North Carolina / Atrium Health Cleveland
CMS certification 340021 · Shelby, NC · 1 entry in CMS's price-transparency list
Atrium Health Cleveland: charges and Medicare payments
Atrium Health Cleveland reported 1,762 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 5.14 times what it was paid — among the higher ratios in North Carolina, number 7 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: 181 stays at an average charge of $80,439, 11% below the national average. It also billed 870 outpatient services, charging 9.48 times what Medicare paid.
- 1Medicare inpatient stays 1,762
- 2Charge ÷ paid, inpatient 5.14×
- 3Rank in NC (highest ratio = 1) 7 of 73
- 4CMS price-transparency actions 1
Inpatient stays
For the 52 DRGs that can be compared with the national average, Atrium Health Cleveland charged more than the national average in 10 (19%). 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 | 181 | $80,439 | -11% | $15,150 |
| 291 Heart Failure and Shock with MCC | 175 | $50,874 | -10% | $10,272 |
| 193 Simple Pneumonia and Pleurisy with MCC | 75 | $54,447 | -9% | $10,638 |
| 689 Kidney and Urinary Tract Infections with MCC | 69 | $40,757 | -21% | $9,163 |
| 177 Respiratory Infections and Inflammations with MCC | 66 | $56,194 | -20% | $12,447 |
| 690 Kidney and Urinary Tract Infections without MCC | 64 | $40,849 | +8% | $7,596 |
| 683 Renal Failure with CC | 56 | $41,007 | +1% | $7,609 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 50 | $34,324 | -15% | $7,872 |
| 885 Psychoses | 46 | $39,669 | -10% | $10,696 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 44 | $53,669 | -4% | $8,321 |
| 312 Syncope and Collapse | 42 | $40,148 | -12% | $7,185 |
| 189 Pulmonary Edema and Respiratory Failure | 40 | $46,600 | -19% | $9,587 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $50,078 | -17% | $9,718 |
| 682 Renal Failure with MCC | 39 | $61,369 | -7% | $11,367 |
| 194 Simple Pneumonia and Pleurisy with CC | 38 | $37,351 | -3% | $6,877 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 37 | $46,233 | -9% | $8,834 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $59,202 | +22% | $8,749 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $40,506 | +9% | $6,864 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $35,587 | -1% | $6,348 |
| 603 Cellulitis without MCC | 31 | $30,969 | -17% | $7,641 |
| 481 Hip and Femur Procedures except Major Joint with CC | 30 | $86,032 | -15% | $16,165 |
| 178 Respiratory Infections and Inflammations with CC | 28 | $36,301 | -20% | $7,909 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $58,770 | -4% | $9,908 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $56,404 | 0% | $9,415 |
| 812 Red Blood Cell Disorders without MCC | 25 | $42,452 | -4% | $7,419 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $39,471 | -20% | $8,193 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $69,390 | -19% | $13,008 |
| 637 Diabetes with MCC | 23 | $49,991 | -25% | $11,659 |
| 638 Diabetes with CC | 23 | $37,425 | -10% | $8,780 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 22 | $102,447 | 0% | $15,581 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $80,872 | -19% | $15,816 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 19 | $28,727 | -27% | $7,655 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $47,627 | -35% | $12,704 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $129,590 | -43% | $35,342 |
| 069 Transient Ischemia without Thrombolytic | 17 | $41,880 | -17% | $7,288 |
| 305 Hypertension without MCC | 15 | $35,794 | -11% | $6,766 |
| 602 Cellulitis with MCC | 15 | $39,840 | -34% | $11,231 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 14 | $98,448 | +6% | $12,281 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 14 | $127,580 | -8% | $21,867 |
| 948 Signs and Symptoms without MCC | 14 | $39,309 | +3% | $6,547 |
| 057 Degenerative Nervous System Disorders without MCC | 13 | $62,296 | +10% | $10,084 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 13 | $46,588 | +10% | $6,073 |
| 313 Chest Pain | 13 | $38,374 | -4% | $6,244 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $96,591 | +4% | $13,935 |
| 552 Medical Back Problems without MCC | 13 | $41,776 | -14% | $7,723 |
| 811 Red Blood Cell Disorders with MCC | 13 | $56,822 | -17% | $10,365 |
| 071 Other Cerebrovascular Disorders with CC | 12 | $43,126 | -15% | $8,046 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $35,742 | -23% | $7,780 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $32,214 | +12% | $5,129 |
| 389 Gastrointestinal Obstruction with CC | 12 | $33,376 | -14% | $6,687 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $41,898 | -39% | $11,005 |
| 394 Other Digestive System Diagnoses with CC | 11 | $39,908 | -15% | $7,669 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Atrium Health Cleveland charged $80,439 on average, 41% more than the North Carolina average of $56,936, and was paid $15,150 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Atrium Health Cleveland charged $50,874 on average, 42% more than the North Carolina average of $35,799, and was paid $10,272 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Atrium Health Cleveland charged $54,447 on average, 36% more than the North Carolina average of $39,905, and was paid $10,638 against a state average of $11,523. For Kidney and Urinary Tract Infections with MCC (DRG 689), Atrium Health Cleveland charged $40,757 on average, 22% more than the North Carolina average of $33,503, and was paid $9,163 against a state average of $10,237. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,974 was 22% above the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $81,309 was 33% above the state average of $61,166. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,338 was 20% above the state average of $9,423. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,748 was 56% above the state average of $17,111.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Atrium Health Cleveland in Shelby, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-26 (CMS case 5365)
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.