Simple pneumonia and pleurisy with major complications in Alabama
What 45 hospitals in Alabama charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$51,190
Hospital list price billed
Average payment
$10,084
Medicare + patient + other payers
Medicare paid
$8,054
Average per stay
State rank
#7 of 50
1 = lowest average payment
Hospitals in Alabama billed an average of $51,190 for simple pneumonia and pleurisy with major complications, about 5.1 times the average total payment of $10,084. That payment is 16% below the U.S. average of $12,020.
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 $10,084Billed $51,190
About 20¢ 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 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 |
|---|---|---|---|---|
| D C H Regional Medical CenterTuscaloosa | 128 | $39,011 | $11,634 | $9,534 |
| Huntsville HospitalHuntsville | 108 | $44,075 | $9,467 | $8,053 |
| Grandview Medical CenterBirmingham | 97 | $95,437 | $9,148 | $6,857 |
| North Alabama Medical CenterFlorence | 95 | $47,654 | $9,629 | $7,821 |
| Providence HospitalMobile | 85 | $39,398 | $9,211 | $7,825 |
| Southeast Alabama Medical CenterDothan | 83 | $49,609 | $10,306 | $8,247 |
| Mobile InfirmaryMobile | 77 | $47,682 | $10,141 | $8,189 |
| University of Alabama HospitalBirmingham | 76 | $54,927 | $15,259 | $9,384 |
| Baptist Medical Center EastMontgomery | 64 | $30,083 | $9,422 | $8,173 |
| Crestwood Medical CenterHuntsville | 63 | $137,309 | $9,068 | $6,218 |
| Springhill Medical CenterMobile | 63 | $25,496 | $8,996 | $7,901 |
| St Vincent's BirminghamBirmingham | 62 | $39,929 | $9,172 | $7,645 |
| Baptist Medical Center SouthMontgomery | 59 | $34,084 | $12,381 | $9,034 |
| St Vincent's EastBirmingham | 58 | $49,034 | $11,135 | $8,626 |
| Northeast Alabama Regional Med CenterAnniston | 58 | $57,039 | $10,290 | $7,249 |
| Prattville Baptist HospitalPrattville | 56 | $41,723 | $8,990 | $7,638 |
| Jackson Hospital & Clinic INCMontgomery | 50 | $36,483 | $8,687 | $7,310 |
| East Alabama Medical Center and SnfOpelika | 49 | $39,094 | $10,403 | $7,852 |
| Decatur General HospitalDecatur | 49 | $19,109 | $9,086 | $7,615 |
| Thomas HospitalFairhope | 47 | $34,131 | $10,494 | $8,380 |
| Medical West, an Affiliate of UAB Health SystemBessemer | 47 | $32,447 | $9,795 | $8,131 |
| Marshall Medical Center SouthBoaz | 45 | $21,995 | $9,564 | $7,640 |
| Cullman Regional Medical CenterCullman | 44 | $35,161 | $10,273 | $9,068 |
| Riverview Regional Medical CenterGadsden | 44 | $56,684 | $8,473 | $7,120 |
| South Baldwin Regional Medical CenterFoley | 42 | $89,278 | $10,677 | $8,395 |
| Helen Keller Memorial HospitalSheffield | 41 | $31,307 | $8,559 | $7,415 |
| Gadsden Regional Medical CenterGadsden | 39 | $137,014 | $8,720 | $7,247 |
| St Vincent's St ClairPell City | 37 | $25,649 | $8,777 | $7,555 |
| Walker Baptist Medical CenterJasper | 36 | $76,369 | $9,549 | $7,075 |
| Shelby Baptist Medical CenterAlabaster | 32 | $74,051 | $7,547 | $5,876 |
| Flowers HospitalDothan | 29 | $80,804 | $9,029 | $7,850 |
| Medical Center EnterpriseEnterprise | 25 | $63,698 | $8,704 | $7,277 |
| Brookwood Medical CenterBirmingham | 24 | $123,912 | $8,750 | $7,187 |
| Andalusia Regional HospitalAndalusia | 20 | $46,481 | $9,584 | $8,115 |
| Highlands Medical CenterScottsboro | 20 | $18,252 | $10,403 | $8,547 |
| Princeton Baptist Medical CenterBirmingham | 20 | $92,909 | $13,200 | $8,738 |
| Fayette Medical CenterFayette | 18 | $25,979 | $12,822 | $11,553 |
| Lakeland Community HospitalHaleyville | 18 | $27,299 | $10,186 | $8,920 |
| Athens-Limestone HospitalAthens | 17 | $17,955 | $10,679 | $6,552 |
| Dekalb Regional Medical CenterFort Payne | 16 | $52,226 | $9,791 | $8,620 |
| Troy Regional Medical CenterTroy | 16 | $25,145 | $12,169 | $10,721 |
| Citizens Baptist Medical CenterTalladega | 13 | $79,130 | $11,158 | $10,153 |
| Marion Regional Medical CenterHamilton | 11 | $21,168 | $12,342 | $11,007 |
| USA Health University HospitalMobile | 11 | $26,299 | $15,658 | $10,465 |
| North Baldwin InfirmaryBay Minette | 11 | $22,509 | $11,495 | $10,308 |
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
| Shelby Baptist Medical CenterAlabaster, AL | $7,547 |
|---|---|
| Riverview Regional Medical CenterGadsden, AL | $8,473 |
| Helen Keller Memorial HospitalSheffield, AL | $8,559 |
| Jackson Hospital & Clinic INCMontgomery, AL | $8,687 |
| Medical Center EnterpriseEnterprise, AL | $8,704 |
Highest
| USA Health University HospitalMobile, AL | $15,658 |
|---|---|
| University of Alabama HospitalBirmingham, AL | $15,259 |
| Princeton Baptist Medical CenterBirmingham, AL | $13,200 |
| Fayette Medical CenterFayette, AL | $12,822 |
| Baptist Medical Center SouthMontgomery, AL | $12,381 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Alabama?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 45 hospitals in Alabama was billed at $51,190 on average, while the average total payment was $10,084, of which Medicare paid $8,054. 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.