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Short Term Acute Care HospitalProprietary

Grandview Medical Center

Community Health Systems · Birmingham, AL

3690 Grandview Parkway, Birmingham, AL 35243(205) 971-1000

3 of 5

CMS star rating

436

Beds

28,233

Inpatient discharges a year

$693.6M

Net patient revenue a year

39

In-network payers

About this hospital

Grandview Medical Center is a 436-bed proprietary hospital in Birmingham, AL, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 355 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • ACO participant
  • Helipad
CCN
010104
NPI
1023061405
Health system
Community Health Systems
Teaching
Teaching hospital
County
Jefferson County
Metro area
Birmingham, AL MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2009

Prices for common services

The 24 services Grandview Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,097 - $7,003

from 2 insurers · median $5,550

UnitedHealthcare$4,097
Insurer A*$7,003

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$20,035 - $21,946

from 2 insurers · median $20,991

UnitedHealthcare$21,946
Insurer A*$20,035
Medicare $8,352Nearby hospitals $27,71724% below nearby hospitals

130 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$40,772

negotiated rate

UnitedHealthcare$40,772
Medicare $20,685Nearby hospitals $56,30828% below nearby hospitals

104 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,600 - $5,096

from 4 insurers · median $4,148

Cigna$5,096
Insurer A*$2,600
Insurer B*$3,804
Insurer C*$4,492
Medicare $2,800Nearby hospitals $3,43621% above nearby hospitals

27 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Grandview Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*14
288%
95
Insurer B*23
195%
134
Insurer C*17
158%
58
Insurer D*15
130%
140

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Grandview Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 174 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.50%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 45 services, including trauma care
    • 824 affiliated clinicians
    See doctors and services
  • Finances

    $693.6M net patient revenue

    • Operating margin on patient care 11.9%
    • $11.9M unreimbursed and uncompensated care
    • $92.9M net income
    See finances
  • Ownership and leadership

    Owned by CHS Community Health Systems Inc

    • Private (for profit)
    • Jason Kevin Johnson, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Grandview Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
20-3391873Affinity Hospital LLC67Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 62 more1023061405 Affinity Hospital LLC1760685523 Affinity Hospital LLC1043263221 Affinity Hospital LLCand 3 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3690 Grandview Parkway, Birmingham, AL 35243

(205) 971-1000

Get directions

Frequently asked questions

About Grandview Medical Center's rates and hospital price transparency.

How much does an MRI cost at Grandview Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Grandview Medical Center range from $572 to $4,221 across 4 insurers. Cigna's rate is $572. The median at nearby comparable hospitals is $560. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Grandview Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Grandview Medical Center range from $540 to $764 across 3 insurers. Blue Cross Blue Shield's rate is $540. The median at nearby comparable hospitals is $451. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Grandview Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Grandview Medical Center range from $1,548 to $2,600 across 4 insurers. Aetna's rate is $2,600. The median at nearby comparable hospitals is $2,292. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Grandview Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Grandview Medical Center range from $4,097 to $7,003 across 2 insurers. UnitedHealthcare's rate is $4,097. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Grandview Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Grandview Medical Center range from $102 to $391 across 3 insurers. Aetna's rate is $391. The median at nearby comparable hospitals is $88. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Grandview Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Grandview Medical Center range from $20,035 to $21,946 across 2 insurers. UnitedHealthcare's rate is $21,946. The median at nearby comparable hospitals is $27,717. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Grandview Medical Center's CMS star rating?

Grandview Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Grandview Medical Center a teaching hospital?

Yes. CMS counts 0.09 Medicare-funded residents per bed at Grandview Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Grandview Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Grandview Medical Center's base inpatient payments by an estimated 0.50% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Grandview Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (366 discharges), heart failure and shock with mcc (176 discharges), percutaneous and other intracardiac procedures without mcc (127 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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