5/100
#2,499 nationally
Baldwin Health
1613 North Mckenzie Street, Foley, AL 36535 · (251) 949-3400
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Baldwin Health billed $12.71 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 12.7x
- volume-weighted across all its priced work
- Procedures priced
- 69
- inpatient and outpatient combined
- Rank in AL
- #40
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 6% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 5% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
173 | $132,322 | $10,550 | +112% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
164 | $31,109 | $2,252 | +60% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
113 | $46,270 | $2,701 | +83% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
110 | $28,777 | $1,317 | +185% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
101 | $107,417 | $5,753 | +169% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
89 | $68,601 | $2,794 | +232% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
87 | $129,315 | $14,824 | +98% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
85 | $27,556 | $1,537 | +134% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
83 | $42,560 | $1,675 | +229% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
78 | $199,508 | $4,789 | +468% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$199,508 | $4,789 | +468% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$96,830 | $2,737 | +316% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$132,222 | $5,413 | +235% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$68,601 | $2,794 | +232% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
$273,253 | $12,929 | +232% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$42,560 | $1,675 | +229% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$194,592 | $8,082 | +226% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$65,063 | $2,629 | +219% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$135,344 | $20,306 | +19% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$69,630 | $11,717 | +36% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$124,009 | $15,862 | +41% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$44,994 | $6,749 | +44% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$44,551 | $6,406 | +46% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$37,441 | $4,884 | +49% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$69,681 | $8,314 | +53% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$48,448 | $5,928 | +58% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.