Ungraded
#224 nationally
Troy Regional Medical Center
1330 Highway 231 South, Troy, AL 36081 · (334) 670-5000
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Troy Regional Medical Center billed $2.88 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.9x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in AL
- #6
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
83 | $8,276 | $2,236 | -57% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
22 | $12,080 | $2,718 | -41% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
16 | $25,145 | $12,169 | -46% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
15 | $16,792 | $11,440 | -61% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
14 | $9,586 | $1,514 | -18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
13 | $46,945 | $11,038 | -25% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
11 | $12,305 | $7,812 | -60% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$9,586 | $1,514 | -18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$46,945 | $11,038 | -25% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$12,080 | $2,718 | -41% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$25,145 | $12,169 | -46% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$8,276 | $2,236 | -57% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$12,305 | $7,812 | -60% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$16,792 | $11,440 | -61% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$16,792 | $11,440 | -61% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$12,305 | $7,812 | -60% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$8,276 | $2,236 | -57% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$25,145 | $12,169 | -46% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$12,080 | $2,718 | -41% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$46,945 | $11,038 | -25% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$9,586 | $1,514 | -18% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.