Sentara Healthcare · Elizabeth City, NC
3 of 5
CMS star rating
82
Beds
5,460
Inpatient discharges a year
$241.8M
Net patient revenue a year
33
In-network payers
Sentara Albemarle Medical Center is an 82-bed government - hospital district or authority hospital in Elizabeth City, NC, affiliated with Sentara Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 378 disclosed rate categories.
The 24 services Sentara Albemarle Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$4,137 - $7,361
from 2 insurers · median $5,749
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$5,883 - $9,707
from 2 insurers · median $7,795
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$323 - $3,173
from 4 insurers · median $2,651
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$245 - $1,625
from 4 insurers · median $1,315
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$191 - $3,384
from 4 insurers · median $2,499
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$199 - $2,698
from 3 insurers · median $2,549
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$304 - $2,636
from 4 insurers · median $2,202
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$99 - $527
from 4 insurers · median $440
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$818 - $3,606
from 4 insurers · median $2,664
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$4,137 - $7,361
from 2 insurers · median $5,749
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
X-ray and bone density
CPT 71046
$30 - $376
from 4 insurers · median $278
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$531 - $2,659
from 4 insurers · median $1,964
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$530 - $2,732
from 4 insurers · median $2,018
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$811 - $4,004
from 4 insurers · median $2,957
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$560 - $4,958
from 3 insurers · median $4,272
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$77 - $723
from 4 insurers · median $604
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$120 - $825
from 4 insurers · median $610
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$120 - $904
from 4 insurers · median $667
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$128 - $577
from 4 insurers · median $426
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$11,261 - $16,749
from 2 insurers · median $14,005
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 45378
$716 - $1,425
from 4 insurers · median $1,207
Common here, based on CMS Medicare volume
Ultrasound
CPT 76770
$161 - $1,114
from 4 insurers · median $823
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$9 - $111
from 4 insurers · median $90
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,110 - $3,659
from 3 insurers · median $3,153
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 849% | 11 | 4 |
| Insurer B* | 24 | 842% | 10 | 9 |
| Insurer C* | 21 | 636% | 10 | 5 |
| Insurer D* | 20 | 112% | 1 | 19 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sentara Albemarle Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$241.8M net patient revenue
Ownership and leadership
Owned by Sentara Hospitals
The employer identification numbers (EINs) health plans and networks list for Sentara Albemarle Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 46-3846081(multi-state) Sentara Albemarle Medical Center | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more | 1245211168 Sentara Albemarle Regional Medical Center1922412790 Sentara Albemarle Regional Medical Center LLC1154708436 Sentara Albemarle Regional Medical Centerand 12 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1144 North Road Street, Elizabeth City, NC 27909
(252) 335-0531
How Sentara Albemarle Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
68%
Lower than 61% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.1
Higher than 81% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
148 min
Lower than 50% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
79%
Higher than 82% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Better on 1 of 6 measures | |
| Readmissions | Worse on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 68% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.1 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 148 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 79% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Sentara Albemarle Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.26% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.28% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Sentara Albemarle Medical Center, beside the US median and the average of NC hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.042 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,550 cases | 3.5 | 3.9 | 3.99 | Better than 74% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 82 cases | 12 | 11.8 | 11.93 | Worse than 56% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.5 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 101 cases | 7.5 | 8.5 | 8.754 | Better than 76% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 351 cases | 10 | 11 | 11.28 | Better than 69% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 384 cases | 17.3 | 15.2 | 15.37 | Worse than 79% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 148 cases | 14 | 11.6 | 12.32 | Worse than 82% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,063 cases | 0.47 | 0.51 | 0.6392 | No Different Than the National Rate | Better than 57% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 27 cases | 179 | 173 | 178 | No Different Than the National Rate | Worse than 61% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,507 cases | 0.18 | 0.2 | 0.2025 | No Different Than the National Rate | Better than 76% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,466 cases | 0.28 | 0.27 | 0.2734 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 436 cases | 3 | 2.29 | 2.327 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 94 cases | 1.6 | 1.63 | 1.616 | No Different Than the National Rate | Better than 61% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 101 cases | 12.03 | 8.88 | 9.086 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 483 cases | 3.94 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 80 cases | 6.62 | 5.105 | 4.934 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 124 cases | 1.96 | 1.72 | 1.74 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 306 cases | 1.22 | 1.02 | 1.018 | No Different Than the National Rate | Worse than 83% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.516 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 385 cases | 8.4 | 1.25 | 4.059 | Worse than 60% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 380 cases | 10.6 | 3.85 | 4.357 | Worse than 60% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 775 cases | 13.7 | 12.9 | 12.92 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.53 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.411 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 258 cases | 1.1 | 1 | 0.979 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 35 cases | 14 | 14.4 | 14.22 | Better than 66% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.9 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 153 cases | 19.1 | 19.8 | 19.82 | Better than 81% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 455 cases | 21 | 21.3 | 21.37 | Better than 60% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.698 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 432 cases | 16.9 | 17.2 | 17.06 | Better than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.172 | 0.172 | 0.3158 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.385 | 1.504 | 2.089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,134 | 1,370 | 6,107 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.952 | 0.9835 | 6.392 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 4.212 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.025 | 0.484 | 0.6593 | No Different than National Benchmark | Worse than 85% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.188 | 0.138 | 0.2172 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.712 | 1.392 | 2.008 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,702 | 1,799 | 5,404 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.78 | 1.377 | 7.041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 3.354 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.124 | 0.399 | 0.5489 | No Different than National Benchmark | Worse than 91% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4264 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.805 | 2.135 | 2.632 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 65 | 61 | 148 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.66 | 1.591 | 3.971 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.869 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.9259 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.699 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 22 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.221 | 0.328 | 0.7343 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.267 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.466 | 0.193 | 0.2893 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.991 | 1.855 | 2.314 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 28,617 | 14,451 | 62,217 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.636 | 0.567 | 4.657 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.863 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.834 | 0.597 | 0.742 | No Different than National Benchmark | Worse than 96% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1478 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.262 | 0.747 | 1.095 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 28,095 | 13,646 | 56,214 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 11.42 | 5.683 | 32.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 9.258 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3119 | Better than the National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 852 cases | 74 | 73 | 71.37 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 852 cases | 10 | 8 | 9.762 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 852 cases | 16 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 87 | 87 | 85.7 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 4 | 3.269 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 852 cases | 84 | 80 | 80.26 | Better than 74% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 93 | 91 | 91.65 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 852 cases | 3 | 4 | 4.218 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 3.591 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 852 cases | 13 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 852 cases | 81 | 79 | 80.9 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 92 | 91 | 91.66 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 852 cases | 5 | 5 | 5.01 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 3.452 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 852 cases | 14 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 852 cases | 65 | 61 | 62.62 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 81 | 77 | 77.77 | Better than 79% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 852 cases | 16 | 19 | 18.97 | Better than 69% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 2.839 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 852 cases | 19 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 88 | 86 | 86.12 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 852 cases | 11 | 13 | 13.33 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 3.441 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 852 cases | 89 | 87 | 86.67 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 852 cases | 10 | 14 | 14.2 | Better than 83% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 852 cases | 90 | 86 | 85.8 | Better than 83% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 852 cases | 77 | 74 | 76.04 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 852 cases | 6 | 7 | 6.586 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 852 cases | 17 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 852 cases | 81 | 77 | 79.47 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 852 cases | 6 | 6 | 5.475 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 852 cases | 13 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 852 cases | 86 | 85 | 86.33 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 3.465 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 852 cases | 10 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 852 cases | 7 | 8 | 8.446 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 852 cases | 21 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 852 cases | 72 | 72 | 71.41 | Better than 49% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 89 | 88 | 88.02 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 3.323 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 852 cases | 76 | 74 | 75.25 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 852 cases | 8 | 9 | 9.232 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 852 cases | 16 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 852 cases | 80 | 75 | 75.79 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 852 cases | 4 | 5 | 5.697 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 852 cases | 16 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 852 cases | 83 | 77 | 77.57 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 852 cases | 4 | 4 | 4.424 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 852 cases | 13 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 852 cases | 88 | 86 | 86.24 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 852 cases | 2 | 3 | 2.859 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 852 cases | 10 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 852 cases | 64 | 59 | 60.2 | Better than 65% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 852 cases | 7 | 9 | 9.109 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 852 cases | 29 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 85 | 82 | 82.46 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 3.419 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 852 cases | 5 | 5 | 5.683 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 852 cases | 68 | 71 | 70.04 | Worse than 61% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 852 cases | 87 | 87 | 86.94 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 852 cases | 27 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 4 | 3.656 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 852 cases | 54 | 47 | 49.27 | Better than 78% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 852 cases | 24 | 30 | 29.43 | Better than 77% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 852 cases | 22 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 852 cases | 4 | 3 | 3.387 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 852 cases | 12 | 12 | 12.81 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 852 cases | 88 | 88 | 87.19 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.179 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,832 cases | 1 | 1 | 1.182 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1154 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,118 cases | 82 | 79 | 85.95 | Better than 54% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 1,152 cases | 153 | 154 | 190 | Better than 51% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 1,098 cases | 148 | 148 | 183 | Better than 50% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 26 cases | 250 | 247 | 389 | Worse than 51% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 30 cases | 462 | 293 | 427 | Worse than 92% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 48,093 cases | 3 | 1 | 2.253 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 20 cases | 65 | 74 | 72.17 | Worse than 67% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 216 cases | 90 | 97 | 93.75 | Worse than 78% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 54.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,449 cases | 17 | 15 | 16.55 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 172 cases | 79 | 65 | 63.49 | Better than 82% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 56 cases | 88 | 73 | 72.19 | Better than 82% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 35 cases | 91 | 88 | 81.33 | Better than 57% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 172 cases | 87 | 82 | 80.49 | Better than 69% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 108 cases | 98 | 94 | 94.21 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 136 cases | 99 | 98 | 96.77 | Better than 70% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 129 cases | 90 | 94 | 93.39 | Worse than 77% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 88.42 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.08 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 6.2 | 5 | 4.658 | Worse than 63% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.8 | 6.6 | 6.699 | Worse than 81% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 0.9478 | Better than 58% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 20 | 20 | 20.53 | Better than 48% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5 | 5 | 5.133 | Worse than 48% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 27.67 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 7.066 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 62 | 34 | 42.34 | Better than 87% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.5 | 8.75 | 10.67 | Better than 86% of US hospitals | |
| VBP safety domain scoreFY 2026 | 40 | 40 | 39.99 | Worse than 49% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 10 | 10 | 10.21 | Worse than 49% of US hospitals | |
| VBP total performance scoreFY 2026 | 33 | 29.5 | 32.71 | Better than 63% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 28 | 46 | 17.5 | 10 | 7.5 | 20 |
| VBP clinical outcomes weighted domain score | 7 | 11.5 | 4.375 | 2.5 | 1.875 | 5 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 30 | 30 | 10 | 10 |
| VBP efficiency and cost reduction weighted domain score | 7.5 | Not Available | 7.5 | 7.5 | 2.5 | 2.5 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 15 | 23 | 62 |
| VBP person and community engagement weighted domain score | 5 | Not Available | Not Available | 3.75 | 5.75 | 15.5 |
| VBP safety domain score | 50 | Not Available | Not Available | 40 | 40 | 40 |
| VBP safety weighted domain score | 12.5 | Not Available | Not Available | 10 | 10 | 10 |
| VBP total performance score | 32 | Not Available | Not Available | 23.75 | 20.13 | 33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9732 | 0.9995 | 0.987 | Better than 68% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 109 cases | 0.9793 | 0.9969 | 0.9983 | Better than 67% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 369 cases | 1.042 | 0.9983 | 0.9982 | Worse than 75% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 336 cases | 0.98 | 0.9955 | 0.989 | Better than 61% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9997 | 0.9937 | 1.002 | 0.9539 | 0.981 | 0.9732 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.001 | 1.026 | 0.9911 | 1.037 | 0.9559 | 0.9793 |
| READM-30-HF-HRRP | 0.9495 | 0.9704 | 0.938 | 0.9676 | 0.9716 | 1.042 |
| READM-30-HIP-KNEE-HRRP | 1.042 | 1.018 | 1.016 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.012 | 0.9704 | 0.9649 | 0.9527 | 0.9445 | 0.98 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.84 | 0.489 | 0.6937 | Worse than 79% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.093 | 0.346 | 0.3392 | Better than 86% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.382 | 0.559 | 0.6866 | Worse than 93% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.918 | 0.6405 | 0.9073 | Worse than 72% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.103 | 0.9628 | 0.9914 | Worse than 81% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.349 | 0.7945 | 0.9227 | Better than 79% of US hospitals | |
| Total HAC scoreFY 2026 | 0.3005 | -0.0453 | 0.09972 | Worse than 70% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.4065 | -0.5901 | 0 | -0.2738 | -0.0143 | 0.3005 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2001)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
182
Medicare-certified beds
221
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Sentara Albemarle Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
5,460
Inpatient discharges
Medicare 35%, Medicaid 4%
24,893
Inpatient days
83% of available bed days used
720
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837813). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Sentara Albemarle Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 8,539 | 382 | 15,972 | 24,893 |
| Discharges | 1,892 | 193 | 3,375 | 5,460 |
| Average length of stay | 4.5 days | 2.0 days | 4.7 days | 4.6 days |
| Average daily census | 23.4 | 1.0 | 43.8 | 68.2 |
7,853
Medicare Advantage days
1,519 discharges
3,725
Medicaid managed care days
760 discharges
1,340
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 72 | 21,680 | 7,682 | 82% |
| Intensive care unit | 10 | 2,675 | 857 | 73% |
| Nursery | 538 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837813, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Sentara Albemarle Medical Center treats Medicare patients for most often, in 2024. 1,361 Medicare discharges in 36 published DRGs; 7% surgical; 82% in DRGs with complications (CC or MCC).
| 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 | 325 | $45,929 | $15,679 | $15,157 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 113 | $28,519 | $9,565 | $9,411 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 75 | $35,159 | $12,168 | $11,603 | 1.59 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $24,043 | $7,499 | $7,934 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 49 | $33,465 | $10,065 | $11,043 | 1.33 |
| Renal failure with CCMS-DRG 683, medical | 45 | $20,498 | $6,416 | $6,764 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 41 | $32,875 | $11,754 | $10,849 | 1.50 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 37 | $34,561 | $12,925 | $11,405 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $23,187 | $8,220 | $7,652 | 1.10 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $29,265 | $7,370 | $9,658 | 1.02 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 32 | $25,769 | $9,922 | $8,504 | 1.32 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $21,000 | $8,811 | $6,930 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 32 | $37,696 | $14,160 | $12,440 | 1.65 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 30 | $20,901 | $5,323 | $6,897 | 0.78 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 27 | $17,677 | $5,545 | $5,833 | 0.81 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $109,839 | $41,374 | $36,247 | 5.00 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 26 | $21,490 | $5,355 | $7,092 | 0.80 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 26 | $66,082 | $16,182 | $21,807 | 2.07 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 24 | $29,444 | $8,581 | $9,717 | 1.20 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $62,622 | $16,688 | $20,665 | 2.11 |
See all 36 Medicare inpatient DRGs at Sentara Albemarle Medical Center
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.
The comprehensive outpatient service groups (APCs) Sentara Albemarle Medical Center billed Medicare for most in 2024: 1,103 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 282 | 260 | $14,579 | $2,011 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 135 | 127 | $46,265 | $10,616 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 110 | 110 | $19,828 | $2,182 | $2,208 |
| Level 1 Intraocular ProceduresAPC 5491 | 109 | 80 | $13,142 | $1,707 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 83 | 82 | $11,342 | $867 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 61 | 58 | $20,332 | $2,289 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 47 | 45 | $27,499 | $2,054 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 35 | 35 | $32,779 | $4,284 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 34 | 33 | $33,077 | $5,312 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 27 | 26 | $19,549 | $2,315 | $2,373 |
See all 21 Medicare outpatient services at Sentara Albemarle Medical Center
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.
ZIP codes with the most Medicare inpatient stays at Sentara Albemarle Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,384 in 2020 to 3,187 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 27909 | 1,615 | 51% | 7,451 | $67.9M | 68% | 64% |
| 27944 | 439 | 14% | 1,977 | $18.1M | 49% | 47% |
| 27921 | 144 | 5% | 633 | $5.4M | 67% | 67% |
| 27932 | 101 | 3% | 496 | $4.8M | 13% | 12% |
| 27958 | 98 | 3% | 442 | $4.1M | 17% | 12% |
| 27939 | 91 | 3% | 370 | $3.7M | 45% | 37% |
| 27976 | 78 | 2% | 302 | $3.4M | 68% | 50% |
| 27974 | 65 | 2% | 352 | $3.2M | 82% | 82% |
| 27906 | 55 | 2% | 219 | $1.7M | 100% | 100% |
| 27973 | 48 | 2% | 263 | $2.3M | 71% | 50% |
| 27948 | 35 | 1% | 183 | $1.6M | 7% | 8% |
| 27946 | 33 | 1% | 146 | $1.2M | 100% | 73% |
| 27979 | 33 | 1% | 180 | $1.6M | 38% | 25% |
| 27919 | 32 | 1% | 202 | $1.7M | 67% | 100% |
| 27949 | 32 | 1% | 113 | $1.1M | 7% | 9% |
| 27966 | 32 | 1% | 205 | $1.5M | 57% | 59% |
| 27938 | 29 | 1% | 165 | $1.1M | 27% | 29% |
| 27954 | 27 | 1% | 128 | $1M | 9% | 11% |
| 27980 | 25 | 1% | 102 | $982,966 | 28% | 24% |
| 27916 | 23 | 1% | 128 | $1.3M | 66% | 100% |
| 27923 | 22 | 1% | 82 | $553,092 | 100% | 100% |
| 27929 | 22 | 1% | 97 | $893,787 | 27% | 21% |
| 27917 | 17 | 1% | 118 | $1M | 100% | 100% |
| 27926 | 15 | 0% | 73 | $664,657 | 13% | 17% |
| 27959 | 15 | 0% | 72 | $740,341 | 10% |
Source: CMS Hospital Service Area file. Shares are of the 3,187 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Sentara Albemarle Medical Center reported at its latest Medicare certification survey (2001). Counts are people, not full-time equivalents.
221
Registered nurses
26
Licensed practical nurses
7
Pharmacists
18
Respiratory therapists
7
Physical therapists
5
Dietitians
3
Social workers
503
Other personnel
Source: CMS Provider of Services file.
534 clinicians who bill Medicare list Sentara Albemarle Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Julia Schaefer-Cutillo, M.D.
Hematology & Oncology Physician
NPI 1912911389
See commercial rates for Julia Schaefer-Cutillo, M.D.Roopa Achuri
Physician Assistant
NPI 1225531635
See commercial rates for Roopa AchuriValiant Tan, MD
Specialist
NPI 1154326718
See commercial rates for Valiant Tan, MDCelesteann Bremer, M.D.
Hematology & Oncology Physician
NPI 1144213026
See commercial rates for Celesteann Bremer, M.D.Cristina Alencar, M.D.
Hematology & Oncology Physician
NPI 1306055249
See commercial rates for Cristina Alencar, M.D.Witold Turkiewicz, M.D.
Rheumatology Physician
NPI 1972584027
See commercial rates for Witold Turkiewicz, M.D.Firas Beitinjaneh, M.D.
Neurology Physician
NPI 1720088594
See commercial rates for Firas Beitinjaneh, M.D.Jared Miller, D.O.
Sports Medicine (Family Medicine) Physician
NPI 1467773564
See commercial rates for Jared Miller, D.O.Eric Martin, MD, PHD
Neuroradiology Physician
NPI 1083696587
See commercial rates for Eric Martin, MD, PHDAlan Keyes, M.D., F.A.C.S.
Otolaryngology Physician
NPI 1710913322
See commercial rates for Alan Keyes, M.D., F.A.C.S.Jeffrey Potter, MD
Neuroradiology Physician
NPI 1831171222
See commercial rates for Jeffrey Potter, MDBrian Zhao, M.D.
Diagnostic Radiology Physician
NPI 1699161372
See commercial rates for Brian Zhao, M.D.Michael Lach, D.O.
Diagnostic Radiology Physician
NPI 1710304829
See commercial rates for Michael Lach, D.O.Christopher Ball
Diagnostic Radiology Physician
NPI 1821483041
See commercial rates for Christopher BallStacey Rogers, MD
Gynecologic Oncology Physician
NPI 1760487318
See commercial rates for Stacey Rogers, MDAnthony Thaxton, MD
Body Imaging Physician
NPI 1407884695
See commercial rates for Anthony Thaxton, MDDouglas Shusterman, MD
Body Imaging Physician
NPI 1295717767
See commercial rates for Douglas Shusterman, MDBrendan Kelley, M.D.
Neuroradiology Physician
NPI 1467794701
See commercial rates for Brendan Kelley, M.D.David Walker, MD
Diagnostic Radiology Physician
NPI 1124548391
See commercial rates for David Walker, MDMichael Coan, MD
Diagnostic Radiology Physician
NPI 1023091147
See commercial rates for Michael Coan, MDEvan Leitz, MD
Diagnostic Radiology Physician
NPI 1013177344
See commercial rates for Evan Leitz, MDLindsey White, MD
Cardiovascular Disease Physician
NPI 1770535353
See commercial rates for Lindsey White, MDChristopher Mann, MD
Orthopaedic Surgery Physician
NPI 1528199056
See commercial rates for Christopher Mann, MDTobin Finizio, MD
Diagnostic Radiology Physician
NPI 1194779132
See commercial rates for Tobin Finizio, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Sentara Albemarle Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $689.2M | 285.1% |
| Inpatient | $225M | 93.1% |
| Outpatient | $464.3M | 192.0% |
| Contractual allowances and discounts | -$447.5M | -185.1% |
| Net patient revenue | $241.8M | 100.0% |
| Operating expenses | -$214.1M | -88.6% |
| Operating income from patient care | $27.7M | 11.4% |
| Other income | -$12M | -5.0% |
| Net income | $15.7M | 6.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $154.3M | 22.4% |
| Medicaid (including managed care) | $89.4M | 13.0% |
| Other payers and self-pay | $444.3M | 64.6% |
| Total charges | $688M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837813, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Sentara Albemarle Medical Center's latest cost report.
11.4%
Operating margin
Operating income from patient care / net patient revenue
6.8%
Total margin
Net income / net patient revenue plus other income
11.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
38% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$40.62
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
4.9%
Return on assets
Net income for a year / total assets
8.1%
Return on equity
Net income for a year / fund balance
0.34
Current ratio
Current assets / current liabilities
0.11
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-64 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
73 days
Days in patient receivables
Net patient receivables / daily net patient revenue
195 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.71
Asset turnover
Total revenue for a year / total assets
2.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837813, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Sentara Albemarle Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $322.5M in total assets and a $194.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$36.1M | -11.2% |
| Patient receivables, net | $48.6M | 15.1% |
| Inventory | $4.1M | 1.3% |
| Total current assets | $37M | 11.5% |
| Property and equipment, net of depreciation | $264.6M | 82.0% |
| Investments and other assets | $20.9M | 6.5% |
| Total assets | $322.5M | 100.0% |
| Current liabilities | $110.2M | 34.2% |
| Total liabilities | $127.7M | 39.6% |
| Fund balance (net assets) | $194.8M | 60.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837813, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Sentara Albemarle Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$13.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$979,333
Bad debt
Patient bills written off as uncollectible, at charges
-$886,092
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$245,622
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$13.6M
Total unreimbursed and uncompensated care
6.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837813, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Sentara Albemarle Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $116.3M | $143.6M | $140.3M | $166.2M | $194M | $241.8M |
| Operating expenses | $137.4M | $130.8M | $142.1M | $165.2M | $186.5M | $214.1M |
| Operating margin | -18.1% | 8.9% | -1.3% | 0.6% | 3.9% | 11.4% |
| Net income | -$8.5M | $6.1M | $1.4M | $4.4M | $11.4M | $15.7M |
| Total assets | $96.1M | $134.8M | $157.2M | $192.7M | $301.6M | $322.5M |
| Discharges | 4,417 | 4,562 | 4,412 | 4,670 | 5,265 | 5,460 |
| Inpatient days | 17,154 | 20,344 | 20,732 | 22,317 | 24,188 | 24,893 |
| Medicare Advantage days | 2,248 | 3,798 | 4,971 | 5,942 | 7,147 | 7,853 |
| Beds | 98 | 98 | 98 | 98 | 98 | 82 |
| Employees (FTE) | 510 | 549 | 578 | 603 | 621 | 720 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837813, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Sentara Albemarle Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $5.8M | $27.2M | $115.6M | 0.24 | 27,515 |
| Radiology-diagnostic | $4.5M | $20.4M | $161.9M | 0.13 | 14,400 |
| Emergency | $6.1M | $18M | $76.8M | 0.23 | 19,151 |
| Drugs charged to patients | $1.8M | $15.5M | $59.5M | 0.26 | 2,658 |
| Physical therapy | $4.6M | $8.9M | $42.1M | 0.21 | 955 |
| Laboratory | $749,037 | $8.8M | $60M | 0.15 | 6,546 |
| Impl. dev. charged to patients | $5.3M | $10.4M | 0.52 | ||
| Delivery room & labor room | $3M | $5.1M | $5.1M | 1.01 | 7,125 |
| Respiratory therapy | $1.1M | $2.7M | $8.6M | 0.31 | 1,004 |
| Orthopedics and sports medicine | $1.3M | $2.6M | $6.6M | 0.39 | |
| Advanced imaging center | $627,576 | $2.5M | $15.3M | 0.16 | |
| Observation beds (non-distinct part | $2.1M | $2.3M | 0.93 | ||
| Cardiac catheterization | $771,501 | $2.1M | $7.1M | 0.30 | |
| Electrocardiology | $751,908 | $1.9M | $13.4M | 0.15 | 1,188 |
| Recovery room | $581,935 | $1.5M | $2.3M | 0.69 | 2,667 |
| Cardiac rehabilitation | $548,865 | $1.3M | $2.3M | 0.58 | |
| Blood storing processing & trans. | $1.1M | $3.2M | 0.34 | ||
| Family medicine-thunder rd elizabet | $499,604 | $1M | $1.2M | 0.84 | |
| Renal dialysis | $995,782 | $2.3M | 0.43 | 1,655 | |
| Anesthesiology | $166,851 | $957,534 | $25.9M | 0.04 | 543 |
| Hyperbaric oxygen therapy | $651,338 | $4.2M | 0.16 | ||
| Surgery specialists-elizabeth city | $141,254 | $453,855 | $136,377 | 3.33 | |
| Cardiology specialists samc mob | $97,132 | $322,567 | $676,428 | 0.48 | |
| Aps cardiology - elizabeth city | $158,998 | $252,590 | $242,935 | 1.04 | |
| Ent specialists-elizabeth city | $54,780 | $216,208 | $372,848 | 0.58 | |
| Vascular specialists-elizabeth city | $100,944 | $175,455 | $522,000 | 0.34 | |
| Aps pass clinic-samc pbb | $29,567 | $70,018 | $22,705 | 3.08 | |
| Pulmonary function testing | $7,210 | $20,227 | $122,980 | 0.16 | |
| Aps anticoagulation center | $5,803 | $8,365 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $11.7M | $36.8M | $45.3M | 0.81 | 48,075 |
| Intensive care unit | $3M | $9.5M | $13.4M | 0.70 | 10,902 |
| Nursery | $1.6M | $1.5M | 1.07 | 2,150 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative and general | $1.5M | $35.5M | 5,014 | ||
| Operation of plant | $1.5M | $8.8M | 47,845 | $31.71 | 53,478 |
| Cap rel costs-bldg & fixt | $6.8M | 224,547 | |||
| Nursing administration | $3.9M | $5.5M | 87,300 | $45.21 | 2,985 |
| Cap rel costs-mvble equip | $5.1M | ||||
| Housekeeping | $1.7M | $3.6M | 81,773 | $20.51 | 1,586 |
| Employee benefits department | $816 | $2.4M | |||
| Cafeteria | $2M | 43,311 | $20.44 | 4,487 | |
| Central services & supply | $538,354 | $1.5M | 21,632 | $24.89 | 7,761 |
| Dietary | $1.3M | $952,720 | 19,777 | $23.33 | 1,782 |
| Laundry & linen service | $658,516 | 406 | |||
| Pharmacy | $25,700 | $35,897 | 1,058 | $24.29 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837813, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Sentara Albemarle Medical Center for an inpatient stay.
1.68
Case mix index
Higher than 50% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
22.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,864
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.46 | 1.46 | 1.76 | 1.74 | 1.72 | 1.67 | 1.68 |
| Wage index | 0.874 | 0.894 | 0.901 | 0.879 | 0.896 | 0.893 | 0.977 |
| Readmissions adjustment | -0.29% | -0.12% | -0.11% | -0.02% | -0.07% | 0.00% | -0.26% |
| Value-based purchasing adjustment | +0.46% | +0.05% | +0.05% | -0.60% | +0.25% | -0.20% | +0.28% |
| Medicare inpatient stays | 2,382 | 2,382 | 1,792 | 1,702 | 1,759 | 1,914 | 1,864 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Sentara Albemarle Medical Center reports to Medicare as owners or with operational control.
Sentara Hospitals
Operational/managerial control, 100%, since 2014
Sources: CMS Hospital All Owners.
The officers and board members on Sentara Albemarle Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 6 of 9 are shown.
340B drug pricing program
Participating since 2022
340B ID SCH340109-00, registered as a sole community hospital; 1 registered outpatient sites. Authorizing official: Teresa C Watson, President.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Sentara Albemarle Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sentara Albemarle Medical Center range from $818 to $3,606 across 4 insurers. Aetna's rate is $818. The median at nearby comparable hospitals is $3,434. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sentara Albemarle Medical Center range from $323 to $3,173 across 4 insurers. Aetna's rate is $323. The median at nearby comparable hospitals is $3,488. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Sentara Albemarle Medical Center range from $716 to $1,425 across 4 insurers. UnitedHealthcare's rate is $1,425. The median at nearby comparable hospitals is $3,115. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sentara Albemarle Medical Center range from $4,137 to $7,361 across 2 insurers. Blue Cross Blue Shield's rate is $4,137. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sentara Albemarle Medical Center range from $99 to $527 across 4 insurers. Aetna's rate is $99. The median at nearby comparable hospitals is $232. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sentara Albemarle Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Sentara Albemarle Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sentara Albemarle Medical Center's base inpatient payments by an estimated 0.26% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (325 discharges), heart failure and shock with mcc (113 discharges), acute myocardial infarction, discharged alive with mcc (75 discharges).
Sentara Albemarle Medical Center's Medicare case mix index is 1.68 for fiscal year 2027, higher than 50% of hospitals paid under the inpatient prospective payment system.
Sentara Albemarle Medical Center reported 5,460 inpatient discharges and 24,893 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Sentara Albemarle Medical Center reported 720 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Sentara Albemarle Medical Center reported $241.8M in net patient revenue on $689.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 11.4%, and net income of $15.7M.
Sentara Albemarle Medical Center reported $13.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $13.2M of charity care at cost.
Insurers' price transparency files list Sentara Albemarle Medical Center under employer identification number 46-3846081 ((multi-state) Sentara Albemarle Medical Center). 55 health plans and networks list 46-3846081 for it.
Yes. HRSA's 340B database lists Sentara Albemarle Medical Center (340B ID SCH340109-00) as a participating sole community hospital since 2022.
534 clinicians who bill Medicare list Sentara Albemarle Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (63), physician assistant (51), family medicine physician (48).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Sentara Albemarle Medical Center, effective 2001.
In its Medicare enrollment, Sentara Albemarle Medical Center reports Sentara Hospitals as Operational/managerial control (100%).
CMS lists 24 services at Sentara Albemarle Medical Center, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, Dental Care, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Sentara Albemarle Medical Center came from ZIP codes 27909 (1,615), 27944 (439), 27921 (144).
Sentara Albemarle Medical Center has 82 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 182 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Sentara Albemarle Medical Center is located at 1144 North Road Street, Elizabeth City, NC 27909. Its main phone number is (252) 335-0531.
Sentara Albemarle Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 340109.
The National Provider Identifier (NPI) on file for Sentara Albemarle Medical Center is 1245211168.
Sentara Albemarle Medical Center is affiliated with Sentara Healthcare.
Sentara Albemarle Medical Center lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
378 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers