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Alabama Hospital Doubles Point-of-Service Collections

Published by MDsave on Feb 23, 2026
MDsave & Tendo Marketplace Case Study: Alabama Hospital Doubles Point-of-Service Collections
How Baldwin Health Doubled Point-of-Service Collections with Bundled Self-Pay Pricing
Baldwin Health, a Community Health Systems facility in Foley, Alabama, used Tendo Marketplace to improve point-of-service collections for cash-pay patients. By offering transparently priced, bundled procedures through MDsave, the hospital simplified payment, reduced administrative burden, and more than doubled point-of-service revenue.
At the same time, the program improved patient satisfaction by providing upfront access to clear, all-inclusive pricing.
About Baldwin Health
Baldwin Health is an acute care hospital in Foley, Alabama, serving greater coastal Alabama with:
  • 1,000+ employees
  • Nearly 350,000 annual patient encounters
  • Inpatient, outpatient, emergency, diagnostic, and surgical services
The hospital faced growing challenges related to cash-pay collections and patient affordability.
The Challenge: Inefficient Cash-Pay Collections
Baldwin Health encountered several obstacles in managing its cash-pay population:
  • Long collection timelines
  • Lack of an effective point-of-service collection strategy
  • Revenue gaps that added back-office administrative burden
  • Depressed cash-pay revenue due to inefficient collections
Patients often struggled to understand pricing or pay for procedures upfront, leading to delays, lost revenue, and increased administrative workload.
The Solution: Transparent, Bundled Pricing Through Tendo Marketplace
In April 2019, Baldwin Health implemented MDsave through Tendo Marketplace as part of a corporate program available to Community Health Systems facilities.
Through Tendo Marketplace, Baldwin Health offered transparently priced, bundled procedures available to patients via MDsave. These bundled offerings allowed patients to see all-inclusive pricing upfront and purchase care in advance.
The program supported patient-facing staff and provided a simplified, streamlined experience for both patients and the hospital.
As Nicole Rivera, Director of Revenue Cycle, explains:
“MDsave has become a word that all cash-pay patients hear at Baldwin Health. All physicians who are aware of MDsave utilize it and find it a great tool for their patients.”
Results: 2X Growth in Point-of-Service Revenue
With bundled, transparent pricing in place, Baldwin Health achieved measurable improvements in both revenue and patient experience.
Revenue impact:
  • 2X+ increase in point-of-service revenue
  • Improved upfront cash-pay collections
  • Reduced back-office collection burden
By collecting payment at the time of service through bundled pricing, the hospital accelerated revenue capture and reduced reliance on traditional collections processes.
Improved Patient Satisfaction
Access to clear, upfront pricing improved the patient experience and reduced confusion about medical costs.
“MDsave consistently goes above and beyond to ensure our staff and patients receive the help they deserve.”
— Nicole Rivera, Director of Revenue Cycle
Transparent pricing empowered patients to make informed decisions while improving trust and satisfaction.
Why Bundled Self-Pay Pricing Works
Hospitals serving cash-pay, uninsured, or high-deductible patients often face challenges related to collection timing and pricing transparency.
Bundled, prepaid procedures help:
  • Reduce collection delays
  • Improve point-of-service revenueEliminate surprise billing
  • Simplify administrative workflows
  • Improve patient satisfaction
Through Tendo Marketplace, hospitals can offer bundled procedures via MDsave while maintaining control over pricing and operational processes.
Frequently Asked Questions
How can hospitals improve point-of-service collections?
Hospitals can improve point-of-service collections by offering transparent, bundled pricing that allows patients to pay upfront. Prepaid bundles reduce billing delays and increase collection rates at the time of service.
What does a 2X increase in point-of-service revenue mean?
In this case, Baldwin Health more than doubled its point-of-service cash-pay revenue after implementing bundled pricing through MDsave on Tendo Marketplace.
How does bundled pricing improve patient satisfaction?
When patients see clear, all-inclusive pricing before receiving care, they are more likely to feel confident in their financial decisions and less likely to experience billing confusion or surprise charges.
How does Tendo Marketplace support bundled self-pay programs?
Tendo Marketplace enables hospitals to offer bundled, prepaid procedures available to patients via MDsave. The platform supports transparent pricing, payment processing, and streamlined collections.
Retain patients and increase your point-of-service collections with MDsave on Tendo Marketplace. See how your facility can simplify cash-pay collections while improving patient satisfaction.
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