Hip replacement with principal diagnosis of hip fracture with major complications in Alabama
What 7 hospitals in Alabama charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$156,666
Hospital list price billed
Average payment
$28,511
Medicare + patient + other payers
Medicare paid
$17,752
Average per stay
State rank
#33 of 40
1 = lowest average payment
Hospitals in Alabama billed an average of $156,666 for hip replacement with principal diagnosis of hip fracture with major complications, about 5.5 times the average total payment of $28,511. That payment is 11% above the U.S. average of $25,727.
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 $28,511Billed $156,666
About 18¢ 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: hip replacement with principal diagnosis of hip fracture 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 | 21 | $115,901 | $18,874 | $17,343 |
| University of Alabama HospitalBirmingham | 16 | $152,357 | $70,573 | $17,280 |
| Grandview Medical CenterBirmingham | 14 | $336,188 | $20,048 | $16,513 |
| St Vincent's EastBirmingham | 11 | $73,099 | $20,380 | $17,924 |
| Shelby Baptist Medical CenterAlabaster | 11 | $266,730 | $18,166 | $16,683 |
| Baptist Medical Center SouthMontgomery | 11 | $65,120 | $21,806 | $19,564 |
| Mobile InfirmaryMobile | 11 | $77,325 | $21,679 | $19,878 |
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
| Shelby Baptist Medical CenterAlabaster, AL | $18,166 |
|---|---|
| Huntsville HospitalHuntsville, AL | $18,874 |
| Grandview Medical CenterBirmingham, AL | $20,048 |
| St Vincent's EastBirmingham, AL | $20,380 |
| Mobile InfirmaryMobile, AL | $21,679 |
Highest
| University of Alabama HospitalBirmingham, AL | $70,573 |
|---|---|
| Baptist Medical Center SouthMontgomery, AL | $21,806 |
| Mobile InfirmaryMobile, AL | $21,679 |
| St Vincent's EastBirmingham, AL | $20,380 |
| Grandview Medical CenterBirmingham, AL | $20,048 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Alabama?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 7 hospitals in Alabama was billed at $156,666 on average, while the average total payment was $28,511, of which Medicare paid $17,752. 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 5.5 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.