Baptist Medical Center East
Baptist Medical Center East in Montgomery, AL charges 4.4x the Medicare reimbursement rate across 33 analyzed procedures, reflecting this government-owned hospital's pricing structure.
Montgomery, AL 36117 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.42x
Charge / Medicare rate
Max markup
6.24x
Worst procedure
Procedures analyzed
33
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $24,524 | $12,262 | — | 6.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $27,683 | $13,842 | — | 6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $27,990 | $13,995 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,553 | $11,776 | — | 5.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,668 | $21,334 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,225 | $15,612 | — | 5.3x |
| CELLULITIS WITHOUT MCC | 603 | $24,200 | $12,100 | — | 5.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $46,491 | $23,245 | — | 5.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $34,695 | $17,347 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $24,355 | $12,177 | — | 4.7x |
| HYPERTENSION WITHOUT MCC | 305 | $18,526 | $9,263 | — | 4.6x |
| RENAL FAILURE WITH CC | 683 | $23,581 | $11,791 | — | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $62,889 | $31,444 | — | 4.6x |
| RENAL FAILURE WITH MCC | 682 | $39,418 | $19,709 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $50,892 | $25,446 | — | 4.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $28,662 | $14,331 | — | 4.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $70,270 | $35,135 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $39,676 | $19,838 | — | 4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $38,707 | $19,354 | — | 4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $23,547 | $11,773 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $17,685 | $8,843 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $31,228 | $15,614 | — | 3.9x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $32,902 | $16,451 | — | 3.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $40,615 | $20,308 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,084 | $13,042 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,882 | $8,941 | — | 3.7x |
| SYNCOPE AND COLLAPSE | 312 | $20,160 | $10,080 | — | 3.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $23,301 | $11,651 | — | 3.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $29,785 | $14,893 | — | 3.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $88,682 | $44,341 | — | 3.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $14,945 | $7,472 | — | 3.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $37,824 | $18,912 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $23,177 | $11,588 | — | 3.3x |
How BAPTIST MEDICAL CENTER EAST compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
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