AL CMS Medicare PUF 2023 Avg payment #36 of 56

Alabama procedure costs

102 hospitals · 2,888 Medicare providers · 4,124 procedure codes with Alabama locality adjustments.

The short answer

Alabama has 102 hospitals and 2,888 Medicare-billing providers across 4,124 procedure codes. The average Medicare payment per procedure is $211.12; the average submitted (billed) charge is $1,072.10.

Procedure codes
4,124
Providers per hospital
28.3
Billed-to-Medicare ratio
5.1x
Markup rank
#42 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

102
Hospitals
2,888
Providers
$211.12
Avg Medicare Payment
$1,072.10
Avg Billed Charge

Alabama against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$211 higher than 36% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). This entry sits in this band. $225–$250: 9 states (16%). Above this entry. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Alabama

Highest average Medicare payment per procedure billed in Alabama. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Alabama

Removal Of Plaque And Insert…8492Insertion Of Cochlear Device7485Removal Of Plaque And Insert…5756Cystourethroscopy, With Inse…4970Radiofrequency Transmitter (…4726Ambulance Service, Conventio…4216Removal Of Plaque In Artery …4131Insertion Of Peripheral Or G…4045
Top procedures by Medicare payment - Alabama-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.73 4.3M
Injection, Testosterone Cypionate, 1 Mg $0.02 2.9M
Ground Mileage, Per Statute Mile $7.51 2.2M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $77.11 1.6M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 1.3M
Injection, Denosumab, 1 Mg $18.02 1.2M
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.38 1.1M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.88 1.1M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $53.92 956.1K
Insertion Of Needle Into Vein For Collection Of Blood Sample $7.98 939.1K
Injection, Tocilizumab, 1 Mg $4.65 897.2K
Injection, Pembrolizumab, 1 Mg $41.69 875.3K
Blood Test, Comprehensive Group Of Blood Chemicals $10.28 862.8K
Rotary Wing Air Mileage, Per Statute Mile $29.43 819.5K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $16.23 801.8K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.57 796.6K
Injection, Levoleucovorin (khapzory), 0.5 Mg $1.06 794.7K
Injection, Ferric Carboxymaltose, 1 Mg $0.87 793.6K
Injection, Dexamethasone Sodium Phosphate, 1 Mg $0.09 694.7K
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled $1.07 608.5K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $58.40 587.2K
Injection, Onabotulinumtoxina, 1 Unit $4.69 585.5K
Injection, Nivolumab, 1 Mg $23.12 579.3K
Blood Test, Lipids (cholesterol And Triglycerides) $13.06 547.7K
Injection, Daptomycin, 1 Mg $0.04 537.7K
Injection, Romosozumab-Aqqg, 1 Mg $7.85 497.8K
Therapy Procedure Using Functional Activities $23.21 481.8K
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.34 454.6K
Injection, Oxaliplatin, 0.5 Mg $0.05 453.4K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $19.37 431.3K

Alabama Healthcare Cost Landscape

CMS lists 102 hospitals in Alabama across 73 cities. BIRMINGHAM holds 9 (9%). The three densest cities together hold 19% of the state roster. Statewide that is 2,888 Medicare-billing providers, 28.3 per listed hospital.

51 hospitals carry a CMS overall star rating (2 five-star, 5 four-star, 18 three-star, 21 two-star, 5 one-star) ; five-star share among rated facilities is 4%. 51 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 77 (75%); Psychiatric 9 (9%); Critical Access Hospitals 8 (8%); Acute Care - Veterans Administration 3 (3%).

Among the 30 highest-volume procedure codes billed in Alabama, Drugs (Administered) leads with 12.3M services (40% of this top-volume slice) across 14 codes. Next is DME (Temporary) at 14%.

Submitted charges average $1,072.10 against $211.12 Medicare payment (5.1x billed-to-Medicare). That ratio ranks #42 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #36 of 56.

Volume leaders are not the high-payment codes. Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count is in the top volume slice but not the highest Medicare payments; Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Alabama, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Alabama hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 73 distinct cities appear on 102 listed facilities.

City Hospitals Share of state roster
BIRMINGHAM 9 9%
MOBILE 6 6%
MONTGOMERY 4 4%
TUSCALOOSA 4 4%
GADSDEN 3 3%
HUNTSVILLE 3 3%
LUVERNE 3 3%
CULLMAN 2 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Alabama: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (102 here).

Similar average Medicare payment

Nearest states with published averages ($211.12 here).

How Alabama Compares Nationally

Alabama's average Medicare payment is #36 of 56 in this extract. Submitted-over-Medicare markup ranks #42 of 56 (5.1x). Hospital-count peers (nearest CMS roster size to 102): Kentucky 102, Washington 100, Arizona 106, Mississippi 106. Payment peers (nearest average Medicare payment to $211.12): Oklahoma $212.27, Delaware $208.28, Kansas $215.09, Utah $219.05.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Alabama, not an out-of-pocket quote.

Related registry pages

Alabama averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Alabama CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.