Alabama / Providence Hospital
CMS certification 010090 · Mobile, AL · 3 entries in CMS's price-transparency list
Providence Hospital: charges and Medicare payments
Providence Hospital reported 1,358 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 3.8 times what it was paid — mid-range in Alabama, number 25 of 45 hospitals with at least 100 stays (state median 4.24×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 123 stays at an average charge of $31,923, 43% below the national average. It also billed 1,598 outpatient services, charging 5.01 times what Medicare paid.
- 1Medicare inpatient stays 1,358
- 2Charge ÷ paid, inpatient 3.8×
- 3Rank in AL (highest ratio = 1) 25 of 45
- 4CMS price-transparency actions 3
Inpatient stays
For the 52 DRGs that can be compared with the national average, Providence Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 123 | $31,923 | -43% | $8,720 |
| 193 Simple Pneumonia and Pleurisy with MCC | 85 | $39,398 | -34% | $9,211 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 73 | $54,540 | -40% | $12,769 |
| 690 Kidney and Urinary Tract Infections without MCC | 50 | $21,291 | -44% | $6,018 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 47 | $100,883 | -36% | $20,436 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $52,223 | -26% | $11,492 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $21,803 | -46% | $5,938 |
| 312 Syncope and Collapse | 38 | $26,494 | -42% | $6,550 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $40,930 | -20% | $8,288 |
| 682 Renal Failure with MCC | 31 | $47,076 | -29% | $10,086 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $41,507 | -28% | $9,527 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 30 | $15,212 | -47% | $4,618 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $19,970 | -46% | $5,801 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $63,676 | -16% | $11,985 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $36,404 | -36% | $8,397 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $19,328 | -46% | $5,759 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $64,879 | -43% | $11,692 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 25 | $68,551 | -66% | $27,684 |
| 683 Renal Failure with CC | 25 | $24,275 | -40% | $6,456 |
| 460 Spinal Fusion except Cervical without MCC | 24 | $41,011 | -76% | $22,859 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $26,035 | -32% | $6,270 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $41,292 | -60% | $14,498 |
| 552 Medical Back Problems without MCC | 23 | $23,134 | -53% | $6,842 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $36,357 | -28% | $7,687 |
| 472 Cervical Spinal Fusion with CC | 22 | $31,339 | -78% | $18,793 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $66,183 | -41% | $15,063 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $30,430 | -37% | $7,054 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 21 | $35,638 | -62% | $12,738 |
| 638 Diabetes with CC | 21 | $26,581 | -36% | $6,789 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $50,165 | -41% | $12,163 |
| 603 Cellulitis without MCC | 18 | $17,824 | -52% | $6,666 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $26,213 | -57% | $9,223 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $116,075 | -49% | $34,000 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $34,516 | -38% | $6,806 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $31,724 | -50% | $7,872 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $30,662 | -50% | $8,622 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $47,752 | -53% | $13,892 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $68,782 | -50% | $21,845 |
| 812 Red Blood Cell Disorders without MCC | 15 | $23,120 | -48% | $6,894 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 14 | $67,110 | -40% | $15,207 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 14 | $151,168 | -32% | $31,042 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 14 | $66,037 | -76% | $38,689 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $82,622 | -39% | $16,580 |
| 313 Chest Pain | 13 | $14,629 | -63% | $5,667 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $66,720 | -33% | $12,332 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $66,251 | -60% | $18,907 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 12 | $33,943 | -50% | $8,864 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $41,090 | -44% | $11,232 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 11 | $155,812 | -45% | $36,262 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $133,979 | -38% | $31,708 |
| 389 Gastrointestinal Obstruction with CC | 11 | $18,831 | -52% | $6,126 |
| 811 Red Blood Cell Disorders with MCC | 11 | $31,374 | -54% | $9,454 |
Outpatient services
Against the Alabama average
For Heart Failure and Shock with MCC (DRG 291), Providence Hospital charged $31,923 on average, 27% less than the Alabama average of $43,997, and was paid $8,720 against a state average of $10,010. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Providence Hospital charged $39,398 on average, 21% less than the Alabama average of $50,009, and was paid $9,211 against a state average of $10,124. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Hospital charged $54,540 on average, 32% less than the Alabama average of $80,125, and was paid $12,769 against a state average of $14,647. For Kidney and Urinary Tract Infections without MCC (DRG 690), Providence Hospital charged $21,291 on average, 27% less than the Alabama average of $29,176, and was paid $6,018 against a state average of $6,893. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,981 was 52% below the state average of $10,352. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,196 was 36% below the state average of $30,210. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $4,793 was 71% below the state average of $16,696. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,784 was 17% below the state average of $16,650.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence Hospital in Mobile, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-28 (CMS case 1262)
- Warning Notice — 2025-02-18 (CMS case 3102)
- Closure Notice — 2025-05-21 (CMS case 3102)
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.