facebook tracking Major chest procedures without complications cost in Alabama: 4 hospitals compared (DRG 165)

Major chest procedures without complications in Alabama

What 4 hospitals in Alabama charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.

DRG 165 Inpatient 2024 Medicare data
Average charge $68,742 Hospital list price billed
Average payment $14,861 Medicare + patient + other payers
Medicare paid $10,808 Average per stay
State rank #2 of 26 1 = lowest average payment

Hospitals in Alabama billed an average of $68,742 for major chest procedures without complications, about 4.6 times the average total payment of $14,861. That payment is 24% below the U.S. average of $19,593.

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 $14,861Billed $68,742

About 22¢ was paid for every $1 hospitals in Alabama billed for this stay.

Alabama hospitals: major chest procedures without 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
University of Alabama HospitalBirmingham 27 $75,368 $18,027 $11,849
St Vincent's BirminghamBirmingham 15 $69,120 $13,059 $9,493
Mobile InfirmaryMobile 14 $37,606 $12,910 $10,930
Huntsville HospitalHuntsville 13 $88,073 $12,464 $10,033
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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

Huntsville HospitalHuntsville, AL$12,464
Mobile InfirmaryMobile, AL$12,910
St Vincent's BirminghamBirmingham, AL$13,059
University of Alabama HospitalBirmingham, AL$18,027

Highest

University of Alabama HospitalBirmingham, AL$18,027
St Vincent's BirminghamBirmingham, AL$13,059
Mobile InfirmaryMobile, AL$12,910
Huntsville HospitalHuntsville, AL$12,464

Major chest procedures without complications in other states

Questions

How much does major chest procedures without complications cost in Alabama?

In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 4 hospitals in Alabama was billed at $68,742 on average, while the average total payment was $14,861, of which Medicare paid $10,808. 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 4.6 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.