Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in Alabama

MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc

$115,901typical hospital bill

$20,380typical amount paid

$18,166–$70,573range paid across 7 hospitals

Alabama hospitals billed Medicare a typical $115,901 for this stay in 2024, about 5.7 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
Shelby Baptist Medical Center	Alabaster	11	$266,730	$18,166
Huntsville Hospital	Huntsville	21	$115,901	$18,874
Grandview Medical Center	Birmingham	14	$336,188	$20,048
St. Vincent's East	Birmingham	11	$73,099	$20,380
Mobile Infirmary Medical Center	Mobile	11	$77,325	$21,679
Baptist Medical Center South	Montgomery	11	$65,120	$21,806
University of Alabama Hospital	Birmingham	16	$152,357	$70,573

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.