Alabama / Thomas Hospital
CMS certification 010100 · Fairhope, AL · 4 entries in CMS's price-transparency list
Thomas Hospital: charges and Medicare payments
Thomas Hospital reported 1,976 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 3.15 times what it was paid — among the lower ratios in Alabama, number 31 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: 194 stays at an average charge of $45,271, 50% below the national average. It also billed 2,018 outpatient services, charging 5.43 times what Medicare paid.
- 1Medicare inpatient stays 1,976
- 2Charge ÷ paid, inpatient 3.15×
- 3Rank in AL (highest ratio = 1) 31 of 45
- 4CMS price-transparency actions 4
Inpatient stays
For the 69 DRGs that can be compared with the national average, Thomas 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 194 | $45,271 | -50% | $14,889 |
| 291 Heart Failure and Shock with MCC | 117 | $28,950 | -49% | $10,109 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 80 | $22,265 | -45% | $6,867 |
| 690 Kidney and Urinary Tract Infections without MCC | 71 | $20,340 | -46% | $6,720 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $34,081 | -52% | $12,605 |
| 312 Syncope and Collapse | 55 | $24,376 | -46% | $7,405 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $31,945 | -35% | $8,781 |
| 689 Kidney and Urinary Tract Infections with MCC | 50 | $26,583 | -48% | $9,232 |
| 193 Simple Pneumonia and Pleurisy with MCC | 47 | $34,131 | -43% | $10,494 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 43 | $21,638 | -40% | $6,406 |
| 603 Cellulitis without MCC | 40 | $20,806 | -44% | $7,459 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 39 | $77,663 | -63% | $30,095 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 39 | $54,497 | -42% | $14,077 |
| 378 Gastrointestinal Hemorrhage with CC | 36 | $26,893 | -45% | $8,189 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $24,081 | -35% | $6,650 |
| 481 Hip and Femur Procedures except Major Joint with CC | 34 | $50,916 | -49% | $15,559 |
| 194 Simple Pneumonia and Pleurisy with CC | 32 | $21,698 | -43% | $6,898 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 32 | $196,685 | -31% | $42,841 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $41,092 | -44% | $13,699 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $105,246 | -54% | $39,162 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 29 | $33,598 | -41% | $9,468 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $33,063 | -45% | $10,716 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 28 | $151,335 | -62% | $58,903 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 28 | $99,135 | -66% | $39,353 |
| 039 Extracranial Procedures without CC/MCC | 27 | $21,099 | -67% | $8,708 |
| 389 Gastrointestinal Obstruction with CC | 25 | $21,108 | -46% | $6,778 |
| 552 Medical Back Problems without MCC | 25 | $25,996 | -47% | $7,838 |
| 683 Renal Failure with CC | 25 | $28,499 | -30% | $7,297 |
| 057 Degenerative Nervous System Disorders without MCC | 22 | $29,174 | -48% | $10,539 |
| 178 Respiratory Infections and Inflammations with CC | 22 | $27,769 | -39% | $7,550 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $56,794 | -50% | $13,410 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 22 | $52,564 | -49% | $15,884 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $28,304 | -49% | $7,990 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 20 | $14,923 | -48% | $5,188 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 20 | $77,704 | -37% | $19,564 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $100,751 | -38% | $22,391 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $36,522 | -40% | $10,522 |
| 638 Diabetes with CC | 19 | $22,129 | -47% | $7,525 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $43,163 | -25% | $9,867 |
| 812 Red Blood Cell Disorders without MCC | 18 | $25,464 | -43% | $7,009 |
| 069 Transient Ischemia without Thrombolytic | 17 | $23,169 | -54% | $6,601 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $32,350 | -36% | $8,917 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 17 | $26,909 | -43% | $8,863 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 17 | $40,242 | -57% | $12,686 |
| 313 Chest Pain | 16 | $18,395 | -54% | $6,050 |
| 948 Signs and Symptoms without MCC | 16 | $21,613 | -43% | $6,790 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 15 | $117,737 | -57% | $38,558 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 15 | $99,584 | -63% | $37,084 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $21,632 | -49% | $7,554 |
| 682 Renal Failure with MCC | 15 | $31,590 | -52% | $10,952 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $21,379 | -55% | $8,184 |
| 176 Pulmonary Embolism without MCC | 14 | $27,315 | -34% | $6,943 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 14 | $129,963 | -66% | $52,857 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $55,242 | -51% | $16,476 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $31,488 | -63% | $13,740 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 14 | $22,917 | -51% | $7,808 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 14 | $88,642 | -59% | $32,954 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $38,927 | -39% | $8,678 |
| 467 Revision of Hip or Knee Replacement with CC | 13 | $90,921 | -42% | $23,742 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $32,622 | -29% | $8,429 |
Showing the 60 most frequent of 69 DRGs.
Outpatient services
Against the Alabama average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Thomas Hospital charged $45,271 on average, 43% less than the Alabama average of $80,125, and was paid $14,889 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), Thomas Hospital charged $28,950 on average, 34% less than the Alabama average of $43,997, and was paid $10,109 against a state average of $10,010. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Thomas Hospital charged $22,265 on average, 36% less than the Alabama average of $34,651, and was paid $6,867 against a state average of $6,917. For Kidney and Urinary Tract Infections without MCC (DRG 690), Thomas Hospital charged $20,340 on average, 30% less than the Alabama average of $29,176, and was paid $6,720 against a state average of $6,893. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,254 was 50% below the state average of $30,210. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,482 was 51% below the state average of $11,270. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,061 was 64% below the state average of $16,696. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,786 was 45% below the state average of $79,031.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Thomas Hospital in Fairhope, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-12 (CMS case 1437)
- Closure Notice — 2023-09-29 (CMS case 1437)
- Met Requirements — 2025-05-19 (CMS case 4597)
- Warning Notice — 2026-04-29 (CMS case 7564)
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.