North Carolina / Atrium Health Stanly
CMS certification 340119 · Albemarle, NC · 1 entry in CMS's price-transparency list
Atrium Health Stanly: charges and Medicare payments
Atrium Health Stanly reported 452 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 4.33 times what it was paid — among the higher ratios in North Carolina, number 23 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: 92 stays at an average charge of $63,530, 30% below the national average. It also billed 371 outpatient services, charging 11.1 times what Medicare paid.
- 1Medicare inpatient stays 452
- 2Charge ÷ paid, inpatient 4.33×
- 3Rank in NC (highest ratio = 1) 23 of 73
- 4CMS price-transparency actions 1
Inpatient stays
For the 19 DRGs that can be compared with the national average, Atrium Health Stanly 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 | 92 | $63,530 | -30% | $14,203 |
| 291 Heart Failure and Shock with MCC | 59 | $40,124 | -29% | $10,038 |
| 193 Simple Pneumonia and Pleurisy with MCC | 51 | $46,526 | -22% | $10,734 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $64,579 | -9% | $12,736 |
| 683 Renal Failure with CC | 19 | $28,574 | -30% | $7,190 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $27,309 | -29% | $6,897 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $31,597 | -21% | $6,743 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $25,392 | -33% | $6,768 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $33,764 | -31% | $8,706 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $37,597 | -50% | $10,465 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $25,277 | -32% | $6,893 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $39,194 | -24% | $8,912 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $36,873 | -35% | $9,139 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $74,081 | -26% | $15,325 |
| 603 Cellulitis without MCC | 14 | $30,508 | -18% | $7,258 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $27,156 | -46% | $8,804 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $73,072 | -27% | $13,777 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $45,762 | -6% | $7,916 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $40,542 | -33% | $10,017 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 142 | $19,492 | $2,446 |
| Level 1 Intraocular Procedures | 100 | $20,013 | $2,094 |
| Level 1 Nerve Procedures | 56 | $22,660 | $1,661 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $8,676 | $1,457 |
| Level 2 Upper GI Procedures | 17 | $13,937 | $1,710 |
| Level 1 Laparoscopy and Related Services | 17 | $39,265 | $5,185 |
| Level 2 Musculoskeletal Procedures | 12 | $7,776 | $1,444 |
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Atrium Health Stanly charged $63,530 on average, 12% more than the North Carolina average of $56,936, and was paid $14,203 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Atrium Health Stanly charged $40,124 on average, 12% more than the North Carolina average of $35,799, and was paid $10,038 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Atrium Health Stanly charged $46,526 on average, 17% more than the North Carolina average of $39,905, and was paid $10,734 against a state average of $11,523. For Respiratory Infections and Inflammations with MCC (DRG 177), Atrium Health Stanly charged $64,579 on average, 36% more than the North Carolina average of $47,554, and was paid $12,736 against a state average of $14,260. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,492 was 4% above the state average of $18,779. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $20,013 was 97% above the state average of $10,153. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $22,660 was 90% above the state average of $11,910. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,676 was 8% below the state average of $9,423.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Atrium Health Stanly in Albemarle, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-24 (CMS case 5345)
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.