facebook tracking Permanent cardiac pacemaker implant with major complications cost in Alabama: 4 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Alabama

What 4 hospitals in Alabama charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $172,072 Hospital list price billed
Average payment $23,112 Medicare + patient + other payers
Medicare paid $21,480 Average per stay
State rank #2 of 41 1 = lowest average payment

Hospitals in Alabama billed an average of $172,072 for permanent cardiac pacemaker implant with major complications, about 7.4 times the average total payment of $23,112. That payment is 24% below the U.S. average of $30,574.

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 $23,112Billed $172,072

About 13¢ was paid for every $1 hospitals in Alabama billed for this stay.

Alabama hospitals: permanent cardiac pacemaker implant 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 31 $110,775 $22,725 $21,141
Southeast Alabama Medical CenterDothan 15 $112,638 $24,908 $23,056
Flowers HospitalDothan 14 $407,607 $21,899 $20,616
Jackson Hospital & Clinic INCMontgomery 12 $129,924 $23,281 $21,390
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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

Flowers HospitalDothan, AL$21,899
Huntsville HospitalHuntsville, AL$22,725
Jackson Hospital & Clinic INCMontgomery, AL$23,281
Southeast Alabama Medical CenterDothan, AL$24,908

Highest

Southeast Alabama Medical CenterDothan, AL$24,908
Jackson Hospital & Clinic INCMontgomery, AL$23,281
Huntsville HospitalHuntsville, AL$22,725
Flowers HospitalDothan, AL$21,899

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Alabama?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 4 hospitals in Alabama was billed at $172,072 on average, while the average total payment was $23,112, of which Medicare paid $21,480. 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 7.4 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.