Alabama / Baptist Medical Center East

CMS certification 010149 · Montgomery, AL · 2 entries in CMS's price-transparency list

Baptist Medical Center East: charges and Medicare payments

Baptist Medical Center East reported 743 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 3.33 times what it was paid — mid-range in Alabama, number 28 of 45 hospitals with at least 100 stays (state median 4.24×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 119 stays at an average charge of $27,359, 51% below the national average. It also billed 601 outpatient services, charging 5.2 times what Medicare paid.

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  1. 1Medicare inpatient stays 743
  2. 2Charge ÷ paid, inpatient 3.33×
  3. 3Rank in AL (highest ratio = 1) 28 of 45
  4. 4CMS price-transparency actions 2
DRG 291$27,359DRG 871$56,112DRG 193$30,083DRG 177$45,258DRG 280$29,911DRG 682$39,577DRG 378$25,096DRG 190$36,258DRG 331$44,082DRG 812$21,452
Average charge per stay at Baptist Medical Center East, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 27 DRGs that can be compared with the national average, Baptist Medical Center East charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
291 Heart Failure and Shock with MCC119$27,359-51%$9,532
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC91$56,112-38%$14,775
193 Simple Pneumonia and Pleurisy with MCC64$30,083-50%$9,422
177 Respiratory Infections and Inflammations with MCC46$45,258-36%$13,425
280 Acute Myocardial Infarction, Discharged Alive with MCC35$29,911-61%$10,821
682 Renal Failure with MCC30$39,577-40%$10,428
378 Gastrointestinal Hemorrhage with CC26$25,096-48%$8,125
190 Chronic Obstructive Pulmonary Disease with MCC24$36,258-28%$8,168
331 Major Small and Large Bowel Procedures without CC/MCC24$44,082-49%$11,984
812 Red Blood Cell Disorders without MCC23$21,452-52%$11,591
689 Kidney and Urinary Tract Infections with MCC22$24,764-52%$8,185
690 Kidney and Urinary Tract Infections without MCC22$18,794-50%$6,187
698 Other Kidney and Urinary Tract Diagnoses with MCC22$47,418-35%$13,054
683 Renal Failure with CC20$20,274-50%$7,080
330 Major Small and Large Bowel Procedures with CC16$61,277-49%$17,281
377 Gastrointestinal Hemorrhage with MCC16$38,022-55%$12,079
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC16$27,943-43%$8,613
308 Cardiac Arrhythmia and Conduction Disorders with MCC15$35,142-38%$9,071
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...15$22,448-44%$6,539
603 Cellulitis without MCC14$29,227-22%$7,807
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...13$41,242-32%$9,533
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...13$36,407-40%$10,132
194 Simple Pneumonia and Pleurisy with CC12$22,177-42%$7,074
394 Other Digestive System Diagnoses with CC12$31,057-34%$7,054
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...11$25,229-55%$7,513
196 Interstitial Lung Disease with MCC11$46,589-46%$16,586
638 Diabetes with CC11$19,177-54%$6,842

Outpatient services

Against the Alabama average

For Heart Failure and Shock with MCC (DRG 291), Baptist Medical Center East charged $27,359 on average, 38% less than the Alabama average of $43,997, and was paid $9,532 against a state average of $10,010. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Medical Center East charged $56,112 on average, 30% less than the Alabama average of $80,125, and was paid $14,775 against a state average of $14,647. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baptist Medical Center East charged $30,083 on average, 40% less than the Alabama average of $50,009, and was paid $9,422 against a state average of $10,124. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Medical Center East charged $45,258 on average, 24% less than the Alabama average of $59,377, and was paid $13,425 against a state average of $12,400. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,328 was 32% below the state average of $16,650. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,428 was 52% below the state average of $11,270. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $23,028 was 51% below the state average of $47,318. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $10,128 was 57% below the state average of $23,706.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Baptist Medical Center East in Montgomery, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

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.