Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Alabama
What 2 hospitals in Alabama charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$507,118
Hospital list price billed
Average payment
$113,761
Medicare + patient + other payers
Medicare paid
$83,020
Average per stay
Volume
30
Medicare hospital stays
Hospitals in Alabama billed an average of $507,118 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 4.5 times the average total payment of $113,761. That payment is 18% below the U.S. average of $139,119.
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 $113,761Billed $507,118
About 22¢ was paid for every $1 hospitals in Alabama billed for this stay.
Alabama hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 | 17 | $480,044 | $101,008 | $74,123 |
| University of Alabama HospitalBirmingham | 13 | $542,522 | $130,438 | $94,655 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Alabama?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 2 hospitals in Alabama was billed at $507,118 on average, while the average total payment was $113,761, of which Medicare paid $83,020. 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 4.5 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.