Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Alabama
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$260,325typical hospital bill
$41,887typical amount paid
$38,558–$55,392range paid across 4 hospitals
Alabama hospitals billed Medicare a typical $260,325 for this stay in 2024, about 6.2 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Thomas Hospital | Fairhope | 15 | $117,737 | $38,558 | |
| Grandview Medical Center | Birmingham | 16 | $766,695 | $38,986 | |
| Huntsville Hospital | Huntsville | 29 | $277,068 | $44,789 | |
| University of Alabama Hospital | Birmingham | 99 | $243,581 | $55,392 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.