What 27 hospitals in Alabama charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
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.
About 15¢ was paid for every $1 hospitals in Alabama billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.