Extensive operating room procedures unrelated to principal diagnosis with major complications in Alabama
What 11 hospitals in Alabama charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$190,642
Hospital list price billed
Average payment
$38,247
Medicare + patient + other payers
Medicare paid
$31,115
Average per stay
State rank
#11 of 42
1 = lowest average payment
Hospitals in Alabama billed an average of $190,642 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 5.0 times the average total payment of $38,247. That payment is 19% below the U.S. average of $47,051.
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 $38,247Billed $190,642
About 20¢ was paid for every $1 hospitals in Alabama billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Alabama:
Alabama hospitals: extensive operating room procedures unrelated to principal diagnosis with 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 |
|---|---|---|---|---|
| University of Alabama HospitalBirmingham | 42 | $304,927 | $71,629 | $40,867 |
| D C H Regional Medical CenterTuscaloosa | 42 | $76,958 | $32,923 | $29,813 |
| Huntsville HospitalHuntsville | 40 | $156,433 | $29,589 | $27,789 |
| Mobile InfirmaryMobile | 24 | $139,646 | $33,159 | $32,053 |
| Grandview Medical CenterBirmingham | 22 | $440,108 | $31,370 | $29,099 |
| Southeast Alabama Medical CenterDothan | 16 | $156,239 | $35,400 | $33,299 |
| North Alabama Medical CenterFlorence | 15 | $163,443 | $29,008 | $26,683 |
| Baptist Medical Center SouthMontgomery | 14 | $103,679 | $32,997 | $30,319 |
| Thomas HospitalFairhope | 14 | $88,642 | $32,954 | $30,355 |
| Flowers HospitalDothan | 12 | $314,963 | $26,735 | $24,355 |
| St Vincent's BirminghamBirmingham | 11 | $117,079 | $30,165 | $25,142 |
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
| Flowers HospitalDothan, AL | $26,735 |
|---|---|
| North Alabama Medical CenterFlorence, AL | $29,008 |
| Huntsville HospitalHuntsville, AL | $29,589 |
| St Vincent's BirminghamBirmingham, AL | $30,165 |
| Grandview Medical CenterBirmingham, AL | $31,370 |
Highest
| University of Alabama HospitalBirmingham, AL | $71,629 |
|---|---|
| Southeast Alabama Medical CenterDothan, AL | $35,400 |
| Mobile InfirmaryMobile, AL | $33,159 |
| Baptist Medical Center SouthMontgomery, AL | $32,997 |
| Thomas HospitalFairhope, AL | $32,954 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Alabama?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 11 hospitals in Alabama was billed at $190,642 on average, while the average total payment was $38,247, of which Medicare paid $31,115. 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 5.0 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.