9/100
#2,422 nationally
Shelby Baptist Medical Center
1000 First Street North, Alabaster, AL 35007 · (205) 620-8100
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Shelby Baptist Medical Center billed $11.32 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
- 11.3x
- volume-weighted across all its priced work
- Procedures priced
- 43
- inpatient and outpatient combined
- Rank in AL
- #38
- 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 6% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 14% of U.S. hospitals.
Better than 21% 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 |
183 | $133,149 | $12,345 | +104% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
151 | $46,935 | $2,521 | +86% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
50 | $68,775 | $7,980 | +58% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
47 | $99,431 | $10,273 | +62% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
45 | $172,091 | $8,102 | +234% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
45 | $53,619 | $4,305 | +53% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
41 | $18,894 | $1,196 | +87% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
37 | $32,423 | $2,649 | +57% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
34 | $146,951 | $8,267 | +135% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
32 | $74,051 | $7,547 | +59% |
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 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$172,091 | $8,102 | +234% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$194,619 | $8,859 | +188% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
$266,730 | $18,166 | +137% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$146,951 | $8,267 | +135% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$29,919 | $1,700 | +132% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$164,325 | $14,250 | +106% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$133,149 | $12,345 | +104% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$290,492 | $24,526 | +102% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$82,819 | $10,638 | +16% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$290,768 | $33,599 | +21% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$99,816 | $10,578 | +31% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$54,235 | $7,947 | +33% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$180,756 | $17,510 | +36% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$67,818 | $7,815 | +40% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$258,281 | $30,340 | +45% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$25,997 | $2,162 | +47% |
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.