facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in Alabama: 7 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in Alabama

What 7 hospitals in Alabama charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $223,320 Hospital list price billed
Average payment $38,378 Medicare + patient + other payers
Medicare paid $28,492 Average per stay
State rank #4 of 36 1 = lowest average payment

Hospitals in Alabama billed an average of $223,320 for coronary bypass with cardiac catheterization or open ablation without major complications, about 5.8 times the average total payment of $38,378. That payment is 16% below the U.S. average of $45,866.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $38,378Billed $223,320

About 17¢ was paid for every $1 hospitals in Alabama billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Alabama:

Alabama hospitals: coronary bypass with cardiac catheterization or open ablation without major complications

Every Alabama hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Huntsville HospitalHuntsville 42 $222,894 $42,136 $27,417
Southeast Alabama Medical CenterDothan 21 $240,524 $39,542 $29,508
Thomas HospitalFairhope 15 $99,584 $37,084 $30,759
Springhill Medical CenterMobile 13 $114,715 $28,320 $25,389
Grandview Medical CenterBirmingham 12 $580,680 $34,680 $24,065
North Alabama Medical CenterFlorence 11 $228,628 $36,623 $33,836
East Alabama Medical Center and SnfOpelika 11 $94,032 $41,248 $30,717
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Lowest and highest payments in Alabama

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Springhill Medical CenterMobile, AL$28,320
Grandview Medical CenterBirmingham, AL$34,680
North Alabama Medical CenterFlorence, AL$36,623
Thomas HospitalFairhope, AL$37,084
Southeast Alabama Medical CenterDothan, AL$39,542

Highest

Huntsville HospitalHuntsville, AL$42,136
East Alabama Medical Center and SnfOpelika, AL$41,248
Southeast Alabama Medical CenterDothan, AL$39,542
Thomas HospitalFairhope, AL$37,084
North Alabama Medical CenterFlorence, AL$36,623

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in Alabama?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 7 hospitals in Alabama was billed at $223,320 on average, while the average total payment was $38,378, of which Medicare paid $28,492. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Alabama, average charges were 5.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.