Alabama / North Alabama Medical Center

CMS certification 010006 · Florence, AL · 2 entries in CMS's price-transparency list

North Alabama Medical Center: charges and Medicare payments

North Alabama Medical Center reported 2,470 Medicare inpatient stays across 71 DRGs in 2024. Across them it charged 5.4 times what it was paid — mid-range in Alabama, number 16 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: 281 stays at an average charge of $75,374, 17% below the national average. It also billed 1,640 outpatient services, charging 8.63 times what Medicare paid.

1Medicare inpatient stays 2,470
2Charge ÷ paid, inpatient 5.4×
3Rank in AL (highest ratio = 1) 16 of 45
4CMS price-transparency actions 2

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

Inpatient stays

For the 71 DRGs that can be compared with the national average, North Alabama Medical Center charged more than the national average in 3 (4%). 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	281	$75,374	-17%	$13,995
291 Heart Failure and Shock with MCC	151	$42,868	-24%	$9,366
177 Respiratory Infections and Inflammations with MCC	118	$67,200	-5%	$11,992
193 Simple Pneumonia and Pleurisy with MCC	95	$47,654	-20%	$9,629
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	74	$34,240	-15%	$6,058
309 Cardiac Arrhythmia and Conduction Disorders with CC	64	$24,851	-31%	$5,689
189 Pulmonary Edema and Respiratory Failure	55	$54,015	-6%	$9,170
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	55	$38,558	-21%	$7,711
683 Renal Failure with CC	54	$32,384	-20%	$6,672
689 Kidney and Urinary Tract Infections with MCC	54	$38,757	-24%	$8,355
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	50	$41,546	-25%	$6,982
312 Syncope and Collapse	49	$27,068	-41%	$6,464
322 Percutaneous Cardiovascular Procedures with Intraluminal...	49	$106,879	-7%	$12,992
378 Gastrointestinal Hemorrhage with CC	47	$39,729	-18%	$7,177
190 Chronic Obstructive Pulmonary Disease with MCC	46	$39,416	-22%	$8,183
690 Kidney and Urinary Tract Infections without MCC	46	$30,049	-21%	$6,235
313 Chest Pain	45	$25,790	-35%	$5,394
287 Circulatory Disorders except AMI, with Cardiac...	44	$51,327	-20%	$7,871
853 Infectious and Parasitic Diseases with O.R. Procedures with...	44	$162,079	-29%	$30,985
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	43	$78,473	-21%	$14,020
069 Transient Ischemia without Thrombolytic	40	$32,583	-35%	$5,984
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$25,014	-33%	$6,092
280 Acute Myocardial Infarction, Discharged Alive with MCC	37	$54,803	-28%	$11,471
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$44,614	-26%	$9,796
321 Percutaneous Cardiovascular Procedures with Intraluminal...	36	$132,039	-19%	$18,435
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	32	$64,985	-36%	$14,198
682 Renal Failure with MCC	31	$49,356	-25%	$10,912
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$46,890	-17%	$8,596
481 Hip and Femur Procedures except Major Joint with CC	27	$60,850	-40%	$14,113
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	26	$23,712	-17%	$4,458
377 Gastrointestinal Hemorrhage with MCC	26	$63,230	-26%	$12,730
194 Simple Pneumonia and Pleurisy with CC	25	$36,254	-6%	$6,162
698 Other Kidney and Urinary Tract Diagnoses with MCC	25	$56,530	-23%	$10,897
100 Seizures with MCC	24	$73,335	-22%	$13,467
281 Acute Myocardial Infarction, Discharged Alive with CC	23	$34,145	-32%	$6,782
389 Gastrointestinal Obstruction with CC	22	$25,512	-34%	$6,203
552 Medical Back Problems without MCC	22	$28,632	-41%	$7,152
101 Seizures without MCC	21	$23,326	-52%	$6,697
178 Respiratory Infections and Inflammations with CC	21	$34,902	-23%	$7,406
252 Other Vascular Procedures with MCC	19	$124,553	-27%	$24,133
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$75,607	-19%	$13,112
314 Other Circulatory System Diagnoses with MCC	18	$69,104	-27%	$14,431
038 Extracranial Procedures with CC	17	$91,593	+5%	$11,268
603 Cellulitis without MCC	17	$28,553	-23%	$6,730
870 Septicemia or Severe Sepsis with MV >96 Hours	17	$245,170	-24%	$47,723
091 Other Disorders of Nervous System with MCC	16	$42,498	-49%	$11,640
092 Other Disorders of Nervous System with CC	16	$36,292	-30%	$7,691
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	16	$55,447	-15%	$9,103
315 Other Circulatory System Diagnoses with CC	16	$36,358	-24%	$7,061
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$46,891	-23%	$9,498
951 Other Factors Influencing Health Status	16	$13,823	-46%	$4,467
253 Other Vascular Procedures with CC	15	$112,732	-14%	$18,104
394 Other Digestive System Diagnoses with CC	15	$31,050	-34%	$6,970
637 Diabetes with MCC	15	$36,911	-44%	$9,764
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	15	$163,443	-24%	$29,008
086 Traumatic Stupor and Coma <1 Hour with CC	14	$44,203	-35%	$8,876
191 Chronic Obstructive Pulmonary Disease with CC	14	$39,710	0%	$6,726
243 Permanent Cardiac Pacemaker Implant with CC	14	$104,342	-6%	$16,346
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	14	$216,424	+12%	$28,522
303 Atherosclerosis without MCC	13	$22,100	-37%	$5,031

Showing the 60 most frequent of 71 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	224	$15,546	$2,181
Level 1 Endovascular Procedures	178	$28,248	$2,625
Level 2 Excision/ Biopsy/ Incision and Drainage	151	$12,534	$1,253
Level 2 Upper GI Procedures	148	$12,120	$1,520
Level 5 Musculoskeletal Procedures	140	$56,626	$10,657
Level 1 Laparoscopy and Related Services	104	$27,257	$4,601
Level 3 Vascular Procedures	83	$21,875	$2,183
Level 3 Urology and Related Services	69	$16,638	$1,586
Level 4 Musculoskeletal Procedures	57	$32,807	$5,707
Level 3 Endovascular Procedures	55	$77,317	$9,007
Level 4 Urology and Related Services	54	$23,338	$2,824
Level 4 Endovascular Procedures	37	$93,708	$10,506
Level 3 Electrophysiologic Procedures	34	$98,357	$18,884
Level 5 Urology and Related Services	34	$21,151	$4,040
Level 3 Pacemaker and Similar Procedures	32	$64,884	$8,744
Level 4 Vascular Procedures	30	$39,214	$4,008
Level 3 Musculoskeletal Procedures	28	$16,376	$2,273
Level 2 Laparoscopy and Related Services	24	$40,396	$8,430
Level 1 Breast/Lymphatic Surgery and Related Procedures	23	$29,751	$3,054
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	23	$26,600	$2,637
Level 6 Musculoskeletal Procedures	21	$63,533	$14,587
Level 4 Airway Endoscopy	21	$36,020	$3,067
Level 2 Vascular Procedures	18	$10,930	$1,056
Level 2 Endovascular Procedures	18	$55,117	$4,682
Level 1 Nerve Procedures	12	$14,777	$1,582

Against the Alabama average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), North Alabama Medical Center charged $75,374 on average, 6% less than the Alabama average of $80,125, and was paid $13,995 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), North Alabama Medical Center charged $42,868 on average, 3% less than the Alabama average of $43,997, and was paid $9,366 against a state average of $10,010. For Respiratory Infections and Inflammations with MCC (DRG 177), North Alabama Medical Center charged $67,200 on average, 13% more than the Alabama average of $59,377, and was paid $11,992 against a state average of $12,400. For Simple Pneumonia and Pleurisy with MCC (DRG 193), North Alabama Medical Center charged $47,654 on average, 5% less than the Alabama average of $50,009, and was paid $9,629 against a state average of $10,124. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,546 was 7% below the state average of $16,650. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,248 was 6% below the state average of $30,210. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,534 was 11% above the state average of $11,270. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,120 was 27% below the state average of $16,696.

Price-transparency record

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

Warning Notice — 2025-06-30 (CMS case 5304)
Closure Notice — 2025-09-04 (CMS case 5304)

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.