Troy, AL
4 of 5
CMS star rating
56
Beds
945
Inpatient discharges a year
$48.3M
Net patient revenue a year
39
In-network payers
Troy Regional Medical Center is a 56-bed government - federal hospital in Troy, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 273 disclosed rate categories.
The 24 services Troy Regional 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.
Medicine & Surgery · Inpatient
MS-DRG 473
$15,258 - $23,061
from 2 insurers · median $19,160
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$12,056 - $19,169
from 3 insurers · median $15,000
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$7,754 - $13,941
from 2 insurers · median $10,848
Hospital reports inpatient surgical services to CMS
Medicine & Surgery
CPT 29881
$2,293 - $3,643
from 3 insurers · median $2,984
22 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74177
$244 - $416
from 4 insurers · median $297
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,575 - $9,574
from 2 insurers · median $8,575
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$217 - $648
from 3 insurers · median $504
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$660 - $1,255
from 3 insurers · median $862
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,249 - $5,365
from 2 insurers · median $4,807
Typical for a hospital with this service line
Orthopedics and pain
CPT 29880
$898 - $2,984
from 4 insurers · median $2,621
22 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$581 - $1,355
from 4 insurers · median $967
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$73 - $441
from 4 insurers · median $117
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$80 - $139
from 3 insurers · median $87
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,249 - $5,365
from 3 insurers · median $5,181
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$416 - $1,084
from 4 insurers · median $898
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$167 - $436
from 4 insurers · median $212
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$36 - $81
from 4 insurers · median $70
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,236 - $7,053
from 3 insurers · median $5,365
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$514 - $1,346
from 4 insurers · median $1,054
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$418 - $1,064
from 3 insurers · median $936
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$4,236 - $6,315
from 3 insurers · median $5,365
Typical for a hospital with this service line
MRI imaging
CPT 70553
$244 - $623
from 4 insurers · median $304
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,034 - $3,114
from 4 insurers · median $2,596
Typical for a hospital with this service line
CT imaging
CPT 71275
$123 - $497
from 4 insurers · median $176
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 | 111% | 0 | 16 |
| Insurer B* | 23 | 90% | 6 | 14 |
| Insurer C* | 22 | 69% | 12 | 9 |
| Insurer D* | 14 | 48% | 0 | 14 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 9 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 Troy Regional 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
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$48.3M net patient revenue
Ownership and leadership
Owned by Troy Hospital Health Care Authority
The employer identification numbers (EINs) health plans and networks list for Troy Regional 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 |
|---|---|---|
| 27-1534178Troy Hospital Healthcare Authority | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more | 1770814626 Troy Hospital Health Care Authority1548787286 The Troy Hospital Health Care Authority1962733691 Troy Hospital Health Care Authorityand 2 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.
1330 Highway 231 South, Troy, AL 36081
None
How Troy Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 5 measures
0 better, 5 no different, 0 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
70%
Lower than 53% 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)
0.98
Higher than 57% 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
112 min
Lower than 80% 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
74%
Higher than 71% 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 | 4 of 5 | |
| Death rates | No different on 3 measures | |
| Safety | No different on 2 measures | |
| Readmissions | No different on 5 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 | 70% | 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) | 0.98 | 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 | 112 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 74% | 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 Troy Regional 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.
+0.90% 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 Troy Regional Medical Center, beside the US median and the average of AL 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 | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.469 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 217 cases | 5.7 | 3.9 | 4.658 | Worse than 97% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.46 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.7 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.869 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 36 cases | 9.9 | 11 | 11.65 | Better than 71% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 52 cases | 16.1 | 15.2 | 16.81 | Worse than 63% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 14.25 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 238 cases | 0.58 | 0.51 | 0.6234 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 341 cases | 0.21 | 0.2 | 0.2114 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 328 cases | 0.27 | 0.27 | 0.2777 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 31 cases | 2.33 | 2.29 | 2.258 | No Different Than the National Rate | Worse than 63% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.702 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.91 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 33 cases | 3.46 | 3.4 | 3.831 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.911 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.803 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.058 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.616 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 45 cases | -0.7 | 1.25 | 11.68 | Better than 53% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 52 cases | 20.1 | 3.85 | 12.55 | Worse than 72% 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 · 310 cases | 12.5 | 12.9 | 12.93 | No Different Than the National Rate | Better than 75% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.28 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.113 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.986 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.31 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.67 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 39 cases | 19.3 | 19.8 | 19.89 | Better than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 73 cases | 19.9 | 21.3 | 21.29 | Better than 89% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.979 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 66 cases | 16.2 | 17.2 | 17.3 | Better than 88% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3169 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.803 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 140 | 1,370 | 3,994 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.09 | 0.9835 | 4.09 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.932 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6373 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1812 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.656 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 995 | 1,799 | 5,240 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.527 | 1.377 | 6.563 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.286 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5151 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2584 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.032 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 6 | 61 | 115 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.175 | 1.591 | 3.302 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.222 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6198 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3223 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.058 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 169 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.547 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.1 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.6612 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3413 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.26 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,583 | 14,451 | 38,119 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.215 | 0.567 | 2.905 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.295 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8121 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2104 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.874 | 0.747 | 1.307 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,583 | 13,646 | 35,794 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.599 | 5.683 | 20 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 8.833 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3683 | No Different than 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 | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 149 cases | 75 | 73 | 70.64 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 149 cases | 7 | 8 | 10.56 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 149 cases | 18 | 18 | 18.79 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 89 | 87 | 83.69 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 4 | 2.759 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 149 cases | 81 | 80 | 79.88 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 93 | 91 | 91.09 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 149 cases | 4 | 4 | 4.699 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.315 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 149 cases | 15 | 16 | 15.42 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 149 cases | 82 | 79 | 81.51 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 92 | 91 | 91.22 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 149 cases | 6 | 5 | 5.027 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.278 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 149 cases | 12 | 16 | 13.47 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 149 cases | 65 | 61 | 62.21 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 81 | 77 | 77.09 | Better than 79% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 149 cases | 17 | 19 | 19.6 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 2.685 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 149 cases | 18 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 84 | 86 | 84.46 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 149 cases | 16 | 13 | 14.63 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 149 cases | 3 | 3 | 3.056 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 149 cases | 84 | 87 | 85.37 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 149 cases | 16 | 14 | 16.42 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 149 cases | 84 | 86 | 83.58 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 78 | 74 | 76.38 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 7 | 7 | 6.297 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 15 | 19 | 17.33 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 80 | 77 | 79.28 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 5 | 6 | 5.516 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 15 | 17 | 15.2 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 88 | 85 | 86.14 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 6 | 3 | 3.688 | Worse than 86% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 6 | 11 | 10.17 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 149 cases | 5 | 8 | 8.753 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 149 cases | 20 | 20 | 20.79 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 149 cases | 75 | 72 | 70.45 | Better than 62% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 91 | 88 | 87.57 | Better than 77% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.222 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 149 cases | 80 | 74 | 74.89 | Better than 80% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 149 cases | 6 | 9 | 9.938 | Better than 79% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 149 cases | 14 | 16 | 15.17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 76 | 75 | 75.05 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 6 | 5 | 6 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 18 | 20 | 18.95 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 79 | 77 | 76.77 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 4 | 4 | 5.703 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 17 | 19 | 17.53 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 88 | 86 | 84.83 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 2 | 3 | 3.531 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 10 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 149 cases | 70 | 59 | 66.56 | Better than 83% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 149 cases | 4 | 9 | 6.575 | Better than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 149 cases | 26 | 31 | 26.86 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 90 | 82 | 84.96 | Better than 95% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 149 cases | 5 | 3 | 4 | The top rating, shared by 11% 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 · 149 cases | 5 | 5 | 6.466 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 149 cases | 70 | 71 | 70.55 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 88 | 87 | 86.26 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 149 cases | 25 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 4 | 3.389 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 149 cases | 50 | 47 | 48.08 | Better than 63% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 149 cases | 27 | 30 | 30.03 | Better than 65% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 149 cases | 23 | 22 | 21.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.241 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 149 cases | 17 | 12 | 13 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 149 cases | 83 | 88 | 87 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 | 10 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.7 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.5 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 390 cases | 87 | 79 | 62.92 | Better than 64% 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 · 382 cases | 116 | 154 | 158 | Better than 82% 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 · 353 cases | 112 | 148 | 153 | Better than 80% 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 | Not Available | 255 | |||
| 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 · 22 cases | 264 | 293 | 311 | Better than 63% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 20,684 cases | 1 | 1 | 2.342 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.37 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 90.8 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.43 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 274 cases | 15 | 15 | 14.5 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 31 cases | 74 | 65 | 62.47 | Better than 71% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 79 | 73 | 70.8 | Better than 62% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 87.48 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 90 | 82 | 79.9 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 23 cases | 96 | 94 | 90.95 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 95.75 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 0 cases | Not Available | 77.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.83 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 75.44 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 89.85 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.2 | 5 | 7.666 | Better than 91% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.1 | 6.6 | 6.484 | Better than 56% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.01 | 0.99 | 0.9828 | Worse than 59% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 54.63 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 30.65 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,411 cases | 0 | 0.05 | 0.06205 | The worst result, shared by 22% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,411 cases | 0 | 0.03 | 0.8569 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 89 cases | 99 | 87 | 83.44 | Better than 87% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 83.08 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 108 cases | 19 | 19.1 | 19.31 | No Different Than the National Rate | Better than 51% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 165 cases | 99 | 92 | 85.49 | Better than 80% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 71.35 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 84.76 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 65.14 | |||
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 59.52 | |||
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 33 cases | 94 | 64 | 62.52 | Better than 85% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 33 cases | 94 | 4 | 37.24 | Better than 97% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 208 cases | 98 | 77 | 70.82 | Better than 83% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 15 | 20 | 12.82 | Worse than 59% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5 | 5 | 3.268 | Worse than 48% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 30 | 10 | 19.17 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 5.035 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 81 | 34 | 41.4 | Better than 97% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 27 | 8.75 | 10.89 | Better than 99% of US hospitals | |
| VBP safety domain scoreFY 2026 | Not Available | 40.62 | |||
| VBP safety weighted domain scoreFY 2026 | Not Available | 10.27 | |||
| VBP total performance scoreFY 2026 | 42 | 29.5 | 28.52 | Better than 83% of US hospitals |
| By fiscal year | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|
| VBP clinical outcomes domain score | 0 | 0 | 15 |
| VBP clinical outcomes weighted domain score | 0 | 0 | 5 |
| VBP efficiency and cost reduction domain score | 0 | 0 | 30 |
| VBP efficiency and cost reduction weighted domain score | 0 | 0 | 10 |
| VBP person and community engagement domain score | 28 | 64 | 81 |
| VBP person and community engagement weighted domain score | 9.333 | 21.33 | 27 |
| VBP safety domain score | Not Available | Not Available | Not Available |
| VBP safety weighted domain score | Not Available | Not Available | Not Available |
| VBP total performance score | 9.333 | 21.33 | 42 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.029 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.045 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.996 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 1.04 | 0.9983 | 1.009 | Worse than 74% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 1.039 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9912 | 0.9955 | 1.003 | Better than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.032 | 1.007 | 1.015 | N/A | N/A | N/A |
| READM-30-HF-HRRP | 1.011 | 1.024 | 1.016 | 1.051 | 1.071 | 1.04 |
| READM-30-HIP-KNEE-HRRP | 1.087 | 1.051 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.039 | 1.053 | 1.053 | 0.9899 | 1.015 | 0.9912 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Troy Regional Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5999 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.4007 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8784 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8744 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9752 | 0.9628 | 1.049 | Worse than 57% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5688 | |||
| Total HAC scoreFY 2026 | -0.7774 | -0.0453 | 0.09962 | Better than 90% 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 | -1.248 | -0.8095 | 0 | -0.4971 | -0.5953 | -0.7774 |
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 2005)
Accreditation
Limited
Medical school affiliation
Federal
Ownership type
97
Medicare-certified beds
39
Registered nurses (full-time equivalent)
1969
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Troy Regional Medical Center reported to Medicare in its latest cost report, covering Apr 1, 2025 to Mar 31, 2026.
945
Inpatient discharges
Medicare 14%, Medicaid 17%
4,432
Inpatient days
32% of available bed days used
249
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 843444). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Troy Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 501 | 545 | 3,386 | 4,432 |
| Discharges | 134 | 162 | 649 | 945 |
| Average length of stay | 3.7 days | 3.4 days | 5.2 days | 4.7 days |
| Average daily census | 1.4 | 1.5 | 9.3 | 12.1 |
1,919
Medicare Advantage days
316 discharges
148
Medicaid managed care days
28 discharges
1,096
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 29 | 3,706 | 365 | 35% |
| Intensive care unit | 9 | 313 | 89 | 10% |
| Subprovider - ipf | 18 | 4,421 | 993 | 67% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843444, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Troy Regional Medical Center treats Medicare patients for most often, in 2024. 42 Medicare discharges in 3 published DRGs; 0% surgical; 74% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $25,145 | $10,721 | $10,963 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 15 | $16,792 | $10,092 | $7,321 | 1.28 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $12,305 | $6,467 | $5,365 | 0.78 |
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) Troy Regional Medical Center billed Medicare for most in 2024: 132 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 83 | 78 | $8,276 | $1,765 | $2,090 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 21 | $12,080 | $2,165 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 14 | 14 | $9,586 | $1,189 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 13 | 13 | $46,945 | $9,406 | $10,772 |
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 Troy Regional 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 243 in 2020 to 268 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 36081 | 88 | 33% | 374 | $1.8M | 20% | 26% |
| 36079 | 74 | 28% | 307 | $1.7M | 21% | 29% |
| 36010 | 56 | 21% | 213 | $1.2M | 20% | 16% |
| 36005 | 15 | 6% | 52 | $336,428 | 30% | 42% |
| 36017 | 12 | 4% | 62 | $213,147 | 14% | |
| 36323 | 12 | 4% | 34 | $160,931 | 3% | |
| 36035 | 11 | 4% | 67 | $250,839 | 22% |
Source: CMS Hospital Service Area file. Shares are of the 268 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 Troy Regional Medical Center reported at its latest Medicare certification survey (2008). Counts are people, not full-time equivalents.
18
Psychiatric unit beds
39
Registered nurses
8
Licensed practical nurses
1
Physicians
1
Pharmacists
1
Physical therapists
Source: CMS Provider of Services file.
107 clinicians who bill Medicare list Troy Regional 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.
Bradley Katz, M. D.
Interventional Pain Medicine Physician
NPI 1891841581
See commercial rates for Bradley Katz, M. D.Jacob Vella, MD
Interventional Pain Medicine Physician
NPI 1467603670
See commercial rates for Jacob Vella, MDWilliam Gammill, DO
Internal Medicine Physician
NPI 1437199908
See commercial rates for William Gammill, DOWynne Crawford, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1245260314
See commercial rates for Wynne Crawford, M.D.Benjamin Hewitt, MD
Gastroenterology Physician
NPI 1982145181
See commercial rates for Benjamin Hewitt, MDWilford French, MD
Diagnostic Radiology Physician
NPI 1558311910
See commercial rates for Wilford French, MDBryan Johnston, MD
Vascular & Interventional Radiology Physician
NPI 1154428159
See commercial rates for Bryan Johnston, MDKelli Anderson, CRNP
Family Nurse Practitioner
NPI 1649610395
See commercial rates for Kelli Anderson, CRNPBradley Thomas, MD
Diagnostic Radiology Physician
NPI 1740337542
See commercial rates for Bradley Thomas, MDEric Law, MD
Family Medicine Physician
NPI 1427295690
See commercial rates for Eric Law, MDGabruce Young, MD
Internal Medicine Physician
NPI 1184647992
See commercial rates for Gabruce Young, MDMichael Williams, D.O.
Family Medicine Physician
NPI 1679542740
See commercial rates for Michael Williams, D.O.Lucas Smith, M.D.
Diagnostic Radiology Physician
NPI 1659637767
See commercial rates for Lucas Smith, M.D.Charles Tompkins, M.D.
Family Medicine Physician
NPI 1760418438
See commercial rates for Charles Tompkins, M.D.Greyson Mcgowin, MD
Diagnostic Radiology Physician
NPI 1346405040
See commercial rates for Greyson Mcgowin, MDKatherine Patterson, MD
Diagnostic Radiology Physician
NPI 1255374385
See commercial rates for Katherine Patterson, MDScott Charlton, M.D.
Emergency Medicine Physician
NPI 1447238951
See commercial rates for Scott Charlton, M.D.Robert Liljeberg, M.D.
Orthopaedic Surgery Physician
NPI 1659327526
See commercial rates for Robert Liljeberg, M.D.Kim Hussey, NP
Family Nurse Practitioner
NPI 1245878636
See commercial rates for Kim Hussey, NPZachary Clark, M.D.
Diagnostic Radiology Physician
NPI 1023429495
See commercial rates for Zachary Clark, M.D.Ravichandra Boyella, M.D
Cardiovascular Disease Physician
NPI 1104021567
See commercial rates for Ravichandra Boyella, M.DLance Dyess, M.D.
Family Medicine Physician
NPI 1912980269
See commercial rates for Lance Dyess, M.D.Kerri Griffin, CRNP
Family Nurse Practitioner
NPI 1861007957
See commercial rates for Kerri Griffin, CRNPBrent Smith, MD
Diagnostic Radiology Physician
NPI 1235635053
See commercial rates for Brent Smith, 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 Troy Regional Medical Center reported to Medicare for Apr 1, 2025 to Mar 31, 2026. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $193.4M | 400.1% |
| Inpatient | $29.6M | 61.3% |
| Outpatient | $163.8M | 338.9% |
| Contractual allowances and discounts | -$145.1M | -300.1% |
| Net patient revenue | $48.3M | 100.0% |
| Operating expenses | -$53.3M | -110.4% |
| Operating income from patient care | -$5M | -10.4% |
| Other income | $11.2M | 23.1% |
| Investment income | $1.1M | 2.3% |
| Government appropriations | $4.6M | 9.6% |
| Other | $5.4M | 11.2% |
| Net income | $6.2M | 12.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $15.5M | 8.7% |
| Medicaid (including managed care) | $20.6M | 11.6% |
| Other payers and self-pay | $142.1M | 79.8% |
| Total charges | $178.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843444, 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 Troy Regional Medical Center's latest cost report.
-10.4%
Operating margin
Operating income from patient care / net patient revenue
10.4%
Total margin
Net income / net patient revenue plus other income
15.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
49% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.88
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
15.1%
Return on assets
Net income for a year / total assets
24.4%
Return on equity
Net income for a year / fund balance
0.33
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.25
Current ratio
Current assets / current liabilities
3.67
Quick ratio
Cash, temporary investments and net receivables / current liabilities
112 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
44 days
Days in patient receivables
Net patient receivables / daily net patient revenue
42 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.46
Asset turnover
Total revenue for a year / total assets
8.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 843444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Troy Regional Medical Center owned and owed at the end of its reporting period (Mar 2026), across all fund types: $40.9M in total assets and a $25.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $15.5M | 37.9% |
| Patient receivables, net | $5.8M | 14.2% |
| Inventory | $2M | 4.9% |
| Total current assets | $24.6M | 60.2% |
| Property and equipment, net of depreciation | $14.4M | 35.1% |
| Investments and other assets | $1.9M | 4.6% |
| Total assets | $40.9M | 100.0% |
| Current liabilities | $5.8M | 14.2% |
| Long-term debt | $8.4M | 20.6% |
| Total liabilities | $15.6M | 38.1% |
| Fund balance (net assets) | $25.3M | 61.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Troy Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$191,859
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$14.1M
Bad debt
Patient bills written off as uncollectible, at charges
$2.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.5M
Total unreimbursed and uncompensated care
6.5% 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 843444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Troy Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Mar 2021 | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | Mar 2026 |
|---|---|---|---|---|---|---|
| Net patient revenue | $30M | $35.1M | $39M | $40.9M | $44.2M | $48.3M |
| Operating expenses | $35M | $40.5M | $42.5M | $43.6M | $48M | $53.3M |
| Operating margin | -16.7% | -15.3% | -9.1% | -6.6% | -8.7% | -10.4% |
| Net income | $1.7M | $5.2M | $4.2M | $3.8M | $2.4M | $6.2M |
| Total assets | $28.9M | $31.7M | $30.7M | $33.9M | $35.9M | $40.9M |
| Discharges | 1,058 | 921 | 986 | 921 | 928 | 945 |
| Inpatient days | 3,991 | 3,862 | 3,821 | 3,896 | 4,130 | 4,432 |
| Medicare Advantage days | 1,078 | 1,919 | ||||
| Beds | 59 | 59 | 59 | 59 | 58 | 56 |
| Employees (FTE) | 223 | 219 | 215 | 216 | 237 | 249 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843444, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Troy Regional 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $7.4M | $29.6M | 0.25 | ||
| Operating room | $1.5M | $5M | $25.5M | 0.20 | 22,092 |
| Emergency | $1.9M | $5M | $26.6M | 0.19 | 7,493 |
| Laboratory | $1.1M | $4.8M | $26.6M | 0.18 | 9,403 |
| Radiology-diagnostic | $1.5M | $3.4M | $31.8M | 0.11 | 7,195 |
| Medical supplies charged to patient | $2.1M | $6.3M | 0.33 | ||
| Observation beds (non-distinct part | $971,056 | $1.8M | 0.55 | ||
| Radiology-therapeutic | $234,868 | $784,503 | $1.3M | 0.62 | 2,204 |
| Respiratory therapy | $392,459 | $746,162 | $1.5M | 0.49 | 1,910 |
| Impl. dev. charged to patients | $682,797 | $2.6M | 0.26 | ||
| Sleep lab | $230,144 | $611,849 | $3.1M | 0.20 | 4,479 |
| Anesthesiology | $1M | $482,941 | $4.4M | 0.11 | 147 |
| Physical therapy | $165,431 | $406,135 | $886,696 | 0.46 | 1,736 |
| Radioisotope | $97,260 | $325,675 | $1.6M | 0.20 | 1,098 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.1M | $4.4M | $6.1M | 0.71 | 16,211 |
| Subprovider - ipf | $1.6M | $3.4M | $6.9M | 0.49 | 7,797 |
| Intensive care unit | $851,006 | $1.9M | $1.5M | 1.28 | 6,384 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.4M | $5.8M | 49,047 | $49.80 | 10,432 |
| Employee benefits department | $170,607 | $4.5M | 5,127 | $33.28 | 1,485 |
| Cap rel costs-mvble equip | $2.1M | ||||
| Operation of plant | $309,021 | $1.7M | 10,229 | $30.21 | 38,331 |
| Cap rel costs-bldg & fixt | $1.2M | 172,729 | |||
| Nursing administration | $978,914 | $1.1M | 23,236 | $42.13 | 1,726 |
| Pharmacy | $440,030 | $713,782 | 11,057 | $39.80 | 3,670 |
| Housekeeping | $631,563 | 1,076 | |||
| Cafeteria | $456,862 | 1,255 | |||
| Laundry & linen service | $292,439 | 1,282 | |||
| Central services & supply | $162,484 | $249,823 | 6,095 | $26.66 | 2,708 |
| Medical records & library | $219,793 | $233,633 | 9,249 | $23.76 | 532 |
| Dietary | $229,069 | 4,674 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843444, 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 Troy Regional Medical Center for an inpatient stay.
1.18
Case mix index
Higher than 6% 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).
29.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
143
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 | 1.35 | 1.36 | 1.48 | 1.37 | 1.36 | 1.33 | 1.18 |
| Wage index | 0.803 | 0.786 | 0.801 | 0.826 | 0.810 | 0.769 | 0.759 |
| Readmissions adjustment | -0.42% | -0.68% | -0.64% | -0.10% | -0.16% | -0.42% | -0.26% |
| Value-based purchasing adjustment | +0.64% | 0.00% | 0.00% | 0.00% | -1.11% | -0.09% | +0.90% |
| Medicare inpatient stays | 465 | 465 | 258 | 180 | 163 | 174 | 143 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Troy Regional Medical Center reports to Medicare as owners or with operational control.
Troy Hospital Health Care Authority
5% or greater direct ownership interest, 100%, since 2010
Sources: CMS Hospital All Owners.
The officers and board members on Troy Regional 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 5 of 7 are shown.
340B drug pricing program
Participating since 2018
340B ID DSH010126, registered as a disproportionate share hospital; 4 active contract pharmacies. Authorizing official: Steven Lisenby, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Main Street Rural Health Cottonwood ACO LLC
ACO A5439, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Troy Regional Medical Center's legal name.
Troy regional medical center psych
CCN 01S126, certified 2018, Medicare prospective payment
Troy regional medical center swing
CCN 01U126, certified 1991, Medicare prospective payment
Source: Worksheet S-2 Part I of Troy Regional Medical Center's latest Medicare cost report (HCRIS).
About Troy Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Troy Regional Medical Center range from $244 to $623 across 4 insurers. Cigna's rate is $328. The median at nearby comparable hospitals is $738. 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 Troy Regional Medical Center range from $244 to $416 across 4 insurers. Aetna's rate is $265. The median at nearby comparable hospitals is $708. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Troy Regional Medical Center range from $581 to $1,355 across 4 insurers. Blue Cross Blue Shield's rate is $1,355. The median at nearby comparable hospitals is $1,500. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Troy Regional Medical Center range from $80 to $139 across 3 insurers. UnitedHealthcare's rate is $80. The median at nearby comparable hospitals is $154. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Troy Regional Medical Center range from $12,056 to $19,169 across 3 insurers. Cigna's rate is $12,056. The median at nearby comparable hospitals is $15,880. What a patient pays depends on their plan's deductible, coinsurance and network status.
Troy Regional Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Troy Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Troy Regional 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 simple pneumonia and pleurisy with mcc (16 discharges), heart failure and shock with mcc (15 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc (11 discharges).
Troy Regional Medical Center's Medicare case mix index is 1.18 for fiscal year 2027, higher than 6% of hospitals paid under the inpatient prospective payment system.
Troy Regional Medical Center reported 945 inpatient discharges and 4,432 inpatient days from Apr 1, 2025 to Mar 31, 2026.
Troy Regional Medical Center reported 249 full-time-equivalent employees on payroll from Apr 1, 2025 to Mar 31, 2026.
Troy Regional Medical Center reported $48.3M in net patient revenue on $193.4M of gross charges for Apr 1, 2025 to Mar 31, 2026, an operating margin of -10.4%, and net income of $6.2M.
Troy Regional Medical Center reported $3.5M of unreimbursed and uncompensated care for Apr 1, 2025 to Mar 31, 2026, including $191,859 of charity care at cost.
Troy Regional Medical Center's Medicare enrollment lists Sherrill E Crowe as President Board Of Directors since 2010.
Insurers' price transparency files list Troy Regional Medical Center under employer identification number 27-1534178 (Troy Hospital Healthcare Authority). 55 health plans and networks list 27-1534178 for it.
Yes. HRSA's 340B database lists Troy Regional Medical Center (340B ID DSH010126) as a participating disproportionate share hospital since 2018, with 4 active contract pharmacies.
107 clinicians who bill Medicare list Troy Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (21), family medicine physician (18), internal medicine physician (11).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Troy Regional Medical Center, effective 2005.
In its Medicare enrollment, Troy Regional Medical Center reports Troy Hospital Health Care Authority as 5% or greater direct ownership interest (100%).
CMS lists 17 services at Troy Regional Medical Center, including Anesthesia, Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Troy Regional Medical Center came from ZIP codes 36081 (88), 36079 (74), 36010 (56).
Troy Regional Medical Center has 56 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 97 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Troy Regional Medical Center is located at 1330 Highway 231 South, Troy, AL 36081. Its main phone number is None.
Troy Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 010126.
The National Provider Identifier (NPI) on file for Troy Regional Medical Center is 1770814626.
Troy Regional Medical Center lists 39 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
273 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