Alabama / Grandview Medical Center

CMS certification 010104 · Birmingham, AL · 4 entries in CMS's price-transparency list

Grandview Medical Center: charges and Medicare payments

Grandview Medical Center reported 4,006 Medicare inpatient stays across 120 DRGs in 2024. Across them it charged 13.36 times what it was paid — among the higher ratios in Alabama, number 4 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: 366 stays at an average charge of $168,548, 87% above the national average. It also billed 3,927 outpatient services, charging 24.15 times what Medicare paid.

1Medicare inpatient stays 4,006
2Charge ÷ paid, inpatient 13.36×
3Rank in AL (highest ratio = 1) 4 of 45
4CMS price-transparency actions 4

Average charge per stay at Grandview Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 120 DRGs that can be compared with the national average, Grandview Medical Center charged more than the national average in 119 (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	366	$168,548	+87%	$13,973
291 Heart Failure and Shock with MCC	176	$88,873	+58%	$9,145
274 Percutaneous and Other Intracardiac Procedures without MCC	127	$297,351	+90%	$21,162
885 Psychoses	108	$72,843	+65%	$9,537
470 Major Hip and Knee Joint Replacement or Reattachment of...	107	$225,952	+142%	$15,181
689 Kidney and Urinary Tract Infections with MCC	103	$92,598	+80%	$8,493
193 Simple Pneumonia and Pleurisy with MCC	97	$95,437	+60%	$9,148
280 Acute Myocardial Infarction, Discharged Alive with MCC	96	$132,600	+75%	$11,877
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	84	$68,769	+40%	$7,388
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	83	$78,249	+95%	$6,626
177 Respiratory Infections and Inflammations with MCC	81	$97,204	+38%	$11,424
378 Gastrointestinal Hemorrhage with CC	79	$96,236	+98%	$7,694
460 Spinal Fusion except Cervical without MCC	65	$406,652	+139%	$23,402
853 Infectious and Parasitic Diseases with O.R. Procedures with...	62	$482,192	+111%	$33,400
481 Hip and Femur Procedures except Major Joint with CC	59	$236,017	+134%	$13,931
690 Kidney and Urinary Tract Infections without MCC	58	$60,214	+59%	$5,994
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	56	$129,514	+115%	$9,998
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	53	$175,969	+76%	$13,442
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	52	$108,895	+95%	$7,333
312 Syncope and Collapse	52	$79,631	+75%	$6,267
190 Chronic Obstructive Pulmonary Disease with MCC	49	$104,402	+106%	$8,408
266 Endovascular Cardiac Valve Replacement and Supplement...	47	$487,093	+71%	$43,119
683 Renal Failure with CC	47	$58,374	+43%	$6,326
331 Major Small and Large Bowel Procedures without CC/MCC	46	$248,565	+190%	$12,235
189 Pulmonary Edema and Respiratory Failure	43	$108,005	+88%	$8,623
330 Major Small and Large Bowel Procedures with CC	43	$294,052	+147%	$17,085
322 Percutaneous Cardiovascular Procedures with Intraluminal...	42	$252,359	+120%	$13,625
377 Gastrointestinal Hemorrhage with MCC	39	$145,598	+71%	$12,632
603 Cellulitis without MCC	38	$52,115	+40%	$6,713
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	36	$250,824	+145%	$13,484
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$55,927	+51%	$5,825
682 Renal Failure with MCC	35	$88,220	+34%	$10,077
552 Medical Back Problems without MCC	34	$97,713	+100%	$7,273
281 Acute Myocardial Infarction, Discharged Alive with CC	33	$87,857	+74%	$6,859
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$62,057	+72%	$5,360
286 Circulatory Disorders except AMI, with Cardiac...	31	$233,221	+108%	$17,653
321 Percutaneous Cardiovascular Procedures with Intraluminal...	28	$354,880	+117%	$21,393
394 Other Digestive System Diagnoses with CC	28	$93,538	+99%	$6,796
468 Revision of Hip or Knee Replacement without CC/MCC	27	$314,505	+154%	$17,239
314 Other Circulatory System Diagnoses with MCC	26	$218,152	+130%	$14,309
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	26	$102,422	+68%	$8,666
069 Transient Ischemia without Thrombolytic	25	$97,857	+94%	$5,898
194 Simple Pneumonia and Pleurisy with CC	25	$62,499	+63%	$6,421
287 Circulatory Disorders except AMI, with Cardiac...	25	$96,294	+51%	$7,844
313 Chest Pain	25	$63,179	+58%	$5,187
329 Major Small and Large Bowel Procedures with MCC	25	$377,523	+76%	$30,540
467 Revision of Hip or Knee Replacement with CC	25	$322,475	+104%	$22,033
101 Seizures without MCC	24	$104,349	+114%	$6,656
236 Coronary Bypass without Cardiac Catheterization without MCC	24	$486,831	+131%	$29,863
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$106,612	+88%	$9,409
698 Other Kidney and Urinary Tract Diagnoses with MCC	22	$173,699	+137%	$12,864
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	22	$440,108	+104%	$31,370
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	20	$128,224	+97%	$9,938
389 Gastrointestinal Obstruction with CC	20	$79,093	+103%	$6,527
444 Disorders of The Biliary Tract with MCC	20	$181,079	+118%	$11,714
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	20	$425,658	+110%	$30,684
516 Other Musculoskeletal System and Connective Tissue O.R....	20	$158,094	+56%	$13,079
870 Septicemia or Severe Sepsis with MV >96 Hours	20	$600,248	+86%	$50,585
473 Cervical Spinal Fusion without CC/MCC	19	$233,451	+103%	$16,109
100 Seizures with MCC	18	$172,759	+83%	$14,243

Showing the 60 most frequent of 120 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Upper GI Procedures	396	$38,359	$1,520
Level 3 Electrophysiologic Procedures	364	$304,166	$19,302
Level 5 Musculoskeletal Procedures	336	$213,693	$10,518
Level 1 Endovascular Procedures	276	$56,983	$2,635
Level 4 Musculoskeletal Procedures	274	$149,657	$5,605
Level 1 Laparoscopy and Related Services	147	$126,281	$4,679
Level 3 Musculoskeletal Procedures	144	$102,253	$2,623
Level 6 Musculoskeletal Procedures	135	$250,790	$14,820
Comprehensive Observation Services	130	$54,031	$2,160
Level 2 Excision/ Biopsy/ Incision and Drainage	128	$28,440	$1,223
Level 3 Vascular Procedures	124	$82,448	$2,500
Level 2 Musculoskeletal Procedures	106	$56,835	$1,308
Level 3 Endovascular Procedures	99	$179,287	$8,598
Level 5 Airway Endoscopy	95	$137,578	$5,600
Level 4 Urology and Related Services	91	$78,491	$2,750
Level 5 Urology and Related Services	80	$90,960	$4,201
Level 2 Laparoscopy and Related Services	77	$167,741	$8,412
Level 3 Pacemaker and Similar Procedures	69	$221,508	$8,814
Level 1 Nerve Procedures	63	$75,262	$1,522
Level 2 Endovascular Procedures	55	$91,419	$4,421
Level 3 Excision/ Biopsy/ Incision and Drainage	50	$75,256	$2,329
Level 3 Urology and Related Services	49	$60,069	$1,615
Level 8 Urology and Related Services	44	$237,955	$14,859
Complex GI Procedures	43	$110,240	$4,573
Level 3 Upper GI Procedures	40	$71,026	$2,941

Against the Alabama average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grandview Medical Center charged $168,548 on average, 110% more than the Alabama average of $80,125, and was paid $13,973 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), Grandview Medical Center charged $88,873 on average, 102% more than the Alabama average of $43,997, and was paid $9,145 against a state average of $10,010. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Grandview Medical Center charged $297,351 on average, 112% more than the Alabama average of $140,297, and was paid $21,162 against a state average of $22,445. For Psychoses (DRG 885), Grandview Medical Center charged $72,843 on average, 30% more than the Alabama average of $56,180, and was paid $9,537 against a state average of $10,889. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $38,359 was 130% above the state average of $16,696. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $304,166 was 69% above the state average of $180,164. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $213,693 was 170% above the state average of $79,031. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $56,983 was 89% above the state average of $30,210.

Price-transparency record

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

Met Requirements — 2022-12-23 (CMS case 285)
Met Requirements — 2025-07-17 (CMS case 5818)
Warning Notice — 2026-04-14 (CMS case 7468)
Closure Notice — 2026-07-16 (CMS case 7468)

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.