The Bill Rate Index What the hour costs, and who keeps it
173 facilities · most recent filing each

What Alabama pays for an agency hour.

Hospitals and nursing homes in Alabama, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
98% median premium
across 78 hospitals · national median 85%
Nursing homes, FY2025
333% median premium
across 95 nursing homes · national median 100%

Every hospital on record

78 hospitals, most recent filing each. In FY2025 the typical one paid 98% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
Monroe County HospitalMonroeville$53.58$235.58FY2025
St. Vincents ChiltonClanton$36.20$151.89FY2021
Cullman RegionalCullman$42.20$171.93FY2023
Lakeland Community HospitalHaleyville$29.17$108.35FY2023
Thomas HospitalFairhope$38.43$134.66FY2022
Stringfellow Memorial HospitalAnniston$28.43$96.83FY2021
Marion Regional Medical CenterHamilton$30.84$103.45FY2023
Marshall Medical Centers SouthBoaz$37.39$125.03FY2025
Mobile Infirmary Medical CenterMobile$36.63$117.20FY2024
Encompass Health Rehabilitation HospHuntsville$36.22$109.43FY2022
Encompass Health Lakeshore RehabilitBirmingham$38.44$113.83FY2022
Providence HospitalMobile$35.78$100.87FY2025
Hale County HospitalGreensboro$29.88$82.59FY2025
Usa Health University HospitalMobile$36.24$96.21FY2025
Lake Martin Community HospitalDadeville$25.17$66.56FY2021
Jackson Medical CenterJackson$27.19$71.73FY2021
Jack Hughston Memorial HospitalPhenix City$33.13$87.12FY2025
Bibb Medical CenterCentreville$26.03$65.49FY2025
Highlands Medical CenterScottsboro$26.43$64.89FY2022
Riverview Regional Medical CenterGadsden$31.50$76.88FY2025
East Alabama Medical CenterOpelika$37.18$90.64FY2025
Northwest Medical CenterWinfield$29.44$70.68FY2024
Uab Medical WestBessemer$32.59$77.35FY2025
Encompass Health Rehabilitation HospMontgomery$38.00$89.36FY2024
Vaughan Regional Medical CenterSelma$38.43$88.09FY2024
Wiregrass Medical CenterGeneva$23.01$52.00FY2025
Northeast Alabama Regional Med CtrAnniston$33.29$74.15FY2025
Medical Center EnterpriseEnterprise$31.29$68.80FY2025
Regional Rehabilitation HospitalPhenix City$36.63$80.00FY2024
Thomasville Regional Medical CenterThomasville$23.07$50.00FY2023
Medical Center BarbourEufaula$28.17$60.96FY2024
Bullock County HospitalUnion Springs$25.88$55.94FY2024
Gadsden Regional Medical CenterGadsden$33.54$71.81FY2025
Atmore Community HospitalAtmore$32.78$70.00FY2025
Eamc-lanierValley$33.07$70.00FY2024
Flowers HospitalDothan$30.94$64.97FY2024
Clay County HospitalAshland$24.56$51.01FY2025
Baptist Medical Center SouthMontgomery$38.09$78.47FY2024
Princeton Baptist Medical CenterBirmingham$38.63$76.41FY2025
Dale Medical CenterOzark$29.65$58.56FY2025
Greene County HospitalEutaw$28.19$55.59FY2023
Encompass Health Rehabilitation HospDothan$33.97$66.75FY2023
St Vincents BirminghamBirmingham$38.75$75.86FY2023
Shelby Baptist Medical CenterAlabaster$42.60$82.30FY2025
Troy Regional Medical CenterTroy$38.39$73.97FY2024
Citizens Baptist Medical CenterTalladega$34.92$66.82FY2023
Crestwood Medical CenterHuntsville$34.47$65.94FY2024
Grandview Medical CenterBirmingham$35.47$67.64FY2024
St. Vincents St. ClairPell City$38.74$71.79FY2024
Encompass Health Rehabilitation HospGadsden$34.63$63.89FY2023
Brookwood Baptist Medical CenterBirmingham$43.55$79.21FY2025
University Of Alabama HospitalBirmingham$40.22$72.18FY2025
Athens LimestoneAthens$36.48$65.40FY2024
Mizell Memorial HospitalOpp$26.38$46.20FY2024
Southeast Health Medical CenterDothan$42.40$74.19FY2025
Whitfield Regional HospitalDemopolis$27.75$48.32FY2025
Walker Baptist Medical CenterJasper$38.37$66.31FY2025
Encompass Health Rehabilitation HospPelham$39.88$68.27FY2024
Ssh - BirminghamBirmingham$43.08$71.83FY2024
Fayette Medical CenterFayette$32.27$53.11FY2025
St. Vincents EastBirmingham$39.51$63.85FY2023
Russell Medical CenterAlexander City$27.93$44.47FY2025
Andalusia Regional HospitalAndalusia$37.11$58.57FY2024
Springhill Memorial HospitalMobile$33.41$52.67FY2025
Dekalb Regional Medical CenterFort Payne$38.22$56.00FY2025
Dch Regional Medical CenterTuscaloosa$37.66$54.90FY2025
D W Mcmillan Memorial HospitalBrewton$34.44$49.16FY2025
Jackson Hospital And Clinic IncMontgomery$41.36$58.73FY2025
Coosa Valley Medical CenterSylacauga$34.42$47.47FY2024
Callahan Eye Foundation HospBirmingham$29.35$37.66FY2022
Regional Medical Ctr Of Central AlGreenville$31.88$40.45FY2024
South Baldwin Regional Medical CenteFoley$34.40$43.16FY2025
Helen Keller HospitalSheffield$38.59$46.08FY2024
Shoals HospitalMuscle Shoals$34.19$39.72FY2024
Baptist Medical Center EastMontgomery$39.22$40.39FY2024
John Paul Jones HospitalCamden$31.68$32.28FY2025
Huntsville HospitalHuntsville$45.10$38.15FY2024
Prattville Baptist HospitalPrattville$38.14$32.12FY2024

Every nursing home on record

95 nursing homes, most recent filing each. In FY2025 the typical one paid 333% more for an hour of contract staff than for an hour of its own, against a national median of 100%.

Nursing homeCityEmployed hourContract hourPremiumYear
The Pines Of Camden LlcCamden$22.21$96.25FY2025
Arabella Health & Wellness Of PhenixPhenix City$18.30$72.28FY2022
Arbor Woods Health And RehabReform$18.55$68.87FY2022
Marengo County Nursing HomeLinden$20.61$76.33FY2022
Limestone Nursing And RehabilitationAthens$19.43$70.70FY2024
Generations Of Vernon LlcVernon$21.30$75.00FY2024
Lafayette Nursing Home LlcLafayette$23.35$80.89FY2022
Westside TerraceDothan$19.24$65.27FY2024
Self Skilled Nursing & RehabHueytown$24.37$80.65FY2022
Trussville Health & Rehab CenterTrussville$15.80$50.42FY2021
Ridgeview Health Services Inc.Jasper$24.27$77.31FY2022
Hatley Health Care Inc.Clanton$22.45$70.47FY2022
Hanceville Nursing Home Inc.Hanceville$23.80$74.56FY2024
Arbor Springs Health & Rehab CenterOpelika$23.85$72.06FY2022
Little Sisters Of The PoorMobile$24.04$71.44FY2024
Ridgewood Health Services Inc.Jasper$23.75$69.82FY2022
Regency Health Care & Rehab CenterHuntsville$20.09$58.14FY2023
Mcguffey Health Care CenterGadsden$23.06$66.53FY2024
Gadsden Health & RehabGadsden$16.62$47.23FY2021
Lighthouse Convalescent HomeSelma$25.19$70.41FY2024
Southern Care LlcGuin$24.02$66.39FY2022
Capitol Hill Healthcare CenterMontgomery$26.06$71.27FY2024
Diversicare Of MarionMarion$15.77$42.66FY2021
Arabella Health & Wellness Of SelmaSelma$24.15$65.12FY2024
Southland Nursing HomeMarion$22.73$61.10FY2024
Arabella Health & Wellness Of BirminBirmingham$26.26$69.93FY2024
Arabella Health & Wellness Of RusselRusselville$26.03$68.59FY2024
Traylor Retirement CommunityRoanoke$23.08$60.53FY2022
Noland Management ServicesMobile$21.21$54.12FY2021
Adams Nursing HomeAlexander City$25.45$64.85FY2024
Eastview Rehab & Healthcare CtrBirmingham$27.86$70.89FY2024
Ti-resurrection Life Center LlcDeatsville$26.58$67.60FY2024
Marshall Manor Nursing HomeGuntersville$25.70$65.28FY2024
Lafayette Extended CareLafayette$24.73$62.47FY2024
Roanoke Health Care CenterRoanoke$28.43$71.47FY2024
Oak Crest Health & WellnessBessemer$26.68$66.68FY2024
Orchard Rehab & Healthcare CtrHayneville$27.37$68.40FY2024
Magnolia Haven Nursing HomeTuskegee$28.20$70.41FY2024
South Hampton Nursing & RehabOwens Crossroads$25.67$63.71FY2024
Canterbury Health Care FacilityPhenix City$24.59$60.76FY2024
Falkville Health Care CenterFalkville$25.80$63.26FY2024
Generations Of Red Bay LlcRed Bay$30.89$75.00FY2024
Decatur Health & RehabDecatur$26.27$63.37FY2024
Twin Oaks Nursing HomeMobile$26.53$63.69FY2024
Cherry Hill Rehab & Healthcare CtrBirmingham$28.06$67.27FY2024
Ridgeway Rehabiliation & Senior LiviBessemer$25.47$60.93FY2024
Dadeville Healthcare CenterDadeville$23.06$54.11FY2024
Arabella Health & Wellness Of FairhoFairhope$27.25$63.46FY2024
Robertsdale Rehab & Healthcare CtrRobertsdale$28.09$65.05FY2024
Fairview At Redstone VillageHuntsville$33.49$77.22FY2024
Nhc Of MoultonMoulton$24.79$56.78FY2024
Southern Springs Hlth Care FacilityUnion Springs$22.33$50.80FY2024
Northside Health CareGadsden$24.62$55.96FY2024
Heritage Health Care & Rehab Inc.Tuscaloosa$25.12$57.00FY2024
Florence Nursing & Rehab Center LlcFlorence$24.36$54.56FY2022
The Healthcare Center At Buck CreekAlabaster$26.79$59.00FY2023
Brookshire Healthcare CenterHuntsville$27.29$59.54FY2024
Chapman Healthcare Center Inc.Alexander City$25.72$55.81FY2024
Mitchell Hollingsworth Nrsg & RehabFlorence$25.64$55.58FY2024
Andalusia ManorAndalusia$25.59$55.31FY2024
Diversicare Of GreensboroGreensboro$19.81$42.66FY2021
Springhill Senior ResidenceMobile$26.00$55.13FY2024
Arabella Health & Wellness Of MobileMobile$25.29$53.58FY2024
St. Martins In The PinesBirmingham$19.12$40.27FY2021
Haleyville Health Care CenterHaleyville$23.35$49.01FY2024
Cumberland Health & RehabBridgeport$22.49$46.88FY2024
Coosa Valley Healthcare Center LlcSylacauga$24.11$48.67FY2024
Monroe Manor Nursing HomeMonroeville$26.95$54.36FY2024
Elite Nursing And Rehabilitation CarBirmingham$23.23$46.49FY2024
The Folsom CenterCullman$23.47$46.54FY2024
Enterprise Nursing HomeEnterprise$23.05$45.60FY2024
Arlington Rehab & Healthcare CtrBirmingham$32.14$59.91FY2024
Birmingham Nrsg & Rehab Ctr East LlcBirmingham$26.14$48.68FY2024
North Hill Nursing & Rehab Ctr LlcBirmingham$23.60$43.76FY2023
Goodwater Healthcare CenterGoodwater$23.59$41.18FY2024
Arabella Health & Wellness Of MontgoMontgomery$27.98$48.37FY2024
1002 Signature Healthcare Of WhitesbHuntsville$31.24$52.47FY2024
Cullman Health Care CenterCullman$24.86$39.40FY2024
Nhc Of AnnistonAnniston$25.71$40.43FY2024
Magnolia Ridge CenterGardendale$28.20$42.97FY2024
Glenwood CenterFlorence$26.02$39.15FY2024
Merry Wood LodgeElmore$28.86$42.90FY2024
Cypress Cove CenterMuscle Shoals$27.38$40.58FY2024
Attalla Health CareAttalla$26.89$39.06FY2021
Rivr City CenterDecatur$30.98$44.78FY2024
Cottage Of The ShoalsTuscumbia$28.90$41.65FY2024
Cherokee County Health & Rehab CtrCentre$22.12$30.64FY2024
Westminster VillageSpanish Fort$24.43$33.66FY2024
Keller LandingTuscumbia$28.14$36.76FY2024
Mobile Nursing & Rehab Center LlcMobile$26.27$33.31FY2022
Galleria Woods Skilled Nursing FacilBirmingham$25.07$28.69FY2024
Terrace Manor Nursing & RehabRussellville$23.11$25.32FY2024
Millennium Nursing & Rehab CenterHuntsville$34.46$36.11FY2024
Piedmont Health Care CenterPiedmont$31.99$32.71FY2024
Willowbrooke Court At Magnolia TraceHuntsville$26.21$16.96FY2024

Working a contract in Alabama?

See your own package against these figures.

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