facebook tracking Level 2 ICD and Similar Procedures cost in Alabama: 27 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Alabama

What 27 hospitals in Alabama charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $181,897 Hospital list price billed
Average allowed $27,001 Medicare's payment + patient's share
Medicare paid $25,366 Average per service
State rank #1 of 47 1 = lowest average payment

Hospitals in Alabama billed an average of $181,897 for level 2 icd and similar procedures, about 6.7 times the average medicare-allowed amount of $27,001. That payment is 13% below the U.S. average of $31,009.

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 $27,001Billed $181,897

About 15¢ was paid for every $1 hospitals in Alabama billed for this service.

Alabama hospitals: level 2 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 75 $145,504 $26,783 $25,147
University of Alabama HospitalBirmingham 48 $132,338 $26,848 $25,216
Grandview Medical CenterBirmingham 25 $331,440 $27,343 $25,711
Providence HospitalMobile 22 $132,781 $27,200 $25,549
Brookwood Medical CenterBirmingham 22 $473,869 $25,043 $23,411
Southeast Alabama Medical CenterDothan 20 $153,349 $28,098 $26,466
St Vincent's BirminghamBirmingham 20 $180,318 $27,384 $25,752
Baptist Medical Center SouthMontgomery 17 $108,187 $25,333 $23,701
D C H Regional Medical CenterTuscaloosa 15 $93,279 $29,869 $28,237
Mobile InfirmaryMobile 13 $102,867 $27,200 $25,568
St Vincent's EastBirmingham 12 $221,991 $27,384 $25,745
Thomas HospitalFairhope 11 $159,886 $27,209 $25,577
North Alabama Medical CenterFlorence – – – –
Dekalb Regional Medical CenterFort Payne – – – –
Shelby Baptist Medical CenterAlabaster – – – –
Jackson Hospital & Clinic INCMontgomery – – – –
East Alabama Medical Center and SnfOpelika – – – –
Gadsden Regional Medical CenterGadsden – – – –
Riverview Regional Medical CenterGadsden – – – –
Flowers HospitalDothan – – – –
Russell HospitalAlexander City – – – –
Northeast Alabama Regional Med CenterAnniston – – – –
South Baldwin Regional Medical CenterFoley – – – –
USA Health University HospitalMobile – – – –
Princeton Baptist Medical CenterBirmingham – – – –
Crestwood Medical CenterHuntsville – – – –
Springhill Medical CenterMobile – – – –
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Lowest and highest allowed amounts in Alabama

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Brookwood Medical CenterBirmingham, AL$25,043
Baptist Medical Center SouthMontgomery, AL$25,333
Huntsville HospitalHuntsville, AL$26,783
University of Alabama HospitalBirmingham, AL$26,848
Mobile InfirmaryMobile, AL$27,200

Highest

D C H Regional Medical CenterTuscaloosa, AL$29,869
Southeast Alabama Medical CenterDothan, AL$28,098
St Vincent's EastBirmingham, AL$27,384
St Vincent's BirminghamBirmingham, AL$27,384
Grandview Medical CenterBirmingham, AL$27,343

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Alabama?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 27 hospitals in Alabama was billed at $181,897 on average, while the average medicare-allowed amount was $27,001, of which Medicare paid $25,366. 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 6.7 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.