Alamance Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Alamance Regional Medical Center, Burlington, NC in 2024, from traditional Medicare claims. Back to the Alamance Regional Medical Center profile, with quality ratings, finances and negotiated rates.
1,016
Medicare inpatient discharges
In 36 published DRGs
1.77
Case mix index
IPPS FY 2027
8%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
1,420
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases259 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 192 | $39,474 | $12,886 | $10,697 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 40 | $23,432 | $6,819 | $6,350 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $101,311 | $31,672 | $27,455 | 5.00 |
Circulatory system221 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 114 | $29,559 | $8,783 | $8,011 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 23 | $47,759 | $11,279 | $12,943 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 18 | $17,381 | $5,382 | $4,710 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $30,485 | $6,119 | $8,261 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $65,372 | $14,500 | $17,716 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $51,515 | $8,825 | $13,961 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 12 | $24,204 | $5,622 | $6,559 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 11 | $77,004 | $11,408 | $20,868 | 1.82 |
Respiratory system150 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 44 | $30,464 | $10,597 | $8,256 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $30,868 | $8,908 | $8,365 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 26 | $37,743 | $8,519 | $10,228 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $33,357 | $7,365 | $9,040 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $21,400 | $6,821 | $5,799 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $20,402 | $5,927 | $5,529 | 0.82 |
Digestive system95 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 31 | $30,432 | $6,452 | $8,247 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 27 | $44,889 | $11,911 | $12,165 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $24,163 | $5,219 | $6,548 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $36,842 | $4,388 | $9,984 | 0.80 |
Kidney and urinary tract92 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $26,535 | $7,907 | $7,191 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $36,275 | $10,977 | $9,830 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $26,602 | $5,780 | $7,209 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $38,849 | $11,739 | $10,528 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 13 | $22,823 | $6,235 | $6,185 | 0.90 |
Endocrine, nutritional and metabolic58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 25 | $27,377 | $9,121 | $7,419 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $19,732 | $5,607 | $5,347 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $22,473 | $4,957 | $6,090 | 0.90 |
Musculoskeletal system and connective tissue53 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $55,348 | $14,158 | $14,999 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $63,519 | $14,966 | $17,214 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $18,699 | $6,301 | $5,067 | 0.90 |
Nervous system49 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 32 | $29,832 | $6,514 | $8,084 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $33,089 | $13,977 | $8,967 | 2.00 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $19,531 | $6,411 | $5,293 | 0.88 |
Factors influencing health status18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 18 | $14,801 | $4,547 | $4,011 | 0.59 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 346 | 200 | $9,440 | $1,681 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 177 | 171 | $14,856 | $1,968 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 105 | 102 | $51,040 | $10,271 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 86 | 79 | $7,263 | $1,085 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 68 | 62 | $13,994 | $2,217 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 59 | 59 | $20,760 | $2,066 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 58 | 54 | $8,015 | $1,390 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 56 | 56 | $34,352 | $5,112 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 54 | 54 | $44,231 | $4,198 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 50 | $25,689 | $3,695 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 41 | 40 | $14,016 | $2,036 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 37 | 34 | $15,681 | $2,349 | $2,373 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 33 | 18 | $8,072 | $2,364 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 32 | 29 | $15,451 | $2,375 | $2,629 |
| Level 4 Endovascular ProceduresAPC 5194 | 31 | 25 | $81,833 | $14,340 | $14,606 |
| Level 1 Nerve ProceduresAPC 5431 | 29 | 20 | $9,795 | $1,353 | $1,407 |
| Level 3 Endovascular ProceduresAPC 5193 | 28 | 28 | $44,566 | $7,805 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 18 | 18 | $70,281 | $15,349 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 17 | $7,742 | $1,097 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 16 | $14,641 | $1,389 | $1,516 |
| Level 4 Airway EndoscopyAPC 5154 | 14 | 14 | $19,558 | $2,528 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 14 | 14 | $18,186 | $2,275 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 11 | $22,209 | $3,838 | $4,338 |
| Level 2 Intraocular ProceduresAPC 5492 | 12 | $11,849 | $2,958 | $3,116 | |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $16,291 | $3,635 | $3,946 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | $12,590 | $2,112 | $2,176 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.