Alabama / Flowers Hospital

CMS certification 010055 · Dothan, AL · 3 entries in CMS's price-transparency list

Flowers Hospital: charges and Medicare payments

Flowers Hospital reported 1,853 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 11.07 times what it was paid — among the higher ratios in Alabama, number 5 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: 145 stays at an average charge of $127,263, 41% above the national average. It also billed 1,544 outpatient services, charging 23.19 times what Medicare paid.

1Medicare inpatient stays 1,853
2Charge ÷ paid, inpatient 11.07×
3Rank in AL (highest ratio = 1) 5 of 45
4CMS price-transparency actions 3

Average charge per stay at Flowers Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 69 DRGs that can be compared with the national average, Flowers Hospital charged more than the national average in 68 (99%). 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	145	$127,263	+41%	$13,195
470 Major Hip and Knee Joint Replacement or Reattachment of...	127	$147,430	+58%	$13,382
291 Heart Failure and Shock with MCC	89	$77,111	+37%	$8,640
280 Acute Myocardial Infarction, Discharged Alive with MCC	62	$88,000	+16%	$10,765
322 Percutaneous Cardiovascular Procedures with Intraluminal...	48	$358,238	+213%	$12,995
481 Hip and Femur Procedures except Major Joint with CC	47	$181,764	+80%	$14,049
177 Respiratory Infections and Inflammations with MCC	46	$100,348	+42%	$11,961
281 Acute Myocardial Infarction, Discharged Alive with CC	46	$71,823	+42%	$6,285
378 Gastrointestinal Hemorrhage with CC	43	$61,996	+28%	$6,844
309 Cardiac Arrhythmia and Conduction Disorders with CC	40	$40,314	+12%	$5,340
460 Spinal Fusion except Cervical without MCC	39	$301,762	+77%	$22,781
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$64,534	+61%	$5,738
689 Kidney and Urinary Tract Infections with MCC	35	$83,246	+62%	$7,745
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	34	$71,068	+28%	$7,150
682 Renal Failure with MCC	34	$100,895	+53%	$10,070
308 Cardiac Arrhythmia and Conduction Disorders with MCC	32	$66,521	+17%	$8,438
321 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$480,676	+194%	$20,065
189 Pulmonary Edema and Respiratory Failure	29	$88,243	+53%	$8,411
193 Simple Pneumonia and Pleurisy with MCC	29	$80,804	+35%	$9,029
683 Renal Failure with CC	29	$55,816	+37%	$6,223
069 Transient Ischemia without Thrombolytic	28	$67,857	+35%	$6,013
377 Gastrointestinal Hemorrhage with MCC	27	$99,118	+16%	$12,031
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	27	$131,216	+28%	$13,796
853 Infectious and Parasitic Diseases with O.R. Procedures with...	27	$310,300	+36%	$28,185
190 Chronic Obstructive Pulmonary Disease with MCC	26	$82,135	+62%	$7,586
690 Kidney and Urinary Tract Infections without MCC	26	$46,051	+22%	$5,599
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	23	$106,385	+7%	$12,671
389 Gastrointestinal Obstruction with CC	23	$54,398	+40%	$6,486
472 Cervical Spinal Fusion with CC	23	$202,822	+42%	$19,482
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	22	$33,485	+17%	$4,090
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$61,945	+3%	$9,060
071 Other Cerebrovascular Disorders with CC	21	$72,111	+43%	$7,563
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	21	$81,617	+88%	$5,819
070 Other Cerebrovascular Disorders with MCC	20	$97,897	+29%	$10,597
454 Combined Anterior and Posterior Spinal Fusion with CC	20	$328,545	+17%	$40,825
208 Respiratory System Diagnosis with Ventilator Support <=96...	18	$143,793	+6%	$17,768
312 Syncope and Collapse	18	$56,457	+24%	$6,134
101 Seizures without MCC	17	$60,159	+23%	$6,896
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$78,269	+28%	$8,716
445 Disorders of The Biliary Tract with CC	17	$96,242	+65%	$7,652
483 Major Joint or Limb Reattachment Procedures of Upper...	16	$170,473	+35%	$15,754
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	16	$86,084	+76%	$7,328
025 Craniotomy and Endovascular Intracranial Procedures with MCC	15	$269,604	+16%	$25,831
039 Extracranial Procedures without CC/MCC	15	$75,498	+18%	$7,789
100 Seizures with MCC	15	$118,363	+25%	$13,517
233 Coronary Bypass with Cardiac Catheterization or Open...	15	$510,752	+33%	$49,328
243 Permanent Cardiac Pacemaker Implant with CC	15	$248,971	+124%	$15,170
418 Laparoscopic Cholecystectomy without C.D.E. with CC	15	$156,392	+68%	$11,229
467 Revision of Hip or Knee Replacement with CC	15	$188,680	+20%	$21,116
482 Hip and Femur Procedures except Major Joint without CC/MCC	15	$167,610	+115%	$10,810
242 Permanent Cardiac Pacemaker Implant with MCC	14	$407,607	+154%	$21,899
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	14	$52,895	+43%	$6,651
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	14	$131,722	+95%	$9,143
329 Major Small and Large Bowel Procedures with MCC	13	$344,284	+60%	$29,527
444 Disorders of The Biliary Tract with MCC	13	$168,712	+103%	$10,888
473 Cervical Spinal Fusion without CC/MCC	13	$165,118	+44%	$15,714
480 Hip and Femur Procedures except Major Joint with MCC	13	$215,247	+55%	$18,424
552 Medical Back Problems without MCC	13	$60,911	+25%	$6,576
603 Cellulitis without MCC	13	$70,613	+89%	$7,117
698 Other Kidney and Urinary Tract Diagnoses with MCC	13	$80,398	+9%	$10,774

Showing the 60 most frequent of 69 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 4 Musculoskeletal Procedures	134	$102,618	$5,860
Level 2 Excision/ Biopsy/ Incision and Drainage	124	$32,218	$1,350
Level 1 Endovascular Procedures	122	$70,167	$2,711
Level 3 Vascular Procedures	109	$51,093	$2,580
Level 5 Musculoskeletal Procedures	104	$126,792	$10,916
Level 1 Laparoscopy and Related Services	104	$72,580	$4,879
Level 3 Endovascular Procedures	102	$255,055	$8,895
Level 2 Upper GI Procedures	81	$66,416	$1,584
Level 4 Urology and Related Services	76	$64,727	$2,933
Comprehensive Observation Services	75	$40,331	$2,261
Level 3 Musculoskeletal Procedures	56	$45,147	$2,588
Level 3 Urology and Related Services	45	$41,278	$1,749
Level 3 Excision/ Biopsy/ Incision and Drainage	39	$39,340	$2,349
Level 3 Pacemaker and Similar Procedures	37	$190,111	$8,575
Level 3 Electrophysiologic Procedures	35	$277,286	$18,204
Level 6 Musculoskeletal Procedures	34	$158,486	$15,969
Level 1 Nerve Procedures	32	$28,395	$1,658
Level 2 Vascular Procedures	29	$23,708	$1,305
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	28	$72,991	$2,971
Level 1 Breast/Lymphatic Surgery and Related Procedures	27	$46,785	$3,182
Level 2 Breast/Lymphatic Surgery and Related Procedures	25	$77,841	$5,251
Level 4 Endovascular Procedures	23	$364,604	$13,138
Level 5 Urology and Related Services	23	$94,679	$4,443
Level 2 Musculoskeletal Procedures	20	$15,711	$1,311
Level 2 Endovascular Procedures	16	$126,064	$4,663

Against the Alabama average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Flowers Hospital charged $127,263 on average, 59% more than the Alabama average of $80,125, and was paid $13,195 against a state average of $14,647. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Flowers Hospital charged $147,430 on average, 45% more than the Alabama average of $101,964, and was paid $13,382 against a state average of $14,592. For Heart Failure and Shock with MCC (DRG 291), Flowers Hospital charged $77,111 on average, 75% more than the Alabama average of $43,997, and was paid $8,640 against a state average of $10,010. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Flowers Hospital charged $88,000 on average, 21% more than the Alabama average of $72,651, and was paid $10,765 against a state average of $12,290. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $102,618 was 89% above the state average of $54,370. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $32,218 was 186% above the state average of $11,270. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $70,167 was 132% above the state average of $30,210. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $51,093 was 116% above the state average of $23,706.

Price-transparency record

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

Warning Notice — 2023-01-13 (CMS case 127)
Closure Notice — 2023-04-19 (CMS case 127)
Met Requirements — 2025-04-23 (CMS case 3996)

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.