Brookwood Baptist Medical Center
Brookwood Baptist Medical Center in Vestavia, AL charges 16.9x the Medicare reimbursement rate across 28 analyzed procedures, with 79% showing significant price variations.
Vestavia, AL 35216 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
16.91x
Charge / Medicare rate
Max markup
24.33x
Worst procedure
Procedures analyzed
28
With pricing data
Outlier procedures
78.6%
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 |
|---|---|---|---|---|---|
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $593,640 | $296,820 | — | 24.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $157,541 | $78,770 | — | 22.3x |
| RENAL FAILURE WITH CC | 683 | $88,494 | $44,247 | — | 21.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $87,845 | $43,922 | — | 20.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $87,906 | $43,953 | — | 20x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $108,062 | $54,031 | — | 19.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $143,542 | $71,771 | — | 19.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $81,244 | $40,622 | — | 18.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $197,001 | $98,501 | — | 18x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $81,156 | $40,578 | — | 17.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $483,733 | $241,866 | — | 17.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $143,547 | $71,774 | — | 17.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $196,584 | $98,292 | — | 17.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $133,466 | $66,733 | — | 16.8x |
| SYNCOPE AND COLLAPSE | 312 | $75,129 | $37,564 | — | 16x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $84,771 | $42,386 | — | 16x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $140,725 | $70,362 | — | 15.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $84,057 | $42,029 | — | 15.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $169,027 | $84,513 | — | 15x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $99,649 | $49,824 | — | 15x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $108,238 | $54,119 | — | 14.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $160,140 | $80,070 | — | 14.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $354,532 | $177,266 | — | 14x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $137,037 | $68,518 | — | 13.8x |
| RENAL FAILURE WITH MCC | 682 | $118,962 | $59,481 | — | 13.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $92,501 | $46,250 | — | 13.4x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $410,639 | $205,320 | — | 13.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $231,831 | $115,915 | — | 12.3x |
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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