Alabama / Gadsden Regional Medical Center
CMS certification 010040 · Gadsden, AL · 2 entries in CMS's price-transparency list
Gadsden Regional Medical Center: charges and Medicare payments
Gadsden Regional Medical Center reported 1,047 Medicare inpatient stays across 38 DRGs in 2024. Across them it charged 16.01 times what it was paid — among the higher ratios in Alabama, number 1 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: 109 stays at an average charge of $208,847, 131% above the national average. It also billed 984 outpatient services, charging 27.97 times what Medicare paid.
- 1Medicare inpatient stays 1,047
- 2Charge ÷ paid, inpatient 16.01×
- 3Rank in AL (highest ratio = 1) 1 of 45
- 4CMS price-transparency actions 2
Inpatient stays
For the 38 DRGs that can be compared with the national average, Gadsden Regional Medical Center charged more than the national average in 38 (100%). 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 | 109 | $208,847 | +131% | $12,946 |
| 885 Psychoses | 81 | $120,215 | +173% | $9,610 |
| 291 Heart Failure and Shock with MCC | 65 | $144,862 | +157% | $8,896 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 64 | $150,690 | +99% | $10,808 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $137,014 | +129% | $8,720 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $152,510 | +197% | $8,276 |
| 683 Renal Failure with CC | 38 | $98,745 | +143% | $6,433 |
| 682 Renal Failure with MCC | 36 | $149,983 | +127% | $9,971 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $213,777 | +203% | $11,282 |
| 690 Kidney and Urinary Tract Infections without MCC | 35 | $107,696 | +185% | $5,936 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $127,582 | +152% | $7,469 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $138,118 | +148% | $8,523 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $111,503 | +178% | $6,304 |
| 312 Syncope and Collapse | 25 | $109,425 | +140% | $6,420 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $143,177 | +195% | $7,145 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $119,496 | +98% | $8,827 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $180,647 | +81% | $12,031 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $107,730 | +198% | $5,597 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $78,588 | +112% | $5,816 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $135,244 | +176% | $7,764 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $100,327 | +99% | $6,285 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $215,519 | +152% | $12,784 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $219,127 | +135% | $13,017 |
| 313 Chest Pain | 18 | $88,567 | +122% | $5,531 |
| 389 Gastrointestinal Obstruction with CC | 16 | $114,952 | +195% | $5,959 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $123,857 | +115% | $8,768 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $272,790 | +138% | $14,455 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $449,354 | +96% | $28,349 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $217,536 | +113% | $13,914 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $170,563 | +132% | $10,900 |
| 101 Seizures without MCC | 13 | $129,348 | +165% | $10,746 |
| 069 Transient Ischemia without Thrombolytic | 12 | $105,193 | +109% | $6,012 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $166,398 | +194% | $8,613 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $79,136 | +175% | $4,527 |
| 603 Cellulitis without MCC | 12 | $108,259 | +190% | $6,536 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 11 | $84,088 | +94% | $5,455 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $69,613 | +149% | $4,476 |
| 394 Other Digestive System Diagnoses with CC | 11 | $136,235 | +189% | $7,214 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 4 Urology and Related Services | 134 | $84,567 | $2,812 |
| Level 5 Urology and Related Services | 110 | $75,484 | $4,105 |
| Level 1 Endovascular Procedures | 104 | $59,203 | $2,650 |
| Level 2 Upper GI Procedures | 96 | $38,422 | $1,516 |
| Comprehensive Observation Services | 96 | $72,394 | $2,093 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 71 | $35,326 | $1,272 |
| Level 5 Musculoskeletal Procedures | 68 | $189,943 | $10,627 |
| Level 3 Urology and Related Services | 68 | $60,663 | $1,623 |
| Level 1 Laparoscopy and Related Services | 57 | $108,712 | $4,608 |
| Level 4 Musculoskeletal Procedures | 41 | $120,942 | $5,611 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 24 | $58,205 | $2,356 |
| Level 3 Musculoskeletal Procedures | 20 | $79,044 | $2,684 |
| Level 3 Vascular Procedures | 20 | $54,032 | $2,537 |
| Level 6 Musculoskeletal Procedures | 18 | $215,264 | $15,421 |
| Level 3 Endovascular Procedures | 18 | $172,833 | $8,701 |
| Level 3 Pacemaker and Similar Procedures | 14 | $119,206 | $8,850 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $94,414 | $2,868 |
| Level 2 Musculoskeletal Procedures | 11 | $53,259 | $1,333 |
Against the Alabama average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Gadsden Regional Medical Center charged $208,847 on average, 161% more than the Alabama average of $80,125, and was paid $12,946 against a state average of $14,647. For Psychoses (DRG 885), Gadsden Regional Medical Center charged $120,215 on average, 114% more than the Alabama average of $56,180, and was paid $9,610 against a state average of $10,889. For Heart Failure and Shock with MCC (DRG 291), Gadsden Regional Medical Center charged $144,862 on average, 229% more than the Alabama average of $43,997, and was paid $8,896 against a state average of $10,010. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Gadsden Regional Medical Center charged $150,690 on average, 107% more than the Alabama average of $72,651, and was paid $10,808 against a state average of $12,290. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $84,567 was 171% above the state average of $31,204. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $75,484 was 130% above the state average of $32,806. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $59,203 was 96% above the state average of $30,210. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $38,422 was 130% above the state average of $16,696.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Gadsden Regional Medical Center in Gadsden, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2022-12-22 (CMS case 1140)
- Met Requirements — 2025-04-10 (CMS case 3729)
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.