Alamance Regional Medical Center
ALAMANCE REGIONAL MEDICAL CENTER in Burlington, NC charges 3.5x the Medicare reimbursement rate across 41 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in North Carolina.
Burlington, NC 27216 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.53x
Charge / Medicare rate
Max markup
5.5x
Worst procedure
Procedures analyzed
41
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,893 | $14,947 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $26,709 | $13,354 | — | 5.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $25,183 | $12,592 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $22,542 | $11,271 | — | 4.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $27,901 | $13,950 | — | 4.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $54,317 | $27,158 | — | 4.4x |
| SYNCOPE AND COLLAPSE | 312 | $25,044 | $12,522 | — | 4.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $128,323 | $64,162 | — | 4.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $30,834 | $15,417 | — | 4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $46,612 | $23,306 | — | 3.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $50,749 | $25,375 | — | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,490 | $10,245 | — | 3.7x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $48,151 | $24,075 | — | 3.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,263 | $10,632 | — | 3.7x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $15,333 | $7,667 | — | 3.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $31,774 | $15,887 | — | 3.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $18,344 | $9,172 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $50,729 | $25,365 | — | 3.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $24,986 | $12,493 | — | 3.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $62,134 | $31,067 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $22,516 | $11,258 | — | 3.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $22,926 | $11,463 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $17,502 | $8,751 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $27,899 | $13,949 | — | 3.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $65,116 | $32,558 | — | 3.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $22,694 | $11,347 | — | 3.3x |
| RENAL FAILURE WITH CC | 683 | $19,867 | $9,934 | — | 3.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $28,107 | $14,053 | — | 3.2x |
| RENAL FAILURE WITH MCC | 682 | $31,701 | $15,851 | — | 3.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,808 | $12,904 | — | 3x |
| DIABETES WITH CC | 638 | $18,971 | $9,485 | — | 3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $25,359 | $12,680 | — | 3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $88,827 | $44,413 | — | 2.9x |
| CELLULITIS WITHOUT MCC | 603 | $17,727 | $8,863 | — | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $22,281 | $11,141 | — | 2.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $30,938 | $15,469 | — | 2.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $34,030 | $17,015 | — | 2.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $32,927 | $16,463 | — | 2.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $31,490 | $15,745 | — | 2.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $21,661 | $10,831 | — | 2.5x |
| DIABETES WITH MCC | 637 | $21,906 | $10,953 | — | 2.4x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use