2/100
#2,587 nationally
Gadsden Regional Medical Center
1007 Goodyear Avenue, Gadsden, AL 35903 · (256) 494-4000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Gadsden Regional Medical Center billed $17.76 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
- 17.8x
- volume-weighted across all its priced work
- Procedures priced
- 56
- inpatient and outpatient combined
- Rank in AL
- #45
- 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 0% of U.S. hospitals.
Better than 1% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 10% 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 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
134 | $84,567 | $2,812 | +310% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
110 | $75,484 | $4,105 | +175% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
109 | $208,847 | $12,946 | +220% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
104 | $59,203 | $2,650 | +135% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
96 | $38,422 | $1,516 | +227% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
96 | $72,394 | $2,093 | +273% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
81 | $120,215 | $9,610 | +233% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
71 | $35,326 | $1,272 | +250% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
68 | $189,943 | $10,627 | +204% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
68 | $60,663 | $1,623 | +369% |
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 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$53,259 | $1,333 | +374% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$60,663 | $1,623 | +369% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$84,567 | $2,812 | +310% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$94,414 | $2,868 | +306% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$213,777 | $11,282 | +289% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$79,044 | $2,684 | +288% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$152,510 | $8,276 | +274% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$72,394 | $2,093 | +273% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
$84,088 | $5,455 | +119% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$100,327 | $6,285 | +129% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$119,206 | $8,850 | +131% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$59,203 | $2,650 | +135% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$180,647 | $12,031 | +137% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$150,690 | $10,808 | +146% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$119,496 | $8,827 | +146% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$449,354 | $28,349 | +153% |
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.