Hip replacement with principal diagnosis of hip fracture without major complications in Alabama
What 28 hospitals in Alabama charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$90,323
Hospital list price billed
Average payment
$15,276
Medicare + patient + other payers
Medicare paid
$12,952
Average per stay
State rank
#5 of 50
1 = lowest average payment
Hospitals in Alabama billed an average of $90,323 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.9 times the average total payment of $15,276. That payment is 17% below the U.S. average of $18,301.
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 $15,276Billed $90,323
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: hip replacement with principal diagnosis of hip fracture 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 | 92 | $74,785 | $14,966 | $12,696 |
| Grandview Medical CenterBirmingham | 36 | $250,824 | $13,484 | $10,996 |
| East Alabama Medical Center and SnfOpelika | 35 | $40,633 | $15,078 | $13,161 |
| Baptist Medical Center SouthMontgomery | 33 | $39,615 | $16,740 | $13,060 |
| North Alabama Medical CenterFlorence | 32 | $64,985 | $14,198 | $12,329 |
| Marshall Medical Center SouthBoaz | 31 | $31,769 | $14,010 | $12,484 |
| Mobile InfirmaryMobile | 30 | $53,169 | $15,021 | $13,466 |
| University of Alabama HospitalBirmingham | 27 | $121,074 | $26,477 | $14,996 |
| Flowers HospitalDothan | 27 | $131,216 | $13,796 | $12,164 |
| Southeast Alabama Medical CenterDothan | 26 | $84,395 | $15,790 | $13,850 |
| D C H Regional Medical CenterTuscaloosa | 26 | $47,385 | $17,153 | $15,135 |
| Northeast Alabama Regional Med CenterAnniston | 25 | $126,972 | $15,136 | $13,569 |
| South Baldwin Regional Medical CenterFoley | 24 | $166,337 | $15,808 | $13,746 |
| Cullman Regional Medical CenterCullman | 23 | $64,784 | $16,431 | $15,012 |
| Providence HospitalMobile | 23 | $41,292 | $14,498 | $12,341 |
| St Vincent's BirminghamBirmingham | 22 | $61,003 | $13,833 | $12,243 |
| Thomas HospitalFairhope | 22 | $52,564 | $15,884 | $13,702 |
| Athens-Limestone HospitalAthens | 21 | $36,913 | $13,995 | $12,596 |
| Crestwood Medical CenterHuntsville | 21 | $223,755 | $13,151 | $11,596 |
| St Vincent's EastBirmingham | 18 | $56,817 | $15,433 | $12,511 |
| Jackson Hospital & Clinic INCMontgomery | 18 | $63,282 | $13,900 | $12,534 |
| Helen Keller Memorial HospitalSheffield | 17 | $36,575 | $13,745 | $10,928 |
| Decatur General HospitalDecatur | 16 | $55,703 | $13,847 | $12,521 |
| Walker Baptist Medical CenterJasper | 15 | $212,372 | $13,777 | $12,363 |
| Gadsden Regional Medical CenterGadsden | 14 | $217,536 | $13,914 | $12,700 |
| Highlands Medical CenterScottsboro | 13 | $46,849 | $16,062 | $14,430 |
| Springhill Medical CenterMobile | 12 | $42,165 | $13,959 | $12,599 |
| Dekalb Regional Medical CenterFort Payne | 11 | $181,163 | $15,131 | $13,796 |
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
| Crestwood Medical CenterHuntsville, AL | $13,151 |
|---|---|
| Grandview Medical CenterBirmingham, AL | $13,484 |
| Helen Keller Memorial HospitalSheffield, AL | $13,745 |
| Walker Baptist Medical CenterJasper, AL | $13,777 |
| Flowers HospitalDothan, AL | $13,796 |
Highest
| University of Alabama HospitalBirmingham, AL | $26,477 |
|---|---|
| D C H Regional Medical CenterTuscaloosa, AL | $17,153 |
| Baptist Medical Center SouthMontgomery, AL | $16,740 |
| Cullman Regional Medical CenterCullman, AL | $16,431 |
| Highlands Medical CenterScottsboro, AL | $16,062 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Alabama?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 28 hospitals in Alabama was billed at $90,323 on average, while the average total payment was $15,276, of which Medicare paid $12,952. 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 5.9 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.