facebook tracking Hip and femur procedures except major joint with complications cost in Alabama: 32 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Alabama

What 32 hospitals in Alabama charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $93,497 Hospital list price billed
Average payment $15,630 Medicare + patient + other payers
Medicare paid $12,544 Average per stay
State rank #7 of 50 1 = lowest average payment

Hospitals in Alabama billed an average of $93,497 for hip and femur procedures except major joint with complications, about 6.0 times the average total payment of $15,630. That payment is 15% below the U.S. average of $18,473.

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 $15,630Billed $93,497

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

Alabama hospitals: hip and femur procedures except major joint with 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 133 $81,133 $14,698 $12,131
University of Alabama HospitalBirmingham 65 $128,286 $26,186 $14,128
Grandview Medical CenterBirmingham 59 $236,017 $13,931 $11,444
D C H Regional Medical CenterTuscaloosa 53 $43,269 $16,589 $14,007
Southeast Alabama Medical CenterDothan 49 $73,878 $15,373 $13,511
Baptist Medical Center SouthMontgomery 47 $41,725 $15,769 $12,473
Flowers HospitalDothan 47 $181,764 $14,049 $11,550
Decatur General HospitalDecatur 37 $44,891 $13,490 $11,947
Thomas HospitalFairhope 34 $50,916 $15,559 $13,360
St Vincent's BirminghamBirmingham 33 $57,186 $13,629 $11,623
Northeast Alabama Regional Med CenterAnniston 31 $81,018 $14,616 $13,142
South Baldwin Regional Medical CenterFoley 30 $198,265 $16,802 $13,060
Crestwood Medical CenterHuntsville 30 $211,016 $13,246 $10,849
North Alabama Medical CenterFlorence 27 $60,850 $14,113 $12,373
Cullman Regional Medical CenterCullman 27 $58,222 $16,121 $14,610
USA Health University HospitalMobile 27 $62,606 $25,317 $15,559
East Alabama Medical Center and SnfOpelika 26 $39,502 $16,123 $12,981
Athens-Limestone HospitalAthens 25 $30,801 $13,608 $12,108
Marshall Medical Center SouthBoaz 23 $32,521 $14,930 $11,726
Mobile InfirmaryMobile 23 $50,594 $14,550 $12,157
Helen Keller Memorial HospitalSheffield 21 $38,222 $12,850 $11,839
Jackson Hospital & Clinic INCMontgomery 21 $60,010 $13,581 $12,309
Riverview Regional Medical CenterGadsden 19 $117,924 $12,321 $11,033
Jack Hughston Memorial HospitalPhenix City 19 $37,177 $14,818 $11,835
Shelby Baptist Medical CenterAlabaster 18 $126,608 $14,665 $9,750
Medical Center EnterpriseEnterprise 17 $161,511 $13,380 $11,750
Walker Baptist Medical CenterJasper 17 $154,296 $14,352 $12,912
St Vincent's EastBirmingham 16 $55,453 $15,146 $13,295
Providence HospitalMobile 16 $47,752 $13,892 $12,770
Springhill Medical CenterMobile 16 $37,498 $13,589 $12,365
Medical West, an Affiliate of UAB Health SystemBessemer 12 $61,592 $14,032 $11,958
Brookwood Medical CenterBirmingham 11 $218,718 $13,134 $11,801
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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

Riverview Regional Medical CenterGadsden, AL$12,321
Helen Keller Memorial HospitalSheffield, AL$12,850
Brookwood Medical CenterBirmingham, AL$13,134
Crestwood Medical CenterHuntsville, AL$13,246
Medical Center EnterpriseEnterprise, AL$13,380

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Alabama?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 32 hospitals in Alabama was billed at $93,497 on average, while the average total payment was $15,630, of which Medicare paid $12,544. 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 6.0 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.