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SOUTHEAST HEALTH MEDICAL CENTER

DOTHAN, AL 36301 · Acute Care Hospitals

91 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

91

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.4x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Government - Hospital District or Authority

Above 90th Percentile

0%

Compared to AL hospitals

Understanding Your Costs

When you receive a bill from SOUTHEAST HEALTH MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SOUTHEAST HEALTH MEDICAL CENTER lists chargemaster rates that average 5.4x the corresponding Medicare reimbursement amount across 91 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in AL has a chargemaster-to-Medicare ratio of 4.0x, with ratios across the state ranging from 0.7x to 20.4x. At 5.4x, this facility’s average ratio is above the state median. 67 hospitals in AL report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at SOUTHEAST HEALTH MEDICAL CENTER is EXTRACRANIAL PROCEDURES WITHOUT CC/MCC (DRG 039). The listed chargemaster rate is $97,502, while Medicare reimburses $6,604 for the same procedure — a ratio of 14.8x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

SOUTHEAST HEALTH MEDICAL CENTER is a government - hospital district or authority acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$97,502$6,60414.8x
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EXTRACRANIAL PROCEDURES WITH CC038$122,741$9,57912.8x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$93,267$10,7118.7x
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BRONCHITIS AND ASTHMA WITH CC/MCC202$44,866$5,2318.6x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$87,889$10,5198.4x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$86,285$10,5168.2x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$47,135$5,9158.0x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$120,550$15,2507.9x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$242,540$32,4397.5x
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SEIZURES WITH MCC100$102,781$13,9337.4x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$300,126$41,5467.2x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$205,289$29,6626.9x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS207$252,023$36,7716.8x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$83,754$12,3246.8x
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CERVICAL SPINAL FUSION WITH CC472$102,480$16,0666.4x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$204,144$32,2926.3x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$29,995$4,7856.3x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$80,596$13,0776.2x
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$46,623$7,6506.1x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$154,037$25,7456.0x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$159,962$26,8066.0x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$122,426$20,5486.0x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$45,685$7,7405.9x
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OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC166$138,591$23,8535.8x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$46,753$8,0765.8x
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ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC283$73,535$12,7245.8x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$73,817$12,8255.8x
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ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC003$663,764$115,5445.7x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$103,129$18,2775.6x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$230,135$41,3625.6x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$25,156$4,5815.5x
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DIABETES WITH MCC637$41,141$7,5355.5x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$166,455$30,5115.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$29,571$5,4145.5x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$37,650$6,9145.5x
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MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$29,273$5,4045.4x
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MEDICAL BACK PROBLEMS WITHOUT MCC552$29,006$5,3975.4x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$27,909$5,2315.3x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$30,469$5,8035.3x
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RESPIRATORY NEOPLASMS WITH MCC180$39,182$7,5655.2x
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CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$180,981$35,2625.1x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$22,862$4,4825.1x
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CELLULITIS WITHOUT MCC603$22,539$4,4305.1x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$188,391$37,0485.1x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$73,876$14,6215.0x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$27,966$5,5475.0x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$93,157$18,5295.0x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$30,059$6,0175.0x
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OTHER VASCULAR PROCEDURES WITH MCC252$110,354$22,1135.0x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$92,299$18,6145.0x
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Showing 50 of 91 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across AL hospitals

0.7x
Median: 4.0x
20.4x
5.4x

67 hospitals in AL report pricing data to CMS. This facility's average ratio of 5.4x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About SOUTHEAST HEALTH MEDICAL CENTER

How much does SOUTHEAST HEALTH MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, SOUTHEAST HEALTH MEDICAL CENTER's listed chargemaster rates average 5.4x the Medicare reimbursement amount across 91 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at SOUTHEAST HEALTH MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at SOUTHEAST HEALTH MEDICAL CENTER is EXTRACRANIAL PROCEDURES WITHOUT CC/MCC (DRG 039), with a listed charge of $97,502 compared to Medicare reimbursement of $6,604 — a ratio of 14.8x. Source: CMS IPPS Provider Summary.

Is SOUTHEAST HEALTH MEDICAL CENTER expensive compared to other AL hospitals?

SOUTHEAST HEALTH MEDICAL CENTER's average chargemaster-to-Medicare ratio is 5.4x. Ratios vary significantly across AL hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for SOUTHEAST HEALTH MEDICAL CENTER come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from SOUTHEAST HEALTH MEDICAL CENTER is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does SOUTHEAST HEALTH MEDICAL CENTER in DOTHAN, AL accept Medicare?

SOUTHEAST HEALTH MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SOUTHEAST HEALTH MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.