Alabama / Coosa Valley Medical Center
CMS certification 010164 · Sylacauga, AL · 2 entries in CMS's price-transparency list
Coosa Valley Medical Center: charges and Medicare payments
Coosa Valley Medical Center reported 193 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.1 times what it was paid — among the lower ratios in Alabama, number 33 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: 29 stays at an average charge of $24,436, 57% below the national average. It also billed 337 outpatient services, charging 6.09 times what Medicare paid.
- 1Medicare inpatient stays 193
- 2Charge ÷ paid, inpatient 3.1×
- 3Rank in AL (highest ratio = 1) 33 of 45
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, Coosa Valley Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 29 | $24,436 | -57% | $9,909 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $19,125 | -48% | $6,756 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $20,503 | -49% | $6,812 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $31,228 | -19% | $7,078 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $19,393 | -49% | $6,839 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 15 | $50,805 | -44% | $14,976 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $7,327 | -80% | $7,128 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $42,985 | -25% | $9,861 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $36,164 | -49% | $11,567 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $18,083 | -50% | $6,541 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $34,900 | -32% | $9,294 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $29,883 | -39% | $8,364 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 120 | $9,130 | $1,870 |
| Comprehensive Observation Services | 47 | $14,641 | $2,053 |
| Level 2 Upper GI Procedures | 34 | $8,357 | $1,545 |
| Level 4 Urology and Related Services | 27 | $11,107 | $2,891 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 22 | $5,982 | $1,296 |
| Level 1 Laparoscopy and Related Services | 16 | $15,117 | $4,546 |
| Level 3 Musculoskeletal Procedures | 15 | $10,513 | $2,684 |
| Level 3 Vascular Procedures | 12 | $10,495 | $2,247 |
| Level 4 Musculoskeletal Procedures | 11 | $22,518 | $5,502 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $15,147 | $2,869 |
| Level 3 Urology and Related Services | 11 | $9,996 | $1,657 |
| Level 3 Intraocular Procedures | 11 | $16,702 | $4,333 |
Against the Alabama average
For Heart Failure and Shock with MCC (DRG 291), Coosa Valley Medical Center charged $24,436 on average, 44% less than the Alabama average of $43,997, and was paid $9,909 against a state average of $10,010. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Coosa Valley Medical Center charged $19,125 on average, 30% less than the Alabama average of $27,292, and was paid $6,756 against a state average of $6,747. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Coosa Valley Medical Center charged $20,503 on average, 41% less than the Alabama average of $34,651, and was paid $6,812 against a state average of $6,917. For Simple Pneumonia and Pleurisy with CC (DRG 194), Coosa Valley Medical Center charged $31,228 on average, 10% more than the Alabama average of $28,294, and was paid $7,078 against a state average of $6,976. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,130 was 12% below the state average of $10,352. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,641 was 12% below the state average of $16,650. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,357 was 50% below the state average of $16,696. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $11,107 was 64% below the state average of $31,204.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Coosa Valley Medical Center in Sylacauga, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-07 (CMS case 2902)
- Closure Notice — 2025-02-14 (CMS case 2902)
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.