Alabama / Shelby Baptist Medical Center
CMS certification 010016 · Alabaster, AL · 3 entries in CMS's price-transparency list
Shelby Baptist Medical Center: charges and Medicare payments
Shelby Baptist Medical Center reported 674 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 9.92 times what it was paid — among the higher ratios in Alabama, number 6 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: 183 stays at an average charge of $133,149, 47% above the national average. It also billed 557 outpatient services, charging 20.58 times what Medicare paid.
- 1Medicare inpatient stays 674
- 2Charge ÷ paid, inpatient 9.92×
- 3Rank in AL (highest ratio = 1) 6 of 45
- 4CMS price-transparency actions 3
Inpatient stays
For the 27 DRGs that can be compared with the national average, Shelby Baptist Medical Center charged more than the national average in 25 (93%). 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 | 183 | $133,149 | +47% | $12,345 |
| 291 Heart Failure and Shock with MCC | 50 | $68,775 | +22% | $7,980 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $99,431 | +31% | $10,273 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $74,051 | +24% | $7,547 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $258,281 | +13% | $30,340 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $67,818 | +18% | $7,815 |
| 683 Renal Failure with CC | 20 | $53,543 | +32% | $6,547 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $84,888 | +41% | $7,508 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 18 | $290,768 | +2% | $33,599 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $126,608 | +26% | $14,665 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $71,600 | +28% | $6,695 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $99,816 | 0% | $10,578 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $164,325 | +76% | $14,250 |
| 682 Renal Failure with MCC | 16 | $88,850 | +35% | $10,167 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $96,277 | +31% | $12,200 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $90,223 | +28% | $10,077 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $180,431 | +30% | $21,525 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $71,661 | +42% | $7,181 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $148,608 | +32% | $13,366 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $490,689 | +52% | $41,896 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 12 | $198,294 | +26% | $18,104 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $51,172 | +38% | $5,881 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $48,518 | +28% | $6,046 |
| 091 Other Disorders of Nervous System with MCC | 11 | $82,819 | 0% | $10,638 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $290,492 | +77% | $24,526 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $266,730 | +97% | $18,166 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $54,235 | +6% | $7,947 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 151 | $46,935 | $2,520 |
| Level 3 Pacemaker and Similar Procedures | 45 | $172,091 | $8,102 |
| Level 1 Laparoscopy and Related Services | 45 | $53,619 | $4,305 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 41 | $18,894 | $1,196 |
| Level 4 Urology and Related Services | 37 | $32,423 | $2,649 |
| Level 5 Musculoskeletal Procedures | 34 | $146,951 | $8,267 |
| Level 4 Musculoskeletal Procedures | 30 | $68,527 | $5,020 |
| Level 3 Endovascular Procedures | 29 | $194,619 | $8,859 |
| Comprehensive Observation Services | 26 | $30,401 | $1,973 |
| Level 3 Electrophysiologic Procedures | 24 | $180,756 | $17,510 |
| Level 5 Urology and Related Services | 20 | $42,708 | $3,459 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $25,997 | $2,162 |
| Level 3 Musculoskeletal Procedures | 15 | $40,591 | $2,272 |
| Level 3 Vascular Procedures | 15 | $35,731 | $2,095 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $42,042 | $2,724 |
| Level 3 Urology and Related Services | 13 | $29,919 | $1,700 |
Against the Alabama average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Shelby Baptist Medical Center charged $133,149 on average, 66% more than the Alabama average of $80,125, and was paid $12,345 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), Shelby Baptist Medical Center charged $68,775 on average, 56% more than the Alabama average of $43,997, and was paid $7,980 against a state average of $10,010. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Shelby Baptist Medical Center charged $99,431 on average, 37% more than the Alabama average of $72,651, and was paid $10,273 against a state average of $12,290. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Shelby Baptist Medical Center charged $74,051 on average, 48% more than the Alabama average of $50,009, and was paid $7,547 against a state average of $10,124. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $46,935 was 55% above the state average of $30,210. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $172,091 was 129% above the state average of $75,044. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $53,619 was 13% above the state average of $47,318. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,894 was 68% above the state average of $11,270.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Shelby Baptist Medical Center in Alabaster, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-01 (CMS case 1237)
- Closure Notice — 2023-09-25 (CMS case 1237)
- Met Requirements — 2025-06-02 (CMS case 4819)
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.