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How Much Does Moderate Musculoskeletal Procedure Cost at St Vincent's East?

Birmingham, AL · Based on CMS Medicare outpatient data · Updated 2026

Hospital Charge

$17,075

Average submitted charge

Medicare Pays

$987

Average Medicare payment

Markup

13.6x

$16,088 above Medicare

Potential savings: $16,088

94% above the Medicare benchmark rate

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How this compares nationally

National Percentile

83th

More expensive than most

National Average

$12,466

1,886 hospitals

National Median

$10,498

50th percentile

25th–75th Range

$7,462–$14,805

Middle 50% of hospitals

Moderate Musculoskeletal Procedure in Birmingham, AL

Lowest

$14,918

City Average

$25,802

Highest

$53,281

4 hospitals in Birmingham offer this procedure. St Vincent's East charges $8,727 below the city average.

Compare nearby hospitals

St Vincent's Birmingham

12.0x markup · Medicare: $976

$14,918

University Of Alabama Hospital

14.8x markup · Medicare: $962

$17,931

Grandview Medical Center

42.9x markup · Medicare: $987

$53,281

The price gap for undefined is one of the most common billing discrepancies we identify.

Frequently asked questions

Related pricing data

Data: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

Data source: CMS Medicare Outpatient Hospitals by Provider and Service (2023 data, released 2025). Charges represent average submitted charges for APC 5112 (Level 2 Musculoskeletal Procedures). Based on 11 Medicare beneficiaries and 13 services. Actual charges may vary. This is not medical or financial advice.

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