Level 1 ICD and Similar Procedures in Alabama
What 21 hospitals in Alabama charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$104,371
Hospital list price billed
Average allowed
$19,862
Medicare's payment + patient's share
Medicare paid
$18,230
Average per service
State rank
#5 of 34
1 = lowest average payment
Hospitals in Alabama billed an average of $104,371 for level 1 icd and similar procedures, about 5.3 times the average medicare-allowed amount of $19,862. That payment is 12% below the U.S. average of $22,647.
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 $19,862Billed $104,371
About 19¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 1 icd and similar procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 16 | $104,371 | $19,862 | $18,230 |
| Southeast Alabama Medical CenterDothan | – | – | – | – |
| North Alabama Medical CenterFlorence | – | – | – | – |
| St Vincent's EastBirmingham | – | – | – | – |
| Shelby Baptist Medical CenterAlabaster | – | – | – | – |
| Baptist Medical Center SouthMontgomery | – | – | – | – |
| East Alabama Medical Center and SnfOpelika | – | – | – | – |
| University of Alabama HospitalBirmingham | – | – | – | – |
| Gadsden Regional Medical CenterGadsden | – | – | – | – |
| St Vincent's BirminghamBirmingham | – | – | – | – |
| Russell HospitalAlexander City | – | – | – | – |
| Northeast Alabama Regional Med CenterAnniston | – | – | – | – |
| Providence HospitalMobile | – | – | – | – |
| D C H Regional Medical CenterTuscaloosa | – | – | – | – |
| Thomas HospitalFairhope | – | – | – | – |
| Princeton Baptist Medical CenterBirmingham | – | – | – | – |
| Grandview Medical CenterBirmingham | – | – | – | – |
| Mobile InfirmaryMobile | – | – | – | – |
| Crestwood Medical CenterHuntsville | – | – | – | – |
| Brookwood Medical CenterBirmingham | – | – | – | – |
| Springhill Medical CenterMobile | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Alabama?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 21 hospitals in Alabama was billed at $104,371 on average, while the average medicare-allowed amount was $19,862, of which Medicare paid $18,230. 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 service in Alabama, average charges were 5.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.