North Carolina / Sentara Albemarle Medical Center
CMS certification 340109 · Elizabeth City, NC · 4 entries in CMS's price-transparency list
Sentara Albemarle Medical Center: charges and Medicare payments
Sentara Albemarle Medical Center reported 1,361 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 2.74 times what it was paid — among the lower ratios in North Carolina, number 57 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: 325 stays at an average charge of $45,929, 49% below the national average. It also billed 1,103 outpatient services, charging 6.46 times what Medicare paid.
- 1Medicare inpatient stays 1,361
- 2Charge ÷ paid, inpatient 2.74×
- 3Rank in NC (highest ratio = 1) 57 of 73
- 4CMS price-transparency actions 4
Inpatient stays
For the 36 DRGs that can be compared with the national average, Sentara Albemarle 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 | 325 | $45,929 | -49% | $17,042 |
| 291 Heart Failure and Shock with MCC | 113 | $28,519 | -49% | $11,024 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 75 | $35,159 | -54% | $13,464 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 60 | $24,043 | -51% | $9,046 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $33,465 | -44% | $11,548 |
| 683 Renal Failure with CC | 45 | $20,498 | -50% | $7,719 |
| 682 Renal Failure with MCC | 41 | $32,875 | -50% | $12,788 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $34,561 | -51% | $14,245 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 36 | $23,187 | -54% | $9,489 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $29,265 | -47% | $8,675 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $25,769 | -57% | $11,337 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $21,000 | -59% | $10,150 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $37,696 | -49% | $14,823 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $20,901 | -44% | $6,683 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $17,677 | -53% | $6,997 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $109,839 | -52% | $42,459 |
| 389 Gastrointestinal Obstruction with CC | 26 | $21,490 | -45% | $6,888 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $66,082 | -34% | $17,689 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 24 | $29,444 | -48% | $10,350 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 24 | $62,622 | -39% | $18,115 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $21,233 | -41% | $6,376 |
| 603 Cellulitis without MCC | 21 | $18,562 | -50% | $7,952 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $49,770 | -50% | $16,973 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $70,151 | -38% | $19,235 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $22,692 | -44% | $6,953 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $146,400 | -55% | $59,224 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $28,529 | -44% | $8,244 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $31,333 | -46% | $10,533 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $35,650 | -44% | $9,261 |
| 637 Diabetes with MCC | 16 | $41,496 | -38% | $12,248 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $26,075 | -60% | $11,926 |
| 312 Syncope and Collapse | 14 | $22,069 | -52% | $7,425 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $26,535 | -57% | $12,271 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $58,022 | -41% | $17,281 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $15,909 | -66% | $8,716 |
| 638 Diabetes with CC | 11 | $23,363 | -44% | $7,711 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Albemarle Medical Center charged $45,929 on average, 19% less than the North Carolina average of $56,936, and was paid $17,042 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Sentara Albemarle Medical Center charged $28,519 on average, 20% less than the North Carolina average of $35,799, and was paid $11,024 against a state average of $11,305. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sentara Albemarle Medical Center charged $35,159 on average, 28% less than the North Carolina average of $48,606, and was paid $13,464 against a state average of $13,726. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sentara Albemarle Medical Center charged $24,043 on average, 28% less than the North Carolina average of $33,328, and was paid $9,046 against a state average of $9,375. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,579 was 22% below the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $46,265 was 24% below the state average of $61,166. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,828 was 19% below the state average of $24,380. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,142 was 29% above the state average of $10,153.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sentara Albemarle Medical Center in Elizabeth City, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-14 (CMS case 1184)
- Closure Notice — 2024-05-20 (CMS case 1184)
- Warning Notice — 2026-03-09 (CMS case 7189)
- Closure Notice — 2026-06-11 (CMS case 7189)
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.