40/100
#1,598 nationally
North Alabama Medical Center
1701 Veterans Drive, Florence, AL 35630 · (256) 768-8400
Charges well above the national norm
For every $1 of care Medicare actually paid for here, North Alabama Medical Center billed $5.74 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
- 5.7x
- volume-weighted across all its priced work
- Procedures priced
- 98
- inpatient and outpatient combined
- Rank in AL
- #30
- 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 26% of U.S. hospitals.
Better than 39% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 63% 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 |
281 | $75,374 | $13,995 | +16% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
224 | $15,546 | $2,181 | -20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
178 | $28,248 | $2,625 | +12% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
151 | $42,868 | $9,366 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
151 | $12,534 | $1,253 | +24% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
148 | $12,120 | $1,520 | +3% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
140 | $56,626 | $10,657 | -9% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
118 | $67,200 | $11,992 | +22% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
104 | $27,257 | $4,601 | -22% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
95 | $47,654 | $9,629 | about average |
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 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$55,117 | $4,682 | +59% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$36,020 | $3,067 | +59% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$74,594 | $11,233 | +40% |
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
$91,593 | $11,268 | +36% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
$216,424 | $28,522 | +31% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$14,777 | $1,582 | +30% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$16,638 | $1,586 | +29% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$10,930 | $1,056 | +27% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$23,326 | $6,697 | -43% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$42,498 | $11,640 | -40% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
$13,823 | $4,467 | -37% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$36,911 | $9,764 | -35% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$40,396 | $8,430 | -32% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$20,619 | $3,793 | -31% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$60,850 | $14,113 | -27% |
|
Atherosclerosis without Major Complications
MS-DRG 303 · Inpatient stay |
$22,100 | $5,031 | -27% |
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.