States / Alabama
AL · 81 hospitals · #12 of 51 by charge gap
Hospital prices in Alabama
69 Alabama hospitals reported 67,132 Medicare inpatient stays in 2024. The median hospital charged 4.24 times what it was paid — above the national median of 4.15×, number 12 of 51. The widest gap was at Gadsden Regional Medical Center (16.01×), the narrowest at Russell Medical Center (1.59×). CMS's price-transparency list records 278 enforcement actions involving 93 Alabama hospitals.
- 1Median charge ÷ paid 4.24×
- 2Hospitals reporting 81
- 3Medicare inpatient stays 67,132
- 4Price-transparency actions 278
Most common stays in Alabama
| DRG | Stays | AL avg charge | US avg charge | AL avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with... | 6,955 | $80,125 | $90,297 | $14,647 |
| 291 Heart Failure and Shock with MCC | 4,230 | $43,997 | $56,380 | $10,010 |
| 193 Simple Pneumonia and Pleurisy with MCC | 2,103 | $50,009 | $59,757 | $10,124 |
| 177 Respiratory Infections and Inflammations with MCC | 1,966 | $59,377 | $70,592 | $12,400 |
| 690 Kidney and Urinary Tract Infections without MCC | 1,703 | $29,176 | $37,821 | $6,893 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 1,536 | $34,651 | $40,165 | $6,917 |
| 689 Kidney and Urinary Tract Infections with MCC | 1,417 | $44,273 | $51,326 | $9,038 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without... | 1,234 | $39,007 | $49,049 | $8,433 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 1,185 | $72,651 | $75,821 | $12,290 |
| 378 Gastrointestinal Hemorrhage with CC | 1,172 | $46,593 | $48,550 | $7,985 |
Every hospital
| Hospital | Stays | Ratio | Actions |
|---|---|---|---|
| Huntsville Hospital Huntsville | 9,210 | 5.28× | 5 |
| University of Alabama Hospital Birmingham | 7,197 | 4.53× | – |
| Grandview Medical Center Birmingham | 4,006 | 13.36× | 4 |
| DCH Regional Medical Center Tuscaloosa | 3,484 | 2.96× | 6 |
| Southeast Health Medical Center Dothan | 3,217 | 4.46× | – |
| Mobile Infirmary Medical Center Mobile | 2,896 | 3.97× | 6 |
| North Alabama Medical Center Florence | 2,470 | 5.4× | 2 |
| St Vincent's Birmingham Birmingham | 2,064 | 4.25× | 7 |
| Thomas Hospital Fairhope | 1,976 | 3.15× | 4 |
| Flowers Hospital Dothan | 1,853 | 11.07× | 3 |
| Baptist Medical Center South Montgomery | 1,740 | 3.2× | 1 |
| Northeast Alabama Regional Medical Center Anniston | 1,633 | 5.47× | 2 |
| Cullman Regional Medical Center Cullman | 1,626 | 3.05× | 2 |
| East Alabama Medical Center Opelika | 1,620 | 2.65× | – |
| St Vincent's East Birmingham | 1,495 | 4.24× | 7 |
| Crestwood Medical Center Huntsville | 1,440 | 15.07× | 2 |
| Providence Hospital Mobile | 1,358 | 3.8× | 3 |
| Riverview Regional Medical Center Gadsden | 1,336 | 7.26× | 1 |
| Jackson Hospital & Clinic Inc Montgomery | 1,248 | 4.3× | – |
| Decatur Morgan Hospital-Decatur Campus Decatur | 1,247 | 2.6× | 3 |
| Gadsden Regional Medical Center Gadsden | 1,047 | 16.01× | 2 |
| Baldwin Health Foley | 974 | 9.81× | – |
| Springhill Memorial Hospital Mobile | 970 | 3.11× | 3 |
| Brookwood Baptist Medical Center Vestavia | 906 | 14.89× | – |
| Princeton Baptist Medical Center Birmingham | 906 | 8.16× | – |
| Helen Keller Memorial Hospital Sheffield | 892 | 3.47× | 1 |
| Marshall Medical Centers South Campus Boaz | 772 | 2.09× | – |
| Baptist Medical Center East Montgomery | 743 | 3.33× | 2 |
| USA Health University Hospital Mobile | 698 | 2.27× | 2 |
| Shelby Baptist Medical Center Alabaster | 674 | 9.92× | 3 |
| Walker Baptist Medical Center Jasper | 584 | 8.93× | 2 |
| Athens Limestone Hospital Athens | 569 | 2.67× | 2 |
| Medical West, An Affiliate of UAB Health System Bessemer | 461 | 3.21× | – |
| Prattville Baptist Hospital Prattville | 401 | 3.53× | 1 |
| Jack Hughston Memorial Hospital Phenix City | 321 | 2.81× | – |
| St Vincent's St Clair Pell City | 289 | 2.64× | 6 |
| Dekalb Regional Medical Center Fort Payne | 274 | 5.92× | 3 |
| Andalusia Health Andalusia | 270 | 5.33× | – |
| Medical Center Enterprise Enterprise | 255 | 9.45× | 2 |
| Lakeland Community Hospital Haleyville | 232 | 2.66× | – |
| Vaughan Regional Medical Center Parkway Campus Selma | 199 | 6.93× | 3 |
| Highlands Medical Center Scottsboro | 198 | 2.1× | 2 |
| Coosa Valley Medical Center Sylacauga | 193 | 3.1× | 2 |
| Citizens Baptist Medical Center Talladega | 116 | 6.45× | 2 |
| Russell Medical Center Alexander City | 107 | 1.59× | – |
| Whitfield Regional Hospital Demopolis | 90 | 1.44× | – |
| Evergreen Medical Center Evergreen | 85 | 1.36× | 5 |
| Mizell Memorial Hospital Opp | 80 | 1.43× | – |
| Northwest Medical Center Winfield | 79 | 3.46× | – |
| Fayette Medical Center Fayette | 65 | 1.6× | – |
| Floyd Cherokee Medical Center Centre | 57 | 1.64× | – |
| Elmore Community Hospital Wetumpka | 50 | 1.14× | 2 |
| North Baldwin Infirmary Bay Minette | 47 | 2.08× | 1 |
| Clay County Hospital Ashland | 45 | 0.89× | – |
| Regional Medical Center of Central Alabama Greenville | 45 | 3.89× | 2 |
| Russellville Hospital Russellville | 45 | 4.84× | 2 |
| Troy Regional Medical Center Troy | 42 | 1.75× | – |
| Dale Medical Center Ozark | 39 | 2.36× | 4 |
| Monroe County Hospital Monroeville | 30 | 1.34× | 3 |
| Bibb Medical Center Centreville | 25 | 0.77× | 2 |
| Wiregrass Medical Center Geneva | 23 | 0.93× | 4 |
| North Alabama Shoals Hospital Muscle Shoals | 21 | 2.07× | – |
| Lake Martin Community Hospital Dadeville | 18 | 1.08× | 5 |
| St Vincent's Chilton Clanton | 18 | 1.09× | 7 |
| UAB Callahan Eye Hospital Authority Birmingham | 15 | 1.37× | – |
| Crenshaw Community Hospital Luverne | 13 | 2.34× | 2 |
| Atmore Community Hospital Atmore | 11 | 1.88× | 1 |
| Greene County Hospital Eutaw | 11 | 1.32× | – |
| Marion Regional Medical Center Hamilton | 11 | 1.72× | – |
| Children's Hospital of Alabama Birmingham | 0 | – | 3 |
| Community Hospital Inc Tallassee | 0 | – | – |
| D W Mcmillan Memorial Hospital Brewton | 0 | – | 3 |
| Eamc - Lanier Valley | 0 | – | – |
| Grove Hill Memorial Hospital Grove Hill | 0 | – | 5 |
| Hale County Hospital Greensboro | 0 | – | – |
| J Paul Jones Hospital Camden | 0 | – | – |
| Jackson Medical Center Jackson | 0 | – | 2 |
| Lawrence Medical Center Moulton | 0 | – | – |
| Medical Center Barbour Eufaula | 0 | – | 3 |
| Thomasville Regional Medical Center LLC Thomasville | 0 | – | – |
| USA Health Children's & Women's Hospital Mobile | 0 | – | – |
Price-transparency enforcement in Alabama
85 closure notices, 76 corrective-action-plan requests, 59 warning notices, 54 “met requirements” findings, 2 civil-penalty notices, 2 administrative closures — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.
Sources: CMS Medicare Inpatient 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.