Southeast Health Medical Center
Southeast Health Medical Center in Dothan, Alabama charges 5.4x the Medicare reimbursement rate across 91 analyzed procedures at this government-owned facility.
Dothan, AL 36301 · Acute Care Hospitals · CMS Rating: 4/5
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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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
D
High
Avg markup vs Medicare
5.4x
Charge / Medicare rate
Max markup
14.76x
Worst procedure
Procedures analyzed
91
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $97,502 | $48,751 | — | 14.8x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $122,741 | $61,371 | — | 12.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $93,267 | $46,633 | — | 8.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $44,866 | $22,433 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $87,889 | $43,944 | — | 8.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $86,285 | $43,142 | — | 8.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $47,135 | $23,568 | — | 8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $120,550 | $60,275 | — | 7.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $242,540 | $121,270 | — | 7.5x |
| SEIZURES WITH MCC | 100 | $102,781 | $51,391 | — | 7.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $300,126 | $150,063 | — | 7.2x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $205,289 | $102,644 | — | 6.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $252,023 | $126,011 | — | 6.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $83,754 | $41,877 | — | 6.8x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $102,480 | $51,240 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $204,144 | $102,072 | — | 6.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $29,995 | $14,998 | — | 6.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $80,596 | $40,298 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,623 | $23,311 | — | 6.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $154,037 | $77,019 | — | 6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $159,962 | $79,981 | — | 6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $122,426 | $61,213 | — | 6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $45,685 | $22,843 | — | 5.9x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | 166 | $138,591 | $69,296 | — | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $46,753 | $23,377 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $73,535 | $36,767 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $73,817 | $36,908 | — | 5.8x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $663,764 | $331,882 | — | 5.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $103,129 | $51,564 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $230,135 | $115,067 | — | 5.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,156 | $12,578 | — | 5.5x |
| DIABETES WITH MCC | 637 | $41,141 | $20,570 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $29,571 | $14,786 | — | 5.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $166,455 | $83,227 | — | 5.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $37,650 | $18,825 | — | 5.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $29,273 | $14,636 | — | 5.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $29,006 | $14,503 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $27,909 | $13,955 | — | 5.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $30,469 | $15,235 | — | 5.3x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $39,182 | $19,591 | — | 5.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $180,981 | $90,490 | — | 5.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $22,862 | $11,431 | — | 5.1x |
| CELLULITIS WITHOUT MCC | 603 | $22,539 | $11,270 | — | 5.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $188,391 | $94,196 | — | 5.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $73,876 | $36,938 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $27,966 | $13,983 | — | 5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $93,157 | $46,579 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,059 | $15,029 | — | 5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $110,354 | $55,177 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $92,299 | $46,150 | — | 5x |
Showing 50 of 91 procedures
How SOUTHEAST HEALTH 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