21/100
#2,144 nationally
Dekalb Regional Medical Center
200 Med Center Drive, Fort Payne, AL 35968 · (256) 845-3150
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Dekalb Regional Medical Center billed $6.92 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
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 25
- inpatient and outpatient combined
- Rank in AL
- #34
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 21% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 14% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
67 | $55,628 | $14,110 | -15% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
62 | $15,519 | $1,648 | +32% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
60 | $27,695 | $2,765 | +10% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
41 | $12,330 | $2,026 | +5% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
35 | $57,933 | $9,596 | +33% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
31 | $35,565 | $5,062 | about average |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
25 | $170,252 | $14,305 | +113% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
25 | $67,025 | $6,077 | +68% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
24 | $26,421 | $2,401 | +36% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
21 | $59,598 | $10,031 | +25% |
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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$158,440 | $11,531 | +154% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$84,090 | $11,038 | +133% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$170,252 | $14,305 | +113% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$181,163 | $15,131 | +111% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$18,477 | $1,422 | +83% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$20,236 | $1,694 | +78% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$67,025 | $6,077 | +68% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$26,421 | $2,401 | +36% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$33,077 | $10,594 | -41% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$36,950 | $10,771 | -30% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$33,547 | $8,718 | -18% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$46,755 | $12,159 | -15% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$55,628 | $14,110 | -15% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$17,608 | $2,493 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$35,565 | $5,062 | about average |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$12,330 | $2,026 | +5% |
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.