Pulmonary embolism with major complications or acute cor pulmonale in Alabama
What 10 hospitals in Alabama charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$54,849
Hospital list price billed
Average payment
$11,242
Medicare + patient + other payers
Medicare paid
$8,671
Average per stay
State rank
#6 of 48
1 = lowest average payment
Hospitals in Alabama billed an average of $54,849 for pulmonary embolism with major complications or acute cor pulmonale, about 4.9 times the average total payment of $11,242. That payment is 17% below the U.S. average of $13,466.
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 $11,242Billed $54,849
About 20¢ was paid for every $1 hospitals in Alabama billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Alabama:
Alabama hospitals: pulmonary embolism with major complications or acute cor pulmonale
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 | 46 | $52,885 | $10,411 | $8,503 |
| University of Alabama HospitalBirmingham | 25 | $53,278 | $13,408 | $9,921 |
| D C H Regional Medical CenterTuscaloosa | 22 | $33,553 | $11,817 | $9,563 |
| Grandview Medical CenterBirmingham | 20 | $128,224 | $9,938 | $8,131 |
| Southeast Alabama Medical CenterDothan | 17 | $46,598 | $11,799 | $8,003 |
| Mobile InfirmaryMobile | 17 | $45,255 | $11,860 | $9,134 |
| North Alabama Medical CenterFlorence | 16 | $55,447 | $9,103 | $7,747 |
| St Vincent's BirminghamBirmingham | 14 | $28,871 | $9,440 | $8,356 |
| Baptist Medical Center SouthMontgomery | 11 | $35,084 | $16,717 | $9,358 |
| Riverview Regional Medical CenterGadsden | 11 | $55,358 | $9,124 | $7,109 |
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
| North Alabama Medical CenterFlorence, AL | $9,103 |
|---|---|
| Riverview Regional Medical CenterGadsden, AL | $9,124 |
| St Vincent's BirminghamBirmingham, AL | $9,440 |
| Grandview Medical CenterBirmingham, AL | $9,938 |
| Huntsville HospitalHuntsville, AL | $10,411 |
Highest
| Baptist Medical Center SouthMontgomery, AL | $16,717 |
|---|---|
| University of Alabama HospitalBirmingham, AL | $13,408 |
| Mobile InfirmaryMobile, AL | $11,860 |
| D C H Regional Medical CenterTuscaloosa, AL | $11,817 |
| Southeast Alabama Medical CenterDothan, AL | $11,799 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Alabama?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 10 hospitals in Alabama was billed at $54,849 on average, while the average total payment was $11,242, of which Medicare paid $8,671. 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 4.9 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.