facebook tracking Major chest procedures with major complications cost in Alabama: 6 hospitals compared (DRG 163)

Major chest procedures with major complications in Alabama

What 6 hospitals in Alabama charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.

DRG 163 Inpatient 2024 Medicare data
Average charge $166,485 Hospital list price billed
Average payment $32,757 Medicare + patient + other payers
Medicare paid $25,572 Average per stay
State rank #2 of 38 1 = lowest average payment

Hospitals in Alabama billed an average of $166,485 for major chest procedures with major complications, about 5.1 times the average total payment of $32,757. That payment is 27% below the U.S. average of $45,128.

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 $32,757Billed $166,485

About 20¢ was paid for every $1 hospitals in Alabama billed for this stay.

Alabama hospitals: major chest procedures 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 27 $175,512 $30,742 $25,224
Mobile InfirmaryMobile 17 $114,669 $33,085 $23,874
University of Alabama HospitalBirmingham 14 $192,239 $43,456 $30,653
Southeast Alabama Medical CenterDothan 13 $119,926 $29,639 $26,186
Grandview Medical CenterBirmingham 13 $290,361 $32,508 $25,377
St Vincent's BirminghamBirmingham 11 $100,254 $27,555 $22,087
Advertisement

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

St Vincent's BirminghamBirmingham, AL$27,555
Southeast Alabama Medical CenterDothan, AL$29,639
Huntsville HospitalHuntsville, AL$30,742
Grandview Medical CenterBirmingham, AL$32,508
Mobile InfirmaryMobile, AL$33,085

Highest

University of Alabama HospitalBirmingham, AL$43,456
Mobile InfirmaryMobile, AL$33,085
Grandview Medical CenterBirmingham, AL$32,508
Huntsville HospitalHuntsville, AL$30,742
Southeast Alabama Medical CenterDothan, AL$29,639

Major chest procedures with major complications in other states

Questions

How much does major chest procedures with major complications cost in Alabama?

In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 6 hospitals in Alabama was billed at $166,485 on average, while the average total payment was $32,757, of which Medicare paid $25,572. 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 5.1 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.