Sentara Albemarle Medical Center Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Sentara Albemarle Medical Center, Elizabeth City, NC in 2024, from traditional Medicare claims. Back to the Sentara Albemarle Medical Center profile, with quality ratings, finances and negotiated rates.

1,361
Medicare inpatient discharges
In 36 published DRGs
1.68
Case mix index
IPPS FY 2027
7%
Surgical stays
82%
Stays with complications
In DRGs with a CC or MCC
1,103
Medicare outpatient services
In 21 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases444 discharges in 5 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	325	$45,929	$15,679	$15,157	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	60	$24,043	$7,499	$7,934	1.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	27	$109,839	$41,374	$36,247	5.00
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	19	$146,400	$58,133	$48,312	6.96
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical	13	$58,022	$16,151	$19,147	2.04

Circulatory system302 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	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
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	24	$29,444	$8,581	$9,717	1.20
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	21	$21,233	$4,900	$7,007	0.74
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical	20	$70,151	$18,012	$23,150	2.16
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	18	$28,529	$6,044	$9,415	0.91
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical	17	$35,650	$8,109	$11,765	1.08
Syncope and collapseMS-DRG 312, medical	14	$22,069	$6,260	$7,283	0.86

Kidney and urinary tract189 discharges in 6 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
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
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
Kidney and urinary tract infections without MCCMS-DRG 690, medical	27	$17,677	$5,545	$5,833	0.81
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical	12	$15,909	$7,494	$5,250	1.02

Respiratory system153 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	49	$33,465	$10,065	$11,043	1.33
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
Pulmonary edema and respiratory failureMS-DRG 189, medical	17	$31,333	$9,477	$10,340	1.23
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	14	$26,075	$10,877	$8,605	1.40

Endocrine, nutritional and metabolic89 discharges in 4 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	32	$25,769	$9,922	$8,504	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	30	$20,901	$5,323	$6,897	0.78
Diabetes with MCCMS-DRG 637, medical	16	$41,496	$11,050	$13,694	1.45
Diabetes with CCMS-DRG 638, medical	11	$23,363	$6,228	$7,710	0.90

Digestive system58 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal obstruction with CCMS-DRG 389, medical	26	$21,490	$5,355	$7,092	0.80
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	19	$22,692	$5,028	$7,488	0.79
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical	13	$26,535	$8,801	$8,757	1.28

Nervous system55 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	35	$29,265	$7,370	$9,658	1.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	20	$49,770	$15,830	$16,424	2.00

Musculoskeletal system and connective tissue50 discharges in 2 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	26	$66,082	$16,182	$21,807	2.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	24	$62,622	$16,688	$20,665	2.11

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	$18,562	$6,176	$6,125	0.88

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
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
Level 4 Endovascular ProceduresAPC 5194	25	21	$106,181	$14,090	$14,606
Level 2 Upper GI ProceduresAPC 5302	25	23	$17,395	$1,419	$1,445
Level 2 Endovascular ProceduresAPC 5192	20	19	$28,271	$4,244	$4,338
Level 3 Pacemaker and Similar ProceduresAPC 5223	18	18	$25,141	$8,312	$8,569
Level 6 Musculoskeletal ProceduresAPC 5116	16	16	$60,163	$15,699	$15,763
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	15	15	$31,411	$2,569	$2,636
Level 2 Musculoskeletal ProceduresAPC 5112	13	13	$11,400	$1,190	$1,196
Level 4 Airway EndoscopyAPC 5154	13	13	$24,203	$2,781	$2,833
Level 2 Vascular ProceduresAPC 5182	13	13	$7,428	$1,189	$1,204
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091	11	11	$27,134	$2,830	$2,930
Level 1 Nerve ProceduresAPC 5431	11	11	$15,933	$1,434	$1,407

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.