facebook tracking Hip and femur procedures except major joint with major complications cost in Alabama: 14 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Alabama

What 14 hospitals in Alabama charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $124,267 Hospital list price billed
Average payment $21,784 Medicare + patient + other payers
Medicare paid $18,409 Average per stay
State rank #6 of 46 1 = lowest average payment

Hospitals in Alabama billed an average of $124,267 for hip and femur procedures except major joint with major complications, about 5.7 times the average total payment of $21,784. That payment is 17% below the U.S. average of $26,284.

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 $21,784Billed $124,267

About 18¢ was paid for every $1 hospitals in Alabama billed for this stay.

Alabama hospitals: hip and femur procedures except major joint 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
Huntsville HospitalHuntsville 37 $113,257 $19,870 $17,450
Southeast Alabama Medical CenterDothan 28 $87,967 $20,806 $18,712
D C H Regional Medical CenterTuscaloosa 25 $66,175 $23,288 $20,969
University of Alabama HospitalBirmingham 22 $205,821 $33,830 $25,149
Mobile InfirmaryMobile 19 $98,657 $23,959 $19,643
Baptist Medical Center SouthMontgomery 18 $61,618 $21,969 $18,389
Northeast Alabama Regional Med CenterAnniston 17 $127,584 $20,330 $18,892
Shelby Baptist Medical CenterAlabaster 15 $180,431 $21,525 $15,622
Providence HospitalMobile 15 $68,782 $21,845 $15,518
St Vincent's BirminghamBirmingham 14 $77,777 $18,290 $17,182
North Alabama Medical CenterFlorence 13 $94,798 $19,424 $17,579
Flowers HospitalDothan 13 $215,247 $18,424 $15,230
Grandview Medical CenterBirmingham 12 $305,887 $18,217 $15,827
Riverview Regional Medical CenterGadsden 11 $151,671 $16,763 $15,576
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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$16,763
Grandview Medical CenterBirmingham, AL$18,217
St Vincent's BirminghamBirmingham, AL$18,290
Flowers HospitalDothan, AL$18,424
North Alabama Medical CenterFlorence, AL$19,424

Highest

University of Alabama HospitalBirmingham, AL$33,830
Mobile InfirmaryMobile, AL$23,959
D C H Regional Medical CenterTuscaloosa, AL$23,288
Baptist Medical Center SouthMontgomery, AL$21,969
Providence HospitalMobile, AL$21,845

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

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 14 hospitals in Alabama was billed at $124,267 on average, while the average total payment was $21,784, of which Medicare paid $18,409. 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 5.7 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.