Quick answers
- Does Baldwin Health have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Baldwin Health. In a medical emergency, call 911.
- Where is Baldwin Health?
- 1613 North McKenzie Street, Foley, AL 36535, in Baldwin County, Alabama.
- What is the phone number of Baldwin Health?
- (251) 949-3400, as listed by Medicare (CMS).
- What is the Medicare star rating of Baldwin Health?
- 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Baldwin Health for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for Baldwin Health under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -1.0134; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4]
- Diabetes care
- Geriatric services
- Heart care
- Maternity
- Orthopedics
- Pain management
- Pediatrics
- Rehabilitation
- Respiratory care
- Sleep disorders
- Stroke care
- Surgical services
- Urology
- Women's health
- Wound Care & Hyperbaric Medicine
- Sepsis care
Programs and centers[4]
- Wound Care & Hyperbaric Medicine Center
- Women's imaging
Emergency care (hospital website)[4][5]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Doctors and clinicians (370)
370 doctors and other clinicians list Baldwin Health as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Nurse Practitioner92
- Family Practice44
- Internal Medicine25
- Diagnostic Radiology22
- Physician Assistant19
- Certified Registered Nurse Anesthetist (CRNA)15
- Anesthesiology15
- Orthopedic Surgery15
- Emergency Medicine12
- General Surgery11
- Obstetrics/Gynecology9
- Urology7
Doctors with a page on this site (370)
- Adam L. Hamrick, DOEmergency Medicine
- Albert J. Savage Iv, MDOrthopedic Surgery
- Alfred M. Neumann Jr., MDOtolaryngology
- Alicia SettleNurse Practitioner
- Alixandra V. RyanInternal Medicine
- Allison M. Bolton, MDHospitalist
- Ally WhitePhysician Assistant
- Allyn Resch, MDInternal Medicine
- Amanda K. Smith, MDFamily Practice
- Amy L. StanleyNurse Practitioner
- Amy P. YounceNurse Practitioner
- Amy R. Woods, MDGastroenterology
- Andrea RowePhysician Assistant
- Andrew ShreveNurse Practitioner
- Andrew T. Manley, MDNeurology
- Ann M. Carr, MDNeurosurgery
- Anna C. Pitts, PAPhysician Assistant
- Anna M. Lee, MDInternal Medicine
- Anthony KeyNurse Practitioner
- Ashley B. Von Bergen, NPNurse Practitioner
- Ashley BoothNurse Practitioner
- Ashley D. Coleman, MDFamily Practice
- Ashley L. DugganNurse Practitioner
- Ashwin Ananth, MDOtolaryngology
And 346 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Thomas Hospital14 mi · Fairhope, AL · Acute Care Hospital
- Baptist Hospital28 mi · Pensacola, FL · Acute Care Hospital
- Sacred Heart Hospital28 mi · Pensacola, FL · Acute Care Hospital
- HCA Florida West Hospital29 mi · Pensacola, FL · Acute Care Hospital
- USA Health Children's & Women's Hospital30 mi · Mobile, AL · Children's Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Foley
- Eastpointe Hospital19 mi · Daphne, AL · Psychiatric Hospital
- Select Specialty Hospital Pensacola28 mi · Pensacola, FL · Long-Term Acute Care Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Diversicare of Foley0.1 mi · Foley, AL · 2 of 5 stars
- Robertsdale Rehabilitation & Healthcare Center10 mi · Robertsdale, AL · 2 of 5 stars
- Fairhope Health & Rehab15 mi · Fairhope, AL · 2 of 5 stars
All nursing homes in the state →
Hospice providers
- ACG Hospice4.2 mi · Foley, AL · 4 of 5 stars
- Aveanna Hospice of Fairhope11 mi · Fairhope, AL · 4 of 5 stars
All hospice providers in the state →
Home health agencies
- Amedisys Home Health of Foley4.2 mi · Foley, AL · 4 of 5 stars
- Aveanna Home Health4.2 mi · Foley, AL · 4.5 of 5 stars
- Centerwell Home Health4.2 mi · Foley, AL · 4 of 5 stars
All home health agencies in the state →
Dialysis facilities
- Fresenius Kidney Care Foley4.2 mi · Foley, AL · 2 of 5 stars
- FMC Eastern Shore11 mi · Fairhope, AL · 3 of 5 stars
- FMC Home Therapy Services of Baldwin County11 mi · Fairhope, AL · 4 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Specialty Surgical Center4.2 mi · Foley, AL
- Fairhope Surgery Center11 mi · Fairhope, AL
- USA Health Baldwin ASC11 mi · Fairhope, AL
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- South Baldwin Family Health Center0.1 mi · Foley, AL · Community health center
- Accordia Health - South Baldwin1.7 mi · Foley, AL · Community health center
- Altapointe Health Systems Inc4.2 mi · Foley, AL · Community health center
Clinics and urgent care
- Coastal Pediatrics LLC3.8 mi · Summerdale, AL · Rural health clinic
- Rural Urgent Care LLC19 mi · Pensacola, FL · Urgent care center
Pharmacies
- Alabama CVS Pharmacy, L.L.C.4.2 mi · Foley, AL · Pharmacy
- Foley Pharmacy4.2 mi · Foley, AL · Pharmacy
- Langham Drug Store Inc4.2 mi · Foley, AL · Community/retail pharmacy
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Baldwin Health reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 3 of 5 stars |
| Would recommend the hospital | 3 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 3 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 2 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 3 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 68%National average: 72% |
| Would definitely recommend the hospital | 69%National average: 71% |
| Nurses “always” communicated well | 81%National average: 80% |
| Doctors “always” communicated well | 80%National average: 80% |
| “Always” got help as soon as they wanted | 63%National average: 64% |
| Staff “always” explained medicines before giving them | 62%National average: 62% |
| Were given information about recovery at home | 82%National average: 86% |
| Room and bathroom “always” clean | 68%National average: 73% |
| Completed surveys | 780Response rate: 23% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 0No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.328No different from the national benchmark |
| Surgical site infections after colon surgery | 0.47No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.712No different from the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 10.7% |
|---|---|
| Deaths within 30 days: heart failure patients | 11.8% |
| Deaths within 30 days: pneumonia patients | 14.7% |
| Deaths within 30 days: COPD patients | 9.4% |
| Deaths within 30 days: stroke patients | 13.2% |
| Serious complications (patient safety indicator PSI-90) | 0.85No different from the national rate |
| Complications after hip or knee replacement | 4.8% |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG) |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 15.9% |
|---|---|
| Readmitted within 30 days: heart attack | 13.1% |
| Readmitted within 30 days: heart failure | 21.2% |
| Readmitted within 30 days: pneumonia | 18.2% |
| Readmitted within 30 days: COPD | 19.6% |
| Readmitted within 30 days: hip or knee replacement | 6.3% |
| Too few cases to report | Readmitted within 30 days: coronary bypass surgery |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | High (40,000–59,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 146 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 2%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 70%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Baldwin Health, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | -1.0134Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart attack | 0.9740Fewer readmissions than expected |
|---|---|
| Heart failure | 1.0208More readmissions than expected |
| Pneumonia | 1.0109More readmissions than expected |
| COPD (chronic lung disease) | 0.9522Fewer readmissions than expected |
| Hip or knee replacement | 1.2704More readmissions than expected |
| No result published | Coronary bypass surgery (CABG) (not reported, or too few cases) |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 37.42 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 14.00 out of 100 |
| Person and community engagement (patient survey) | 49.00 out of 100 |
| Safety (infections and sepsis care) | 76.67 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 10.00 out of 100 |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 0.98Below the national median hospital (1.00): Medicare spent less |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Baldwin Health lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
$! 5 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.
Show the prices of 64 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST | $3,651.92 | $657.35 | $56.88 – $3,577 |
Emergency room visit (moderate): 10 of 51 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED-INTERMED ED VIST | $3,651.92 | $657.35 | $56.88 – $3,577 |
Emergency room visit (moderate): 10 of 51 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST | $3,651.92 | $1,095.58 | $1,095.58 – $3,323.25 |
Emergency room visit (moderate): rates for 10 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT | $7,040.35 | $1,267.26 | $104.24 – $7,027 |
Emergency room visit (moderately high): 10 of 51 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED-EXTENDED ED VISIT | $7,040.35 | $1,267.26 | $104.24 – $7,027 |
Emergency room visit (moderately high): 10 of 51 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT | $7,040.35 | $2,112.11 | $2,112.10 – $6,406.72 |
Emergency room visit (moderately high): rates for 10 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST | $9,206.93 | $1,657.25 | $159.59 – $9,197 |
Emergency room visit (high): 10 of 51 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST AR TRA EM LV 5F | $9,206.93 | $1,657.25 | $159.59 – $9,197 |
Emergency room visit (high): 10 of 51 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED-COMPREHEN ED VST | $9,206.93 | $1,657.25 | $159.59 – $9,197 |
Emergency room visit (high): 10 of 51 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA | $521.50 | $93.87 | $4.57 – $474.56 |
Basic metabolic panel (blood test): 10 of 52 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA | $521.50 | $156.45 | $156.45 – $474.56 |
Basic metabolic panel (blood test): rates for 10 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METAB PANEL | $651.39 | $117.25 | $5.70 – $592.76 |
Comprehensive metabolic panel (blood test): 10 of 53 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METAB PANEL | $651.39 | $195.42 | $195.42 – $592.76 |
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL | $825.73 | $148.63 | $7.23 – $751.41 |
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL | $825.73 | $247.72 | $247.72 – $751.41 |
Cholesterol panel (lipid panel): rates for 10 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL | $535.50 | $96.39 | $4.69 – $487.30 |
Kidney function panel: 10 of 52 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL | $535.50 | $160.65 | $160.65 – $487.30 |
Kidney function panel: rates for 10 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN | $1,390.19 | $250.23 | $4.41 – $1,265.07 |
Liver function panel: 10 of 52 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN | $1,390.19 | $417.06 | $417.06 – $1,265.07 |
Liver function panel: rates for 10 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE | $195.80 | $35.24 | $1.71 – $178.18 |
Urine test (automated, with microscope): 10 of 52 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE | $195.80 | $58.74 | $58.74 – $178.18 |
Urine test (automated, with microscope): rates for 10 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE | $138.38 | $24.91 | $1.22 – $125.93 |
Urine test (automated, without microscope): 10 of 52 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE | $138.38 | $41.51 | $41.51 – $125.93 |
Urine test (automated, without microscope): rates for 10 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL | $1,134.45 | $204.20 | $9.93 – $1,032.35 |
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L480772 PSA TOT | $1,134.45 | $204.20 | $9.93 – $1,032.35 |
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL | $1,134.45 | $340.34 | $340.34 – $1,032.35 |
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIM TSH | $158.99 | $28.62 | $9.07 – $144.68 |
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NBS THYROID STIM TSH | $158.99 | $28.62 | $9.07 – $144.68 |
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIM TSH | $158.99 | $47.70 | $47.70 – $144.68 |
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD | $479.06 | $86.23 | $4.20 – $435.94 |
Complete blood count (CBC) with differential: 10 of 52 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD | $479.06 | $143.72 | $143.72 – $435.94 |
Complete blood count (CBC) with differential: rates for 10 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT | $398.64 | $71.76 | $3.49 – $362.76 |
Complete blood count (CBC), automated: 10 of 53 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT | $398.64 | $119.59 | $119.59 – $362.76 |
Complete blood count (CBC), automated: rates for 10 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME | $242.28 | $43.61 | $2.32 – $220.47 |
Blood clotting time test (prothrombin time, PT): 10 of 52 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME | $242.28 | $72.68 | $72.68 – $220.47 |
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT | $370.66 | $66.72 | $3.25 – $337.30 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 52 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L117157 APTT | $370.66 | $66.72 | $3.25 – $337.30 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 52 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT | $370.66 | $111.20 | $111.20 – $337.30 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-HEAD WO | $4,698.73 | $845.77 | $92.29 – $4,275.84 |
CT scan of the head or brain, without contrast: 10 of 51 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-HEAD WO | $4,698.73 | $1,409.62 | $1,409.62 – $4,275.84 |
CT scan of the head or brain, without contrast: rates for 10 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-BRAIN WWO | $12,445.23 | $2,240.14 | $309.85 – $11,325.16 |
MRI of the brain, before and after contrast: 10 of 51 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-BRAIN WWO | $12,445.23 | $3,733.57 | $3,733.57 – $11,325.16 |
MRI of the brain, before and after contrast: rates for 10 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR | $2,436.15 | $438.51 | $16.14 – $2,216.90 |
Chest X-ray, 2 views: 10 of 52 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR | $2,436.15 | $730.85 | $730.84 – $2,216.90 |
Chest X-ray, 2 views: rates for 10 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR | $3,185.93 | $573.47 | $30.02 – $2,899.20 |
X-ray of the lower spine, at least 4 views: 10 of 51 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR | $3,185.93 | $955.78 | $955.78 – $2,899.20 |
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO | $10,295.72 | $1,853.23 | $209.59 – $9,369.11 |
MRI of the lower back (lumbar spine), without contrast: 10 of 51 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO | $10,295.72 | $3,088.72 | $3,088.72 – $9,369.11 |
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W | $5,348.06 | $962.65 | $80.06 – $4,866.73 |
CT scan of the pelvis, with contrast: 10 of 51 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W | $5,348.06 | $1,604.42 | $1,604.42 – $4,866.73 |
CT scan of the pelvis, with contrast: rates for 10 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LW JOINT WO | $4,698.77 | $845.78 | $209.50 – $4,275.88 |
MRI of a leg joint (such as the knee), without contrast: 10 of 51 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LW JOINT WO | $4,698.77 | $1,409.63 | $1,409.63 – $4,275.88 |
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MR-LW JOINT WO BI | $9,397.55 | $1,691.56 | $375.14 – $8,551.77 |
MRI of a leg joint (such as the knee), without contrast: 10 of 51 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W | $5,348.06 | $962.65 | $242.07 – $4,866.73 |
CT scan of the abdomen and pelvis, with contrast: 10 of 51 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W | $5,348.06 | $1,604.42 | $1,604.42 – $4,866.73 |
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO | $1,989.18 | $358.05 | $92.19 – $1,810.15 |
Ultrasound of the abdomen, complete: 10 of 51 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO | $1,989.18 | $596.75 | $596.75 – $1,810.15 |
Ultrasound of the abdomen, complete: rates for 10 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-PELVIS PREG | $1,997.65 | $359.58 | $37.82 – $1,817.86 |
Pregnancy ultrasound (after the first trimester): 10 of 51 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-PELVIS PREG | $1,997.65 | $599.30 | $599.29 – $1,817.86 |
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL | $2,023.40 | $364.21 | $42.61 – $1,841.29 |
Transvaginal ultrasound: 10 of 51 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL | $2,023.40 | $607.02 | $607.02 – $1,841.29 |
Transvaginal ultrasound: rates for 10 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT | $1,877.38 | $337.93 | $27.56 – $1,708.42 |
Diagnostic mammogram, one breast: 10 of 52 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT | $1,877.38 | $563.21 | $563.21 – $1,708.42 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT | $2,311.84 | $416.13 | $34.98 – $2,103.77 |
Diagnostic mammogram, both breasts: 10 of 51 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT | $2,311.84 | $693.55 | $693.55 – $2,103.77 |
Diagnostic mammogram, both breasts: rates for 10 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI | $2,311.84 | $416.13 | $43.03 – $2,103.77 |
Screening mammogram, both breasts: 10 of 52 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI | $2,311.84 | $693.55 | $693.55 – $2,103.77 |
Screening mammogram, both breasts: rates for 10 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: BR-DIG MAMMO SCRN UN | $2,311.84 | $416.13 | $21.51 – $2,103.77 |
Screening mammogram, both breasts: 10 of 52 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC | $41,408.96 | $7,453.61 | $527.23 – $37,682.15 |
Left heart catheterization (diagnostic): 10 of 51 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC | $41,408.96 | $12,422.69 | $12,422.69 – $37,682.15 |
Left heart catheterization (diagnostic): rates for 10 insurance plans
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-COMP EP W-O ARRY | $31,610.55 | $5,689.90 | $225.43 – $28,765.60 |
Heart rhythm study (electrophysiology evaluation): 10 of 48 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP-COMP EP W-O ARRY | $31,610.55 | $9,483.17 | $9,483.16 – $28,765.60 |
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-ATR FIB PULM VN I | $99,999.14 | $17,999.85 | $814.99 – $90,999.22 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 49 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP-ATR FIB PULM VN I | $99,999.14 | $29,999.74 | $29,999.74 – $90,999.22 |
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNO GT4 GE6YO | $19,741.41 | $3,553.45 | $369.30 – $17,964.68 |
Sleep study (overnight, in a sleep lab): 10 of 51 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNO GT4 GE6YO | $19,741.41 | $5,922.42 | $5,922.42 – $17,964.68 |
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PT | $468.74 | $84.37 | $14.69 – $426.55 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PTA | $468.74 | $84.37 | $14.69 – $426.55 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THER EXRCS-15MIN OT | $477.71 | $85.99 | $14.69 – $434.72 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT | $1,084.38 | $195.19 | $45 – $986.79 |
Physical therapy evaluation (low complexity): 10 of 51 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PTA | $1,084.38 | $195.19 | $45 – $986.79 |
Physical therapy evaluation (low complexity): 10 of 51 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT | $1,084.38 | $325.31 | $325.31 – $986.79 |
Physical therapy evaluation (low complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT | $1,084.38 | $195.19 | $45 – $986.79 |
Physical therapy evaluation (moderate complexity): 10 of 51 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PTA | $1,084.38 | $195.19 | $45 – $986.79 |
Physical therapy evaluation (moderate complexity): 10 of 51 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT | $1,084.38 | $325.31 | $325.31 – $986.79 |
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT | $1,084.38 | $195.19 | $45 – $986.79 |
Physical therapy evaluation (high complexity): 10 of 51 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PTA | $1,084.38 | $195.19 | $45 – $986.79 |
Physical therapy evaluation (high complexity): 10 of 51 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT | $1,084.38 | $325.31 | $325.31 – $986.79 |
Physical therapy evaluation (high complexity): rates for 10 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION | $55,449.65 | $9,980.94 | $365.97 – $50,459.18 |
Removal of breast growth (open surgery): 10 of 50 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT | $137,772.70 | $24,799.09 | $1,139.40 – $125,373.16 |
Total hip replacement: 10 of 48 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT | $153,450.77 | $27,621.14 | $511.49 – $139,640.20 |
Total knee replacement: 10 of 48 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY | $124,419.68 | $22,395.54 | $0.54! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $113,221.91 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 28 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY | $75,106.61 | $13,519.19 | $440.80 – $68,347.02 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 51 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS | $46,126.94 | $8,302.85 | $261.97 – $41,975.52 |
Removal of tonsils and adenoids (under age 12): 10 of 51 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS | $35,779.04 | $6,440.23 | $246.34 – $32,558.93 |
Upper GI endoscopy (diagnostic): 10 of 51 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY | $24,548.60 | $4,418.75 | $317.69 – $22,339.23 |
Upper GI endoscopy with biopsy: 10 of 51 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY | $16,148.95 | $2,906.81 | $294.47 – $14,695.54 |
Colonoscopy (diagnostic): 10 of 51 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY | $26,198.27 | $4,715.69 | $370.97 – $23,840.43 |
Colonoscopy with biopsy: 10 of 51 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY | $26,889.65 | $4,840.14 | $383.49 – $24,469.58 |
Colonoscopy with removal of polyps (snare): 10 of 51 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND | $15,902.36 | $2,862.42 | $294.66 – $14,471.15 |
Screening colonoscopy (not high risk): 10 of 48 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $210,703.36 | $37,926.60 | $440.80 – $191,740.06 |
Gallbladder removal by laparoscope: 10 of 50 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA | $131,002.57 | $23,580.46 | $462.86 – $119,212.34 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 51 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE | $39,440.37 | $7,099.27 | $0.54! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $35,890.74 |
Prostate biopsy: 10 of 29 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD | $168,670.40 | $30,360.67 | $1,074.30 – $153,490.06 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 47 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY | $83,489.53 | $15,028.12 | $440.80 – $75,975.47 |
Hysteroscopy with biopsy of the uterus lining: 10 of 51 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC | $11,413.96 | $2,054.51 | $220.48 – $10,386.70 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 50 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S | $10,998.62 | $1,979.75 | $211.73 – $10,008.74 |
Nerve root injection, lower back, with imaging guidance: 10 of 51 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY | $80,644.75 | $14,516.06 | $383.49 – $73,386.72 |
Carpal tunnel release: 10 of 51 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE CATARACT/INSERT LENS | $29,579.77 | $5,324.36 | $479.31 – $26,917.59 |
Cataract removal with lens implant: 10 of 51 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $642.66! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $273,427.78 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 48 insurance plan rates
| |||
| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | Not listed in the file | Not listed in the file | $642.66 – $71,756 |
Spinal fusion (not neck), without major complications: 10 of 43 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | Not listed in the file | $642.66 – $49,283.40 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 48 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $642.66 – $62,375.22 |
Neck (cervical) spinal fusion, without complications: 10 of 48 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $642.66 – $46,788.77 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 48 insurance plan rates
| |||
Source: Baldwin Health’s standard charges file (baldwinhealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 1613 North McKenzie Street, Foley, AL 36535 |
| County | Baldwin County |
| State | Alabama |
| Phone | (251) 949‑3400 |
| Emergency services | Yes |
| Ownership | Proprietary |
| Medicare overall rating | 4 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 010083 |
| Name in Medicare records | BALDWIN HEALTH |
| Profile level | Medicare data + hospital website |
| Official website | baldwinhealth.com |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- About Us - Baldwin Health — baldwinhealth.com
- Emergency Services - Baldwin Health — baldwinhealth.com