Alabama / East Alabama Medical Center
CMS certification 010029 · Opelika, AL
East Alabama Medical Center: charges and Medicare payments
East Alabama Medical Center reported 1,620 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 2.65 times what it was paid — among the lower ratios in Alabama, number 39 of 45 hospitals with at least 100 stays (state median 4.24×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 160 stays at an average charge of $30,586, 67% below the national average. It also billed 2,224 outpatient services, charging 3.16 times what Medicare paid.
- 1Medicare inpatient stays 1,620
- 2Charge ÷ paid, inpatient 2.65×
- 3Rank in AL (highest ratio = 1) 39 of 45
- 4CMS price-transparency actions 0
Inpatient stays
For the 59 DRGs that can be compared with the national average, East Alabama 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 |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 160 | $30,586 | -67% | $15,074 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 132 | $46,368 | -49% | $16,182 |
| 291 Heart Failure and Shock with MCC | 129 | $30,218 | -46% | $10,317 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $43,272 | -39% | $12,454 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $39,094 | -35% | $10,403 |
| 378 Gastrointestinal Hemorrhage with CC | 46 | $26,379 | -46% | $8,148 |
| 690 Kidney and Urinary Tract Infections without MCC | 46 | $18,351 | -51% | $6,558 |
| 683 Renal Failure with CC | 40 | $23,694 | -42% | $7,239 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 39 | $27,719 | -45% | $8,343 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 37 | $34,158 | -30% | $9,983 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 35 | $40,633 | -60% | $15,078 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $35,162 | -39% | $10,600 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $18,135 | -55% | $7,651 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $24,561 | -34% | $8,968 |
| 885 Psychoses | 31 | $19,536 | -56% | $9,838 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $19,054 | -66% | $7,784 |
| 812 Red Blood Cell Disorders without MCC | 29 | $24,343 | -45% | $7,407 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $25,693 | -50% | $8,896 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $18,019 | -50% | $6,996 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $159,497 | -30% | $67,644 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $39,502 | -61% | $16,123 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $27,533 | -28% | $6,868 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $12,531 | -56% | $5,687 |
| 682 Renal Failure with MCC | 22 | $42,624 | -35% | $10,881 |
| 389 Gastrointestinal Obstruction with CC | 21 | $16,483 | -58% | $6,441 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 20 | $22,258 | -44% | $7,138 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $41,841 | -63% | $19,158 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $35,702 | -37% | $9,581 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $22,147 | -63% | $9,619 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $72,306 | -47% | $46,363 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $45,278 | -55% | $15,474 |
| 394 Other Digestive System Diagnoses with CC | 16 | $23,374 | -50% | $7,483 |
| 638 Diabetes with CC | 16 | $17,838 | -57% | $7,546 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 15 | $22,685 | -74% | $13,418 |
| 252 Other Vascular Procedures with MCC | 15 | $47,731 | -72% | $25,985 |
| 312 Syncope and Collapse | 15 | $16,201 | -64% | $6,794 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $46,347 | -60% | $16,340 |
| 552 Medical Back Problems without MCC | 15 | $28,303 | -42% | $10,383 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $58,658 | -40% | $16,201 |
| 039 Extracranial Procedures without CC/MCC | 14 | $17,428 | -73% | $8,453 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 14 | $80,431 | -62% | $36,562 |
| 603 Cellulitis without MCC | 14 | $25,382 | -32% | $7,146 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $53,579 | -55% | $17,567 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $19,042 | -60% | $7,953 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $32,392 | -29% | $7,286 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 12 | $45,554 | -59% | $16,586 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $32,992 | -65% | $16,428 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 12 | $25,972 | -45% | $8,957 |
| 462 Bilateral or Multiple Major Joint Procedures of Lower... | 12 | $43,360 | -69% | $21,512 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $26,768 | -66% | $11,683 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 11 | $94,032 | -65% | $41,248 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $102,113 | -61% | $38,775 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $44,062 | -42% | $15,051 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $24,587 | -51% | $11,570 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $25,866 | -60% | $10,133 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $73,293 | -55% | $24,845 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $34,310 | -60% | $13,305 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $40,511 | -41% | $13,061 |
| 637 Diabetes with MCC | 11 | $29,587 | -56% | $11,450 |
Outpatient services
Against the Alabama average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), East Alabama Medical Center charged $30,586 on average, 70% less than the Alabama average of $101,964, and was paid $15,074 against a state average of $14,592. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), East Alabama Medical Center charged $46,368 on average, 42% less than the Alabama average of $80,125, and was paid $16,182 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), East Alabama Medical Center charged $30,218 on average, 31% less than the Alabama average of $43,997, and was paid $10,317 against a state average of $10,010. For Respiratory Infections and Inflammations with MCC (DRG 177), East Alabama Medical Center charged $43,272 on average, 27% less than the Alabama average of $59,377, and was paid $12,454 against a state average of $12,400. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $7,280 was 76% below the state average of $30,210. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $3,628 was 65% below the state average of $10,352. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $29,033 was 65% below the state average of $84,104. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,176 was 51% below the state average of $16,650.
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.