Alabama / Medical Center Enterprise
CMS certification 010049 · Enterprise, AL · 2 entries in CMS's price-transparency list
Medical Center Enterprise: charges and Medicare payments
Medical Center Enterprise reported 255 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 9.45 times what it was paid — among the higher ratios in Alabama, number 8 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: 41 stays at an average charge of $109,041, 21% above the national average. It also billed 231 outpatient services, charging 29.06 times what Medicare paid.
- 1Medicare inpatient stays 255
- 2Charge ÷ paid, inpatient 9.45×
- 3Rank in AL (highest ratio = 1) 8 of 45
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, Medical Center Enterprise charged more than the national average in 11 (92%). 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 | 41 | $109,041 | +21% | $12,855 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 35 | $178,381 | +91% | $13,061 |
| 291 Heart Failure and Shock with MCC | 30 | $65,131 | +16% | $8,514 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $63,698 | +7% | $8,704 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $66,000 | -7% | $10,425 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $44,427 | +20% | $5,168 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $161,511 | +60% | $13,380 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $64,772 | +28% | $7,603 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $55,120 | +37% | $5,581 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $60,782 | +18% | $8,105 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $68,953 | +42% | $6,603 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $56,144 | +14% | $7,691 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 111 | $41,237 | $2,228 |
| Level 4 Musculoskeletal Procedures | 37 | $123,455 | $5,734 |
| Level 2 Upper GI Procedures | 21 | $40,275 | $1,499 |
| Level 3 Musculoskeletal Procedures | 19 | $84,448 | $2,328 |
| Level 2 Musculoskeletal Procedures | 17 | $48,719 | $1,316 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $66,302 | $1,249 |
| Level 1 Laparoscopy and Related Services | 13 | $100,926 | $4,726 |
Against the Alabama average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical Center Enterprise charged $109,041 on average, 36% more than the Alabama average of $80,125, and was paid $12,855 against a state average of $14,647. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Medical Center Enterprise charged $178,381 on average, 75% more than the Alabama average of $101,964, and was paid $13,061 against a state average of $14,592. For Heart Failure and Shock with MCC (DRG 291), Medical Center Enterprise charged $65,131 on average, 48% more than the Alabama average of $43,997, and was paid $8,514 against a state average of $10,010. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Medical Center Enterprise charged $63,698 on average, 27% more than the Alabama average of $50,009, and was paid $8,704 against a state average of $10,124. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,237 was 148% above the state average of $16,650. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $123,455 was 127% above the state average of $54,370. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $40,275 was 141% above the state average of $16,696. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $84,448 was 167% above the state average of $31,652.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical Center Enterprise in Enterprise, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-02-08 (CMS case 1141)
- Met Requirements — 2025-07-17 (CMS case 5826)
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.