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Baptist Medical Center South

Baptist Medical Center South in Montgomery, AL charges 4.3x the Medicare reimbursement rate across 65 analyzed procedures, positioning this government-owned hospital above typical pricing benchmarks.

Montgomery, AL 36116 · Acute Care Hospitals · CMS Rating: 1/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

65 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.7x15.0x
4.3x
Medicare markup ratio
AL lowestBaptist Medical Center...AL highest
4.3x
Avg markup ratio
4.3x
Median markup
65
Procedures
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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

4.29x

Charge / Medicare rate

Max markup

7.04x

Worst procedure

Procedures analyzed

65

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$45,705$22,8537x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$40,605$20,3026.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$89,949$44,9756.3x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$83,151$41,5755.7x
SEIZURES WITH MCC100$70,779$35,3895.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$20,965$10,4835.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$97,380$48,6905.4x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$43,274$21,6375.3x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$39,151$19,5755.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$72,381$36,1915.2x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$66,723$33,3625.2x
EXTRACRANIAL PROCEDURES WITH MCC037$120,516$60,2585.1x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$30,589$15,2945x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$69,864$34,9325x
HYPERTENSION WITH MCC304$34,057$17,0284.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$57,373$28,6864.8x
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC283$65,679$32,8394.8x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$96,023$48,0114.8x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$35,512$17,7564.8x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$25,593$12,7974.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$24,038$12,0194.7x
HYPERTENSION WITHOUT MCC305$25,430$12,7154.6x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$93,939$46,9704.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$54,174$27,0874.5x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$38,089$19,0454.4x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$59,180$29,5904.4x
GASTROINTESTINAL OBSTRUCTION WITH CC389$25,198$12,5994.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$23,057$11,5294.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$22,194$11,0974.4x
GASTROINTESTINAL HEMORRHAGE WITH CC378$29,134$14,5674.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$60,169$30,0854.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$79,513$39,7564.3x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$93,789$46,8954.3x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$160,753$80,3774.2x
CELLULITIS WITHOUT MCC603$25,904$12,9524.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$34,207$17,1034x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$122,526$61,2634x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$23,057$11,5294x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$49,217$24,6083.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$158,870$79,4353.9x
OTHER VASCULAR PROCEDURES WITH CC253$64,366$32,1833.9x
RENAL FAILURE WITH MCC682$40,540$20,2703.8x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$94,026$47,0133.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$26,743$13,3713.8x
HEART FAILURE AND SHOCK WITH MCC291$31,434$15,7173.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$46,162$23,0813.7x
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC003$542,863$271,4323.7x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$117,764$58,8823.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$20,418$10,2093.6x
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$371,219$185,6103.6x

Showing 50 of 65 procedures

How BAPTIST MEDICAL CENTER SOUTH 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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