Shelby Baptist Medical Center
SHELBY BAPTIST MEDICAL CENTER in Alabaster, AL charges 12.7x the Medicare reimbursement rate across 32 analyzed procedures, with 16% showing unusually high pricing patterns.
Alabaster, AL 35007 · Acute Care Hospitals · CMS Rating: 2/5
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.
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Pricing grade
F
Very high
Avg markup vs Medicare
12.65x
Charge / Medicare rate
Max markup
20.33x
Worst procedure
Procedures analyzed
32
With pricing data
Outlier procedures
15.6%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $173,754 | $86,877 | — | 20.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $159,888 | $79,944 | — | 18.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $94,073 | $47,037 | — | 18.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $94,611 | $47,306 | — | 17.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $97,338 | $48,669 | — | 15.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $190,220 | $95,110 | — | 15.4x |
| RENAL FAILURE WITH CC | 683 | $67,105 | $33,553 | — | 14.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $77,892 | $38,946 | — | 14.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $114,741 | $57,371 | — | 14.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $68,919 | $34,460 | — | 14.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $429,500 | $214,750 | — | 14x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $174,052 | $87,026 | — | 13.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $127,427 | $63,713 | — | 13.4x |
| SYNCOPE AND COLLAPSE | 312 | $53,694 | $26,847 | — | 13.1x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $514,581 | $257,290 | — | 12.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $281,256 | $140,628 | — | 12.1x |
| RENAL FAILURE WITH MCC | 682 | $104,713 | $52,357 | — | 11.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $108,711 | $54,355 | — | 11.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $53,509 | $26,754 | — | 11.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $101,300 | $50,650 | — | 11.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $105,541 | $52,770 | — | 10.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $110,187 | $55,093 | — | 10.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $166,646 | $83,323 | — | 10.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $73,092 | $36,546 | — | 10.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $66,650 | $33,325 | — | 10x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $56,981 | $28,490 | — | 9.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $114,115 | $57,057 | — | 9.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,021 | $29,510 | — | 9.7x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $168,667 | $84,334 | — | 9.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $64,706 | $32,353 | — | 9.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $115,875 | $57,937 | — | 9.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $190,235 | $95,117 | — | 5.3x |
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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