Alabama / Cullman Regional Medical Center
CMS certification 010035 · Cullman, AL · 2 entries in CMS's price-transparency list
Cullman Regional Medical Center: charges and Medicare payments
Cullman Regional Medical Center reported 1,626 Medicare inpatient stays across 48 DRGs in 2024. Across them it charged 3.05 times what it was paid — among the lower ratios in Alabama, number 34 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: 194 stays at an average charge of $42,913, 52% below the national average. It also billed 1,315 outpatient services, charging 5.35 times what Medicare paid.
- 1Medicare inpatient stays 1,626
- 2Charge ÷ paid, inpatient 3.05×
- 3Rank in AL (highest ratio = 1) 34 of 45
- 4CMS price-transparency actions 2
Inpatient stays
For the 48 DRGs that can be compared with the national average, Cullman Regional 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 194 | $42,913 | -52% | $15,278 |
| 291 Heart Failure and Shock with MCC | 158 | $25,498 | -55% | $10,083 |
| 690 Kidney and Urinary Tract Infections without MCC | 100 | $21,428 | -43% | $6,532 |
| 194 Simple Pneumonia and Pleurisy with CC | 75 | $23,674 | -38% | $6,460 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 73 | $19,118 | -48% | $6,096 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 71 | $25,995 | -47% | $7,948 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 63 | $21,022 | -48% | $6,204 |
| 177 Respiratory Infections and Inflammations with MCC | 47 | $41,541 | -41% | $12,946 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $35,161 | -41% | $10,273 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $27,426 | -47% | $9,056 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $25,875 | -57% | $10,193 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 33 | $31,144 | -44% | $7,880 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $27,876 | -45% | $8,580 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 32 | $23,473 | -41% | $6,646 |
| 812 Red Blood Cell Disorders without MCC | 31 | $17,714 | -60% | $6,987 |
| 603 Cellulitis without MCC | 30 | $20,811 | -44% | $6,859 |
| 884 Organic Disturbances and Intellectual Disability | 30 | $25,024 | -60% | $13,355 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $23,890 | -51% | $8,026 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $35,773 | -51% | $12,699 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $58,222 | -42% | $16,121 |
| 312 Syncope and Collapse | 24 | $25,435 | -44% | $6,721 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $64,784 | -37% | $16,431 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $24,610 | -32% | $5,974 |
| 313 Chest Pain | 21 | $15,103 | -62% | $5,616 |
| 683 Renal Failure with CC | 21 | $23,524 | -42% | $7,007 |
| 069 Transient Ischemia without Thrombolytic | 19 | $26,156 | -48% | $6,286 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $26,334 | -42% | $7,693 |
| 305 Hypertension without MCC | 19 | $22,750 | -43% | $5,875 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 18 | $28,190 | -33% | $5,538 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $30,229 | -53% | $8,413 |
| 552 Medical Back Problems without MCC | 18 | $23,667 | -52% | $7,449 |
| 389 Gastrointestinal Obstruction with CC | 17 | $17,035 | -56% | $6,300 |
| 071 Other Cerebrovascular Disorders with CC | 16 | $30,136 | -40% | $8,257 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $21,396 | -55% | $8,179 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $80,654 | -65% | $38,315 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $39,187 | -61% | $15,347 |
| 292 Heart Failure and Shock with CC | 15 | $22,951 | -41% | $6,753 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $16,579 | -42% | $4,351 |
| 195 Simple Pneumonia and Pleurisy without CC/MCC | 14 | $20,646 | -32% | $4,862 |
| 176 Pulmonary Embolism without MCC | 13 | $19,649 | -53% | $6,372 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $48,637 | -16% | $9,581 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $39,192 | -48% | $12,200 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $43,840 | -49% | $14,091 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $27,365 | -55% | $9,880 |
| 638 Diabetes with CC | 12 | $25,876 | -38% | $6,971 |
| 433 Cirrhosis and Alcoholic Hepatitis with CC | 11 | $23,177 | -56% | $8,035 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $18,281 | -57% | $6,914 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $39,858 | -59% | $16,060 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 497 | $7,099 | $2,075 |
| Comprehensive Observation Services | 189 | $16,797 | $2,404 |
| Level 4 Urology and Related Services | 71 | $10,737 | $3,118 |
| Level 5 Musculoskeletal Procedures | 70 | $61,926 | $11,579 |
| Level 4 Musculoskeletal Procedures | 62 | $24,672 | $6,299 |
| Level 1 Nerve Procedures | 58 | $6,438 | $1,702 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 57 | $5,488 | $1,464 |
| Level 5 Urology and Related Services | 54 | $12,958 | $4,554 |
| Level 3 Musculoskeletal Procedures | 50 | $9,819 | $2,667 |
| Level 1 Laparoscopy and Related Services | 35 | $18,235 | $5,045 |
| Level 1 Endovascular Procedures | 32 | $16,056 | $2,948 |
| Level 2 Musculoskeletal Procedures | 29 | $5,989 | $1,332 |
| Level 2 Upper GI Procedures | 24 | $5,570 | $1,628 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 23 | $6,989 | $1,942 |
| Level 3 Urology and Related Services | 19 | $6,911 | $1,840 |
| Level 2 Laparoscopy and Related Services | 18 | $32,074 | $8,959 |
| Level 2 Vascular Procedures | 16 | $6,452 | $1,270 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 11 | $17,593 | $5,890 |
Against the Alabama average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cullman Regional Medical Center charged $42,913 on average, 46% less than the Alabama average of $80,125, and was paid $15,278 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), Cullman Regional Medical Center charged $25,498 on average, 42% less than the Alabama average of $43,997, and was paid $10,083 against a state average of $10,010. For Kidney and Urinary Tract Infections without MCC (DRG 690), Cullman Regional Medical Center charged $21,428 on average, 27% less than the Alabama average of $29,176, and was paid $6,532 against a state average of $6,893. For Simple Pneumonia and Pleurisy with CC (DRG 194), Cullman Regional Medical Center charged $23,674 on average, 16% less than the Alabama average of $28,294, and was paid $6,460 against a state average of $6,976. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,099 was 31% below the state average of $10,352. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,797 was 1% above the state average of $16,650. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $10,737 was 66% below the state average of $31,204. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $61,926 was 22% below the state average of $79,031.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cullman Regional Medical Center in Cullman, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-01-17 (CMS case 3006)
- Closure Notice — 2025-04-18 (CMS case 3006)
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.