Simple pneumonia and pleurisy with complications in Alabama
What 37 hospitals in Alabama charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$27,733
Hospital list price billed
Average payment
$6,857
Medicare + patient + other payers
Medicare paid
$4,986
Average per stay
State rank
#9 of 47
1 = lowest average payment
Hospitals in Alabama billed an average of $27,733 for simple pneumonia and pleurisy with complications, about 4.0 times the average total payment of $6,857. That payment is 14% below the U.S. average of $7,941.
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 $6,857Billed $27,733
About 25¢ was paid for every $1 hospitals in Alabama billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Alabama:
Alabama hospitals: simple pneumonia and pleurisy with 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 | 86 | $28,157 | $6,503 | $4,599 |
| Cullman Regional Medical CenterCullman | 75 | $23,674 | $6,460 | $4,820 |
| Mobile InfirmaryMobile | 43 | $28,900 | $6,513 | $4,752 |
| D C H Regional Medical CenterTuscaloosa | 42 | $23,875 | $8,179 | $6,161 |
| Helen Keller Memorial HospitalSheffield | 35 | $24,132 | $5,881 | $4,277 |
| Jackson Hospital & Clinic INCMontgomery | 33 | $28,904 | $5,887 | $4,233 |
| Thomas HospitalFairhope | 32 | $21,698 | $6,898 | $4,871 |
| Marshall Medical Center SouthBoaz | 30 | $14,590 | $6,493 | $4,782 |
| Russellville HospitalRussellville | 27 | $38,663 | $6,973 | $5,825 |
| North Alabama Medical CenterFlorence | 25 | $36,254 | $6,162 | $4,690 |
| Grandview Medical CenterBirmingham | 25 | $62,499 | $6,421 | $3,538 |
| University of Alabama HospitalBirmingham | 24 | $41,234 | $11,272 | $6,294 |
| Decatur General HospitalDecatur | 24 | $13,293 | $6,627 | $3,835 |
| Providence HospitalMobile | 23 | $26,035 | $6,270 | $4,673 |
| St Vincent's EastBirmingham | 22 | $23,303 | $7,260 | $5,252 |
| East Alabama Medical Center and SnfOpelika | 22 | $27,533 | $6,868 | $4,722 |
| Prattville Baptist HospitalPrattville | 22 | $23,215 | $6,074 | $4,244 |
| Baptist Medical Center SouthMontgomery | 20 | $23,075 | $7,764 | $6,014 |
| Lakeland Community HospitalHaleyville | 20 | $20,963 | $6,828 | $4,958 |
| Crestwood Medical CenterHuntsville | 20 | $91,436 | $5,365 | $3,426 |
| Lake Martin Community HospitalDadeville | 18 | $8,056 | $7,439 | $6,532 |
| Springhill Medical CenterMobile | 18 | $19,325 | $5,995 | $4,816 |
| Coosa Valley Medical CenterSylacauga | 18 | $31,228 | $7,078 | $5,627 |
| Southeast Alabama Medical CenterDothan | 17 | $24,258 | $6,873 | $5,085 |
| South Baldwin Regional Medical CenterFoley | 17 | $60,082 | $6,731 | $4,662 |
| Andalusia Regional HospitalAndalusia | 15 | $37,064 | $6,534 | $5,228 |
| Northeast Alabama Regional Med CenterAnniston | 15 | $29,563 | $6,477 | $4,679 |
| Athens-Limestone HospitalAthens | 15 | $15,505 | $6,613 | $4,696 |
| Medical West, an Affiliate of UAB Health SystemBessemer | 14 | $16,384 | $7,649 | $4,421 |
| Bibb Medical CenterCentreville | 13 | $8,926 | $10,467 | $9,214 |
| Mizell Memorial HospitalOpp | 12 | $11,319 | $6,683 | $5,595 |
| Monroe County HospitalMonroeville | 12 | $12,728 | $7,382 | $5,886 |
| St Vincent's St ClairPell City | 12 | $24,308 | $5,801 | $4,444 |
| Baptist Medical Center EastMontgomery | 12 | $22,177 | $7,074 | $4,419 |
| Fayette Medical CenterFayette | 11 | $14,131 | $7,895 | $6,560 |
| Highlands Medical CenterScottsboro | 11 | $18,303 | $6,847 | $5,512 |
| Elmore Community HospitalWetumpka | 11 | $28,132 | $7,574 | $6,387 |
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
| Crestwood Medical CenterHuntsville, AL | $5,365 |
|---|---|
| St Vincent's St ClairPell City, AL | $5,801 |
| Helen Keller Memorial HospitalSheffield, AL | $5,881 |
| Jackson Hospital & Clinic INCMontgomery, AL | $5,887 |
| Springhill Medical CenterMobile, AL | $5,995 |
Highest
| University of Alabama HospitalBirmingham, AL | $11,272 |
|---|---|
| Bibb Medical CenterCentreville, AL | $10,467 |
| D C H Regional Medical CenterTuscaloosa, AL | $8,179 |
| Fayette Medical CenterFayette, AL | $7,895 |
| Baptist Medical Center SouthMontgomery, AL | $7,764 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Alabama?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 37 hospitals in Alabama was billed at $27,733 on average, while the average total payment was $6,857, of which Medicare paid $4,986. 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 4.0 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.