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ST VINCENT'S BIRMINGHAM

BIRMINGHAM, AL 35205 · Acute Care Hospitals

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

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

Procedures Analyzed

85

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.6x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to AL hospitals

Understanding Your Costs

When you receive a bill from ST VINCENT'S BIRMINGHAM, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ST VINCENT'S BIRMINGHAM lists chargemaster rates that average 5.6x the corresponding Medicare reimbursement amount across 85 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 5.6x, 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 ST VINCENT'S BIRMINGHAM is CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC (DRG 287). The listed chargemaster rate is $63,467, while Medicare reimburses $4,879 for the same procedure — a ratio of 13.0x (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.

ST VINCENT'S BIRMINGHAM is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 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
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$63,467$4,87913.0x
1th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$138,510$10,76712.9x
1th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$123,528$10,02812.3x
1th
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$67,618$6,8439.9x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$167,885$19,0438.8x
1th
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PULMONARY EMBOLISM WITHOUT MCC176$35,537$4,4148.1x
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MAJOR CHEST PROCEDURES WITH CC164$105,447$13,1448.0x
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DISORDERS OF THE BILIARY TRACT WITH CC445$47,688$6,0347.9x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$91,651$11,9427.7x
1th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$38,381$5,0607.6x
0th
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CHEST PAIN313$28,400$3,8337.4x
0th
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$26,222$3,5657.4x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$63,148$8,9217.1x
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GASTROINTESTINAL OBSTRUCTION WITH MCC388$69,362$10,0846.9x
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HYPERTENSION WITHOUT MCC305$28,950$4,2276.8x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$96,154$14,0876.8x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$178,662$26,2606.8x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$131,626$19,9216.6x
1th
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SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$97,441$14,8936.5x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$42,117$6,4516.5x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$53,264$8,3806.4x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$31,981$5,0376.3x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$143,125$22,6796.3x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$43,995$7,0656.2x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$21,832$3,5216.2x
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RED BLOOD CELL DISORDERS WITH MCC811$47,071$7,7456.1x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$16,532$2,7336.0x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$25,379$4,2526.0x
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EXTRACRANIAL PROCEDURES WITH CC038$59,812$10,0715.9x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$73,728$12,6435.8x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$16,134$2,7975.8x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$31,591$5,5775.7x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$32,061$5,7895.5x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$70,503$12,7805.5x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$24,293$4,4355.5x
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COAGULATION DISORDERS813$53,153$9,8225.4x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$61,614$11,4085.4x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$35,867$6,7695.3x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$216,222$40,8005.3x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$58,637$11,2465.2x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$21,800$4,1925.2x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$38,776$7,4885.2x
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COMPLICATIONS OF TREATMENT WITH MCC919$59,475$11,5555.2x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$36,946$7,2985.1x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$21,512$4,2735.0x
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REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$74,245$14,8065.0x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$31,702$6,3575.0x
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CERVICAL SPINAL FUSION WITH CC472$76,603$15,4335.0x
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TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$305,362$61,8574.9x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$45,862$9,3064.9x
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Showing 50 of 85 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
5.6x

67 hospitals in AL report pricing data to CMS. This facility's average ratio of 5.6x 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 ST VINCENT'S BIRMINGHAM

How much does ST VINCENT'S BIRMINGHAM charge compared to Medicare?

According to CMS IPPS data, ST VINCENT'S BIRMINGHAM's listed chargemaster rates average 5.6x the Medicare reimbursement amount across 85 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 ST VINCENT'S BIRMINGHAM?

The procedure with the highest chargemaster-to-Medicare ratio at ST VINCENT'S BIRMINGHAM is CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC (DRG 287), with a listed charge of $63,467 compared to Medicare reimbursement of $4,879 — a ratio of 13.0x. Source: CMS IPPS Provider Summary.

Is ST VINCENT'S BIRMINGHAM expensive compared to other AL hospitals?

ST VINCENT'S BIRMINGHAM's average chargemaster-to-Medicare ratio is 5.6x. 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 ST VINCENT'S BIRMINGHAM 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 ST VINCENT'S BIRMINGHAM 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 ST VINCENT'S BIRMINGHAM in BIRMINGHAM, AL accept Medicare?

ST VINCENT'S BIRMINGHAM is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ST VINCENT'S BIRMINGHAM directly or check with your insurance provider.

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