145,699	+54%	$18,551
402 Single Level Combined Anterior and Posterior Spinal Fusion...	11	$404,210	+115%	$33,617
432 Cirrhosis and Alcoholic Hepatitis with MCC	11	$129,532	+35%	$16,488
469 Major Hip and Knee Joint Replacement or Reattachment of...	11	$304,144	+103%	$29,087
811 Red Blood Cell Disorders with MCC	11	$87,594	+29%	$12,463

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	519	$149,516	$13,470
Comprehensive Observation Services	135	$34,596	$2,792
Level 2 Upper GI Procedures	90	$25,988	$1,964
Level 1 Endovascular Procedures	84	$71,256	$3,369
Level 1 Laparoscopy and Related Services	77	$75,555	$5,805
Level 6 Musculoskeletal Procedures	71	$280,820	$18,448
Level 2 Excision/ Biopsy/ Incision and Drainage	60	$18,149	$1,654
Level 4 Musculoskeletal Procedures	47	$100,949	$7,259
Level 3 Endovascular Procedures	47	$181,263	$11,341
Level 3 Vascular Procedures	40	$37,515	$3,224
Level 5 Urology and Related Services	37	$66,551	$5,341
Level 2 Laparoscopy and Related Services	30	$106,635	$10,437
Level 4 Vascular Procedures	28	$79,246	$5,470
Level 4 Urology and Related Services	28	$60,892	$3,598
Level 3 Musculoskeletal Procedures	26	$39,084	$3,246
Level 2 Breast/Lymphatic Surgery and Related Procedures	21	$83,373	$6,220
Level 3 Electrophysiologic Procedures	17	$500,080	$24,447
Level 2 Musculoskeletal Procedures	16	$19,574	$1,607
Level 5 Neurostimulator and Related Procedures	16	$225,844	$31,953
Implantation of Drug Infusion Device	15	$161,117	$17,250
Level 1 Breast/Lymphatic Surgery and Related Procedures	14	$54,229	$3,710
Level 2 Endovascular Procedures	14	$70,842	$5,900
Level 4 Endovascular Procedures	14	$305,606	$18,058
Level 3 Lower GI Procedures	13	$38,056	$2,898
Level 4 Airway Endoscopy	12	$96,830	$3,865

Against the Alaska average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Alaska Regional Hospital charged $146,991 on average, 23% more than the Alaska average of $119,854, and was paid $17,843 against a state average of $24,932. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Alaska Regional Hospital charged $188,420 on average, 47% more than the Alaska average of $128,399, and was paid $17,946 against a state average of $22,541. For Heart Failure and Shock with MCC (DRG 291), Alaska Regional Hospital charged $110,753 on average, 25% more than the Alaska average of $88,924, and was paid $12,031 against a state average of $16,398. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Alaska Regional Hospital charged $76,367 on average, 18% more than the Alaska average of $64,463, and was paid $9,930 against a state average of $13,229. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $149,516 was 18% above the state average of $126,408. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,596 was 20% above the state average of $28,781. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $25,988 was 48% above the state average of $17,611. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $71,256 was 55% above the state average of $46,070.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Alaska Regional Hospital in Anchorage, AK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-09-29 (CMS case 708)
CAP Request — 2022-10-14 (CMS case 708)
Closure Notice — 2023-07-13 (CMS case 708)
Met Requirements — 2025-04-11 (CMS case 3763)
Met Requirements — 2025-05-01 (CMS case 4267)

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.