Ungraded
#378 nationally
Elmore Community Hospital
500 Hospital Drive, Wetumpka, AL 36092 · (334) 567-4311
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Elmore Community Hospital billed $2.06 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
- 2.1x
- volume-weighted across all its priced work
- Procedures priced
- 6
- inpatient and outpatient combined
- Rank in AL
- #11
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
38 | $9,104 | $1,926 | -23% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
28 | $5,823 | $12,566 | -83% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
21 | $16,009 | $2,622 | -21% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
17 | $7,731 | $2,298 | -60% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
11 | $28,132 | $7,574 | -11% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
11 | $10,001 | $6,743 | -66% |
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 |
|---|---|---|---|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$28,132 | $7,574 | -11% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,009 | $2,622 | -21% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$9,104 | $1,926 | -23% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$7,731 | $2,298 | -60% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$10,001 | $6,743 | -66% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$5,823 | $12,566 | -83% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$5,823 | $12,566 | -83% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$10,001 | $6,743 | -66% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$7,731 | $2,298 | -60% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$9,104 | $1,926 | -23% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,009 | $2,622 | -21% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$28,132 | $7,574 | -11% |
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.