Alabama / Andalusia Health
CMS certification 010036 · Andalusia, AL
Andalusia Health: charges and Medicare payments
Andalusia Health reported 270 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 5.33 times what it was paid — mid-range in Alabama, number 17 of 45 hospitals with at least 100 stays (state median 4.24×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 42 stays at an average charge of $67,159, 26% below the national average. It also billed 578 outpatient services, charging 9.03 times what Medicare paid.
- 1Medicare inpatient stays 270
- 2Charge ÷ paid, inpatient 5.33×
- 3Rank in AL (highest ratio = 1) 17 of 45
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Andalusia Health charged more than the national average in 3 (23%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 42 | $67,159 | -26% | $14,053 |
| 291 Heart Failure and Shock with MCC | 40 | $41,488 | -26% | $9,338 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $36,729 | -3% | $6,178 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $40,106 | 0% | $6,253 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $46,481 | -22% | $9,584 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $93,978 | +1% | $15,939 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $49,237 | 0% | $7,799 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $41,846 | -17% | $8,457 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $37,064 | -3% | $6,534 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $52,576 | -26% | $11,883 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $75,120 | +30% | $11,266 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $57,260 | +12% | $8,799 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $37,051 | 0% | $6,244 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 154 | $11,430 | $1,973 |
| Comprehensive Observation Services | 81 | $20,000 | $2,323 |
| Level 4 Urology and Related Services | 77 | $25,510 | $2,953 |
| Level 2 Upper GI Procedures | 36 | $11,143 | $1,592 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 29 | $11,200 | $1,387 |
| Level 1 Laparoscopy and Related Services | 25 | $20,921 | $4,812 |
| Level 2 Urology and Related Services | 25 | $16,966 | $585 |
| Level 2 Musculoskeletal Procedures | 22 | $11,497 | $1,375 |
| Level 5 Urology and Related Services | 22 | $25,042 | $4,428 |
| Level 3 Musculoskeletal Procedures | 20 | $19,132 | $2,665 |
| Level 3 Urology and Related Services | 19 | $14,235 | $1,597 |
| Level 3 Vascular Procedures | 17 | $10,881 | $2,728 |
| Level 4 Musculoskeletal Procedures | 15 | $46,204 | $6,122 |
| Level 3 Pacemaker and Similar Procedures | 14 | $65,090 | $9,134 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 11 | $15,926 | $3,262 |
| Level 1 Endovascular Procedures | 11 | $25,500 | $2,793 |
Against the Alabama average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Andalusia Health charged $67,159 on average, 16% less than the Alabama average of $80,125, and was paid $14,053 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), Andalusia Health charged $41,488 on average, 6% less than the Alabama average of $43,997, and was paid $9,338 against a state average of $10,010. For Kidney and Urinary Tract Infections without MCC (DRG 690), Andalusia Health charged $36,729 on average, 26% more than the Alabama average of $29,176, and was paid $6,178 against a state average of $6,893. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Andalusia Health charged $40,106 on average, 16% more than the Alabama average of $34,651, and was paid $6,253 against a state average of $6,917. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,430 was 10% above the state average of $10,352. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,000 was 20% above the state average of $16,650. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $25,510 was 18% below the state average of $31,204. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,143 was 33% below the state average of $16,696.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.