Grandview Medical Center
Grandview Medical Center in Birmingham, Alabama charges 17.1x the Medicare reimbursement rate across 133 analyzed procedures, with 68% classified as outlier pricing.
Birmingham, AL 35243 · Acute Care Hospitals · CMS Rating: 2/5
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 — 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
17.06x
Charge / Medicare rate
Max markup
34.83x
Worst procedure
Procedures analyzed
133
With pricing data
Outlier procedures
68.4%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $271,974 | $135,987 | — | 34.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $157,119 | $78,559 | — | 26.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $190,970 | $95,485 | — | 24.9x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | 355 | $149,199 | $74,600 | — | 24.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $202,756 | $101,378 | — | 24.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $83,597 | $41,799 | — | 24.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $114,676 | $57,338 | — | 24.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $133,797 | $66,899 | — | 24.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $192,310 | $96,155 | — | 24x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $512,988 | $256,494 | — | 23.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $155,261 | $77,631 | — | 23.7x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $175,183 | $87,592 | — | 23.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $294,793 | $147,396 | — | 23.3x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $324,709 | $162,355 | — | 22.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $359,284 | $179,642 | — | 22.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $72,989 | $36,495 | — | 22.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $735,696 | $367,848 | — | 22.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $77,760 | $38,880 | — | 22.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $223,563 | $111,781 | — | 22x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $106,588 | $53,294 | — | 21.9x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $204,894 | $102,447 | — | 21.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $467,676 | $233,838 | — | 21.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $666,250 | $333,125 | — | 21.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $181,221 | $90,611 | — | 21.5x |
| HYPERTENSION WITHOUT MCC | 305 | $70,810 | $35,405 | — | 21.4x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $272,937 | $136,469 | — | 21.3x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $243,668 | $121,834 | — | 21.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $81,479 | $40,740 | — | 21.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $258,948 | $129,474 | — | 21.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $297,084 | $148,542 | — | 21x |
| HEADACHES WITHOUT MCC | 103 | $75,942 | $37,971 | — | 21x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $240,037 | $120,018 | — | 21x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | 326 | $484,414 | $242,207 | — | 20.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $78,814 | $39,407 | — | 20.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $419,532 | $209,766 | — | 20.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $270,591 | $135,296 | — | 19.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $230,328 | $115,164 | — | 19.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $264,395 | $132,197 | — | 18.9x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $402,831 | $201,416 | — | 18.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $480,105 | $240,052 | — | 18.7x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $190,138 | $95,069 | — | 18.4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $146,364 | $73,182 | — | 18.4x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $445,980 | $222,990 | — | 18.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $224,075 | $112,037 | — | 18.1x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $156,777 | $78,388 | — | 18.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $282,787 | $141,393 | — | 18.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $482,975 | $241,487 | — | 18.1x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $243,182 | $121,591 | — | 17.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $93,542 | $46,771 | — | 17.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $362,843 | $181,422 | — | 17.8x |
Showing 50 of 133 procedures
How GRANDVIEW MEDICAL CENTER 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