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Acute Care Hospital

Decatur Morgan Hospital - Decatur Campus

Decatur, Alabama · Morgan County · Emergency services listed

Summary

Decatur Morgan Hospital - Decatur Campus is an acute care hospital in Decatur, Alabama. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 16 services, specialties and programs. Medicare lists 471 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
16Services listed

Quick answers

Does Decatur Morgan Hospital - Decatur Campus have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Decatur Morgan Hospital - Decatur Campus. In a medical emergency, call 911.
Where is Decatur Morgan Hospital - Decatur Campus?
1201 7th Street SE, Decatur, AL 35601, in Morgan County, Alabama.
What is the phone number of Decatur Morgan Hospital - Decatur Campus?
(256) 341-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Decatur Morgan Hospital - Decatur Campus?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6]

Treatments[6]

  • Lactation consultations
  • Inpatient postpartum care

Procedures[6]

Programs and centers[4][6]

  • Prenatal and childbirth classes
  • Babies Sleep Safe program

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

VisitingGeneral visiting 8 a.m. to 9 p.m. (main entrance only after hours); ICU 10 a.m.-5 p.m. and 8-9 p.m., two visitors at a time[5]

Doctors and clinicians (471)

471 doctors and other clinicians list Decatur Morgan Hospital - Decatur Campus 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

Doctors with a page on this site (471)

And 447 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

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

Clinics and urgent care

Pharmacies

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 Decatur Morgan Hospital - Decatur Campus 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) 4 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean76%National average: 74%
Area around the room “always” quiet at night61%National average: 60%
Completed surveys963Response rate: 17%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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)0.152Better than the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.129No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.292Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patients12%
Deaths within 30 days: heart failure patients14.8%
Deaths within 30 days: pneumonia patients16.2%
Deaths within 30 days: COPD patients7.4%
Deaths within 30 days: stroke patients17.4%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.19No different from the national rate
Complications after hip or knee replacement5.5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)Not reported to Medicare
Readmitted within 30 days: heart attack13.8%
Readmitted within 30 days: heart failure22.1%
Readmitted within 30 days: pneumonia16.3%
Readmitted within 30 days: COPD19.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.8%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)160 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)47%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

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 66 common services exactly as Decatur Morgan Hospital - Decatur Campus 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: LEVEL 3 NEW PATIENT $192 $192 $86.40 – $172
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $86.40
  • VIVA — VIVA COMMERCIAL: $105.60
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: WC OFF VISIT-NEW PT-LEVEL 3 $308.79 $308.79 $138.96 – $172
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $138.96
  • VIVA — VIVA COMMERCIAL: $169.83
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: CHF-OFF VISIT-NEW PT-LEVEL 3 $317.07 $317.07 $142.68 – $174.39
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $142.68
  • VIVA — VIVA COMMERCIAL: $174.39
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: LEVEL 4 NEW PATIENT $254.50 $254.50 $114.53 – $172
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $114.53
  • VIVA — VIVA COMMERCIAL: $139.98
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: WC OFF VISIT-NEW PT-LEVEL 4 $360.26 $360.26 $162.12 – $198.14
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $162.12
  • VIVA — VIVA COMMERCIAL: $198.14
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: CHF-OFF VISIT-NEW PT-LEVEL 4 $369.92 $369.92 $166.46 – $203.46
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $166.46
  • VIVA — VIVA COMMERCIAL: $203.46
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: LEVEL 5 NEW PATIENT $348 $348 $156.60 – $191.40
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $156.60
  • VIVA — VIVA COMMERCIAL: $191.40
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: WC OFF VISIT-NEW PT-LEVEL 5 $411.72 $411.72 $172 – $226.45
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $185.27
  • VIVA — VIVA COMMERCIAL: $226.45
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: CHF-OFF VISIT-NEW PT-LEVEL 5 $422.76 $422.76 $172 – $232.52
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $190.24
  • VIVA — VIVA COMMERCIAL: $232.52
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OUTPT CONSULT MC EST PT 15-24 $106 $106 $26.50 – $82.68
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: $82.68
  • CIGNA — CIGNA COMMERCIAL: $26.50
  • VIVA — VIVA COMMERCIAL: $58.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: LEVEL 3 EST. PATIENT $146 $146 $65.70 – $146
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $146
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $65.70
  • VIVA — VIVA COMMERCIAL: $80.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: WC OFF VISIT-EST PT-LEVEL 3 $308.79 $308.79 $138.96 – $172
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $138.96
  • VIVA — VIVA COMMERCIAL: $169.83
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: LEVEL 4 EST. PATIENT $192 $192 $86.40 – $172
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $86.40
  • VIVA — VIVA COMMERCIAL: $105.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: WC OFF VISIT-EST PT-LEVEL 4 $360.26 $360.26 $162.12 – $198.14
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $162.12
  • VIVA — VIVA COMMERCIAL: $198.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: CHF-OFF VISIT-EST PT-LEVEL 4 $369.92 $369.92 $166.46 – $203.46
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • CIGNA — CIGNA COMMERCIAL: $172
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $166.46
  • VIVA — VIVA COMMERCIAL: $203.46
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY LEVEL III $661.61 $661.61 $248.89 – $661.61
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $516.06
  • AETNA — AETNA MEDICARE: $253.86
  • AMBETTER — AMBETTER COMMERCIAL: $497.77
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $248.89
  • CIGNA — CIGNA COMMERCIAL: $661.61
  • CIGNA — CIGNA MEDICARE: $256.35
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $256.35
  • HUMANA — HUMANA MEDICARE: $248.89
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $573.30
  • UNITED HEALTHCARE — UNITED MEDICARE: $255.11
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: ER LEVEL 3 W/PROC. $661.61 $661.61 $248.89 – $661.61
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $516.06
  • AETNA — AETNA MEDICARE: $253.86
  • AMBETTER — AMBETTER COMMERCIAL: $497.77
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $248.89
  • CIGNA — CIGNA COMMERCIAL: $661.61
  • CIGNA — CIGNA MEDICARE: $256.35
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $256.35
  • HUMANA — HUMANA MEDICARE: $248.89
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $573.30
  • UNITED HEALTHCARE — UNITED MEDICARE: $255.11
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 27 In the file: EMERGENCY LEVEL III $661.61 $661.61 $248.89 – $661.61
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $516.06
  • AETNA — AETNA MEDICARE: $253.86
  • AMBETTER — AMBETTER COMMERCIAL: $497.77
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $248.89
  • CIGNA — CIGNA COMMERCIAL: $661.61
  • CIGNA — CIGNA MEDICARE: $256.35
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $256.35
  • HUMANA — HUMANA MEDICARE: $248.89
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $573.30
  • UNITED HEALTHCARE — UNITED MEDICARE: $255.11
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY LEVEL IV $1,030.38 $1,030.38 $380.44 – $1,016
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $803.70
  • AETNA — AETNA MEDICARE: $388.05
  • AMBETTER — AMBETTER COMMERCIAL: $760.88
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $380.44
  • CIGNA — CIGNA COMMERCIAL: $1,016
  • CIGNA — CIGNA MEDICARE: $391.85
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $391.85
  • HUMANA — HUMANA MEDICARE: $380.44
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $859.95
  • UNITED HEALTHCARE — UNITED MEDICARE: $389.95
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: ER LEVEL 4 W/PROC. $1,030.38 $1,030.38 $380.44 – $1,016
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $803.70
  • AETNA — AETNA MEDICARE: $388.05
  • AMBETTER — AMBETTER COMMERCIAL: $760.88
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $380.44
  • CIGNA — CIGNA COMMERCIAL: $1,016
  • CIGNA — CIGNA MEDICARE: $391.85
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $391.85
  • HUMANA — HUMANA MEDICARE: $380.44
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $859.95
  • UNITED HEALTHCARE — UNITED MEDICARE: $389.95
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY LEVEL V $1,479.96 $1,479.96 $542.98 – $1,286
Emergency room visit (high): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,154.37
  • AETNA — AETNA MEDICARE: $553.83
  • AMBETTER — AMBETTER COMMERCIAL: $1,085.95
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $542.98
  • CIGNA — CIGNA COMMERCIAL: $1,286
  • CIGNA — CIGNA MEDICARE: $559.26
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $559.26
  • HUMANA — HUMANA MEDICARE: $542.98
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $1,073.10
  • UNITED HEALTHCARE — UNITED MEDICARE: $556.55
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: ER LEVEL 5 W/PROC. $1,479.96 $1,479.96 $542.98 – $1,286
Emergency room visit (high): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,154.37
  • AETNA — AETNA MEDICARE: $553.83
  • AMBETTER — AMBETTER COMMERCIAL: $1,085.95
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $542.98
  • CIGNA — CIGNA COMMERCIAL: $1,286
  • CIGNA — CIGNA MEDICARE: $559.26
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $559.26
  • HUMANA — HUMANA MEDICARE: $542.98
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $1,073.10
  • UNITED HEALTHCARE — UNITED MEDICARE: $556.55

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC $59 $59 $6.35 – $46.02
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $46.02
  • AETNA — AETNA MEDICARE: $8.63
  • AMBETTER — AMBETTER COMMERCIAL: $16.92
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $8.46
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $6.88
  • CIGNA — CIGNA MEDICARE: $6.35
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8.71
  • HUMANA — HUMANA MEDICARE: $8.46
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 59 In the file: BASIC METABOLIC $59 $59 $6.35 – $46.02
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $46.02
  • AETNA — AETNA MEDICARE: $8.63
  • AMBETTER — AMBETTER COMMERCIAL: $16.92
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $8.46
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $6.88
  • CIGNA — CIGNA MEDICARE: $6.35
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8.71
  • HUMANA — HUMANA MEDICARE: $8.46
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: BASIC METABOLIC $59 $59 $6.35 – $46.02
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $46.02
  • AETNA — AETNA MEDICARE: $8.63
  • AMBETTER — AMBETTER COMMERCIAL: $16.92
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $8.46
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $6.88
  • CIGNA — CIGNA MEDICARE: $6.35
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8.71
  • HUMANA — HUMANA MEDICARE: $8.46
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP. METABOLIC $131 $131 $7.92 – $102.18
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $102.18
  • AETNA — AETNA MEDICARE: $10.77
  • AMBETTER — AMBETTER COMMERCIAL: $21.12
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $10.56
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $8.58
  • CIGNA — CIGNA MEDICARE: $7.92
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $10.88
  • HUMANA — HUMANA MEDICARE: $10.56
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 59 In the file: COMP. METABOLIC $131 $131 $7.92 – $102.18
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $102.18
  • AETNA — AETNA MEDICARE: $10.77
  • AMBETTER — AMBETTER COMMERCIAL: $21.12
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $10.56
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $8.58
  • CIGNA — CIGNA MEDICARE: $7.92
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $10.88
  • HUMANA — HUMANA MEDICARE: $10.56
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: COMP. METABOLIC $131 $131 $7.92 – $102.18
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $102.18
  • AETNA — AETNA MEDICARE: $10.77
  • AMBETTER — AMBETTER COMMERCIAL: $21.12
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $10.56
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $8.58
  • CIGNA — CIGNA MEDICARE: $7.92
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $10.88
  • HUMANA — HUMANA MEDICARE: $10.56
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $90 $90 $10.04 – $70.20
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $70.20
  • AETNA — AETNA MEDICARE: $13.66
  • AMBETTER — AMBETTER COMMERCIAL: $26.78
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $13.39
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $10.88
  • CIGNA — CIGNA MEDICARE: $10.04
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $13.79
  • HUMANA — HUMANA MEDICARE: $13.39
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier 59 In the file: LIPID PANEL $90 $90 $10.04 – $70.20
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $70.20
  • AETNA — AETNA MEDICARE: $13.66
  • AMBETTER — AMBETTER COMMERCIAL: $26.78
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $13.39
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $10.88
  • CIGNA — CIGNA MEDICARE: $10.04
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $13.79
  • HUMANA — HUMANA MEDICARE: $13.39
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier 91 In the file: LIPID PANEL $90 $90 $8.66 – $70.20
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $70.20
  • AETNA — AETNA MEDICARE: $11.77
  • AMBETTER — AMBETTER COMMERCIAL: $26.78
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $11.54
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $10.88
  • CIGNA — CIGNA MEDICARE: $8.66
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $11.89
  • HUMANA — HUMANA MEDICARE: $11.54
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $84 $84 $6.51 – $65.52
Kidney function panel: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $65.52
  • AETNA — AETNA MEDICARE: $8.85
  • AMBETTER — AMBETTER COMMERCIAL: $17.36
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $8.68
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $7.05
  • CIGNA — CIGNA MEDICARE: $6.51
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8.94
  • HUMANA — HUMANA MEDICARE: $8.68
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 91 In the file: RENAL FUNCTION PANEL $84 $84 $6.51 – $65.52
Kidney function panel: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $65.52
  • AETNA — AETNA MEDICARE: $8.85
  • AMBETTER — AMBETTER COMMERCIAL: $17.36
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $8.68
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $7.05
  • CIGNA — CIGNA MEDICARE: $6.51
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8.94
  • HUMANA — HUMANA MEDICARE: $8.68
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $79.50 $79.50 $6.13 – $62.01
Liver function panel: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $62.01
  • AETNA — AETNA MEDICARE: $8.33
  • AMBETTER — AMBETTER COMMERCIAL: $16.34
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $8.17
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $6.64
  • CIGNA — CIGNA MEDICARE: $6.13
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8.42
  • HUMANA — HUMANA MEDICARE: $8.17
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 59 In the file: HEPATIC FUNCTION PANEL $79.50 $79.50 $6.13 – $62.01
Liver function panel: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $62.01
  • AETNA — AETNA MEDICARE: $8.33
  • AMBETTER — AMBETTER COMMERCIAL: $16.34
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $8.17
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $6.64
  • CIGNA — CIGNA MEDICARE: $6.13
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8.42
  • HUMANA — HUMANA MEDICARE: $8.17
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · modifier GZ In the file: HEPATIC FUNCTION PANEL $79.50 $79.50 $6.64 – $62.01
Liver function panel: rates for 6 insurance plans
  • AETNA — AETNA COMMERCIAL: $62.01
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $18.45
  • CIGNA — CIGNA COMMERCIAL: $6.64
  • HUMANA — HUMANA MEDICARE: $8.17
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $8.17
  • VIVA — VIVA COMMERCIAL: $43.73
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE $32 $32 $2.38 – $24.96
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $24.96
  • AETNA — AETNA MEDICARE: $3.23
  • AMBETTER — AMBETTER COMMERCIAL: $6.34
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $3.17
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $6.11
  • CIGNA — CIGNA COMMERCIAL: $2.58
  • CIGNA — CIGNA MEDICARE: $2.38
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $3.27
  • HUMANA — HUMANA MEDICARE: $3.17
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 59 In the file: URINALYSIS AUTO W/SCOPE $32 $32 $2.38 – $24.96
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $24.96
  • AETNA — AETNA MEDICARE: $3.23
  • AMBETTER — AMBETTER COMMERCIAL: $6.34
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $3.17
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $6.11
  • CIGNA — CIGNA COMMERCIAL: $2.58
  • CIGNA — CIGNA MEDICARE: $2.38
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $3.27
  • HUMANA — HUMANA MEDICARE: $3.17
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 91 In the file: URINALYSIS AUTO W/SCOPE $32 $32 $2.38 – $24.96
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $24.96
  • AETNA — AETNA MEDICARE: $3.23
  • AMBETTER — AMBETTER COMMERCIAL: $6.34
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $3.17
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $6.11
  • CIGNA — CIGNA COMMERCIAL: $2.58
  • CIGNA — CIGNA MEDICARE: $2.38
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $3.27
  • HUMANA — HUMANA MEDICARE: $3.17
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $3.17
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE $24.20 $24.20 $1.69 – $18.88
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $18.88
  • AETNA — AETNA MEDICARE: $2.30
  • AMBETTER — AMBETTER COMMERCIAL: $4.50
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $2.25
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $6.11
  • CIGNA — CIGNA COMMERCIAL: $1.83
  • CIGNA — CIGNA MEDICARE: $1.69
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $2.32
  • HUMANA — HUMANA MEDICARE: $2.25
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier 59 In the file: URINALYSIS AUTO W/O SCOPE $24.20 $24.20 $1.69 – $18.88
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $18.88
  • AETNA — AETNA MEDICARE: $2.30
  • AMBETTER — AMBETTER COMMERCIAL: $4.50
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $2.25
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $6.11
  • CIGNA — CIGNA COMMERCIAL: $1.83
  • CIGNA — CIGNA MEDICARE: $1.69
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $2.32
  • HUMANA — HUMANA MEDICARE: $2.25
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL $91.50 $91.50 $13.79 – $71.37
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $71.37
  • AETNA — AETNA MEDICARE: $18.76
  • AMBETTER — AMBETTER COMMERCIAL: $36.78
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $18.39
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $26.95
  • CIGNA — CIGNA COMMERCIAL: $14.94
  • CIGNA — CIGNA MEDICARE: $13.79
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $18.94
  • HUMANA — HUMANA MEDICARE: $18.39
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROSTATE HEALTH INDEX $859.20 $859.20 $13.79 – $670.18
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $670.18
  • AETNA — AETNA MEDICARE: $18.76
  • AMBETTER — AMBETTER COMMERCIAL: $36.78
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $18.39
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $26.95
  • CIGNA — CIGNA COMMERCIAL: $14.94
  • CIGNA — CIGNA MEDICARE: $13.79
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $18.94
  • HUMANA — HUMANA MEDICARE: $18.39
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier GZ In the file: ASSAY OF PSA TOTAL $91.50 $91.50 $14.94 – $71.37
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • AETNA — AETNA COMMERCIAL: $71.37
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $26.95
  • CIGNA — CIGNA COMMERCIAL: $14.94
  • HUMANA — HUMANA MEDICARE: $18.39
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $18.39
  • VIVA — VIVA COMMERCIAL: $50.33
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE $85 $85 $12.60 – $66.30
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $66.30
  • AETNA — AETNA MEDICARE: $17.14
  • AMBETTER — AMBETTER COMMERCIAL: $33.60
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $16.80
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $28.01
  • CIGNA — CIGNA COMMERCIAL: $13.65
  • CIGNA — CIGNA MEDICARE: $12.60
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $17.30
  • HUMANA — HUMANA MEDICARE: $16.80
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: OP-IRRIGATION VEN ACCESS DEVIC $88.52 $88.52 $48.69 – $98.10
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $69.05
  • AETNA — AETNA MEDICARE: $54.86
  • AMBETTER — AMBETTER COMMERCIAL: $88.52
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $53.79
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $98.10
  • CIGNA — CIGNA COMMERCIAL: $77.17
  • CIGNA — CIGNA MEDICARE: $55.40
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $55.40
  • HUMANA — HUMANA MEDICARE: $53.79
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $88.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 59 In the file: ASSAY THYROID STIM HORMONE $85 $85 $12.60 – $66.30
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $66.30
  • AETNA — AETNA MEDICARE: $17.14
  • AMBETTER — AMBETTER COMMERCIAL: $33.60
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $16.80
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $28.01
  • CIGNA — CIGNA COMMERCIAL: $13.65
  • CIGNA — CIGNA MEDICARE: $12.60
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $17.30
  • HUMANA — HUMANA MEDICARE: $16.80
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC-ELEC DIFF ONLY $46 $46 $5.83 – $35.88
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $35.88
  • AETNA — AETNA MEDICARE: $7.93
  • AMBETTER — AMBETTER COMMERCIAL: $15.54
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $7.77
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $12.48
  • CIGNA — CIGNA COMMERCIAL: $6.31
  • CIGNA — CIGNA MEDICARE: $5.83
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8
  • HUMANA — HUMANA MEDICARE: $7.77
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH DIFF $46 $46 $5.83 – $35.88
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $35.88
  • AETNA — AETNA MEDICARE: $7.93
  • AMBETTER — AMBETTER COMMERCIAL: $15.54
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $7.77
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $12.48
  • CIGNA — CIGNA COMMERCIAL: $6.31
  • CIGNA — CIGNA MEDICARE: $5.83
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8
  • HUMANA — HUMANA MEDICARE: $7.77
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 59 In the file: CBC-ELEC DIFF ONLY $46 $46 $5.83 – $35.88
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $35.88
  • AETNA — AETNA MEDICARE: $7.93
  • AMBETTER — AMBETTER COMMERCIAL: $15.54
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $7.77
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $12.48
  • CIGNA — CIGNA COMMERCIAL: $6.31
  • CIGNA — CIGNA MEDICARE: $5.83
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $8
  • HUMANA — HUMANA MEDICARE: $7.77
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC-NO DIFF $13.10 $13.10 $4.85 – $12.94
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $10.22
  • AETNA — AETNA MEDICARE: $6.60
  • AMBETTER — AMBETTER COMMERCIAL: $12.94
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $6.47
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $12.48
  • CIGNA — CIGNA COMMERCIAL: $5.26
  • CIGNA — CIGNA MEDICARE: $4.85
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $6.66
  • HUMANA — HUMANA MEDICARE: $6.47
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 59 In the file: CBC-NO DIFF $13.10 $13.10 $4.85 – $12.94
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $10.22
  • AETNA — AETNA MEDICARE: $6.60
  • AMBETTER — AMBETTER COMMERCIAL: $12.94
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $6.47
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $12.48
  • CIGNA — CIGNA COMMERCIAL: $5.26
  • CIGNA — CIGNA MEDICARE: $4.85
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $6.66
  • HUMANA — HUMANA MEDICARE: $6.47
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: CBC-NO DIFF $13.10 $13.10 $4.85 – $12.94
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $10.22
  • AETNA — AETNA MEDICARE: $6.60
  • AMBETTER — AMBETTER COMMERCIAL: $12.94
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $6.47
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $12.48
  • CIGNA — CIGNA COMMERCIAL: $5.26
  • CIGNA — CIGNA MEDICARE: $4.85
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $6.66
  • HUMANA — HUMANA MEDICARE: $6.47
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: X-PROTIME PT RESULT MIX STUDY $48.65 $48.65 $3.22 – $37.95
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $37.95
  • AETNA — AETNA MEDICARE: $4.38
  • AMBETTER — AMBETTER COMMERCIAL: $8.58
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $4.29
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $8.23
  • CIGNA — CIGNA COMMERCIAL: $3.49
  • CIGNA — CIGNA MEDICARE: $3.22
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $4.42
  • HUMANA — HUMANA MEDICARE: $4.29
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMB.TIME $24.20 $24.20 $3.22 – $18.88
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $18.88
  • AETNA — AETNA MEDICARE: $4.38
  • AMBETTER — AMBETTER COMMERCIAL: $8.58
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $4.29
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $8.23
  • CIGNA — CIGNA COMMERCIAL: $3.49
  • CIGNA — CIGNA MEDICARE: $3.22
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $4.42
  • HUMANA — HUMANA MEDICARE: $4.29
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 59 In the file: X-PROTIME PT RESULT MIX STUDY $48.65 $48.65 $3.22 – $37.95
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $37.95
  • AETNA — AETNA MEDICARE: $4.38
  • AMBETTER — AMBETTER COMMERCIAL: $8.58
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $4.29
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $8.23
  • CIGNA — CIGNA COMMERCIAL: $3.49
  • CIGNA — CIGNA MEDICARE: $3.22
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $4.42
  • HUMANA — HUMANA MEDICARE: $4.29
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT HEPARIN PROTOCOL $56.50 $56.50 $4.51 – $44.07
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $44.07
  • AETNA — AETNA MEDICARE: $6.13
  • AMBETTER — AMBETTER COMMERCIAL: $12.02
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $6.01
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $8.23
  • CIGNA — CIGNA COMMERCIAL: $4.89
  • CIGNA — CIGNA MEDICARE: $4.51
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $6.19
  • HUMANA — HUMANA MEDICARE: $6.01
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: X-PTT (LUPUS) $140 $140 $4.51 – $109.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $109.20
  • AETNA — AETNA MEDICARE: $6.13
  • AMBETTER — AMBETTER COMMERCIAL: $12.02
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $6.01
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $8.23
  • CIGNA — CIGNA COMMERCIAL: $4.89
  • CIGNA — CIGNA MEDICARE: $4.51
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $6.19
  • HUMANA — HUMANA MEDICARE: $6.01
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: X-PTT PT RESULT MIX STUDY $59.85 $59.85 $4.51 – $46.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $46.68
  • AETNA — AETNA MEDICARE: $6.13
  • AMBETTER — AMBETTER COMMERCIAL: $12.02
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $6.01
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $8.23
  • CIGNA — CIGNA COMMERCIAL: $4.89
  • CIGNA — CIGNA MEDICARE: $4.51
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $6.19
  • HUMANA — HUMANA MEDICARE: $6.01
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $6.01

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT SCAN HEAD W/O CONTRAST $1,530 $1,530 $95.32 – $1,193.40
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,193.40
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier MA In the file: CT SCAN HEAD W/O CONTRAST $1,530 $1,530 $95.32 – $1,193.40
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,193.40
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier MC In the file: CT SCAN HEAD W/O CONTRAST $1,530 $1,530 $95.32 – $1,193.40
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,193.40
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI-BRAIN W/WO CONTRAST $4,320 $4,320 $318.09 – $3,369.60
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $3,369.60
  • AETNA — AETNA MEDICARE: $324.45
  • AMBETTER — AMBETTER COMMERCIAL: $636.17
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $318.09
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $991.22
  • CIGNA — CIGNA COMMERCIAL: $345
  • CIGNA — CIGNA MEDICARE: $327.63
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $327.63
  • HUMANA — HUMANA MEDICARE: $318.09
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $763.70
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI,BRAIN W/WO CO $4,320 $4,320 $318.09 – $3,369.60
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $3,369.60
  • AETNA — AETNA MEDICARE: $324.45
  • AMBETTER — AMBETTER COMMERCIAL: $636.17
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $318.09
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $991.22
  • CIGNA — CIGNA COMMERCIAL: $345
  • CIGNA — CIGNA MEDICARE: $327.63
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $327.63
  • HUMANA — HUMANA MEDICARE: $318.09
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $763.70
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier MA In the file: MRI-BRAIN W/WO CONTRAST $4,320 $4,320 $318.09 – $3,369.60
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $3,369.60
  • AETNA — AETNA MEDICARE: $324.45
  • AMBETTER — AMBETTER COMMERCIAL: $636.17
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $318.09
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $991.22
  • CIGNA — CIGNA COMMERCIAL: $345
  • CIGNA — CIGNA MEDICARE: $327.63
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $327.63
  • HUMANA — HUMANA MEDICARE: $318.09
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $763.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CARDIAC SERIES $252 $252 $79.35 – $196.56
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $196.56
  • AETNA — AETNA MEDICARE: $80.93
  • AMBETTER — AMBETTER COMMERCIAL: $158.69
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $79.35
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $127.17
  • CIGNA — CIGNA COMMERCIAL: $112.14
  • CIGNA — CIGNA MEDICARE: $81.73
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $81.73
  • HUMANA — HUMANA MEDICARE: $79.35
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $159.62
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS $228 $228 $79.35 – $177.84
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $177.84
  • AETNA — AETNA MEDICARE: $80.93
  • AMBETTER — AMBETTER COMMERCIAL: $158.69
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $79.35
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $127.17
  • CIGNA — CIGNA COMMERCIAL: $112.14
  • CIGNA — CIGNA MEDICARE: $81.73
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $81.73
  • HUMANA — HUMANA MEDICARE: $79.35
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $159.62
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 59 In the file: CARDIAC SERIES $252 $252 $79.35 – $196.56
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $196.56
  • AETNA — AETNA MEDICARE: $80.93
  • AMBETTER — AMBETTER COMMERCIAL: $158.69
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $79.35
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $127.17
  • CIGNA — CIGNA COMMERCIAL: $112.14
  • CIGNA — CIGNA MEDICARE: $81.73
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $81.73
  • HUMANA — HUMANA MEDICARE: $79.35
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $159.62
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS $424 $424 $95.32 – $330.72
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $330.72
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $127.17
  • CIGNA — CIGNA COMMERCIAL: $135.43
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 59 In the file: X-RAY EXAM L-2 SPINE 4/>VWS $424 $424 $95.32 – $330.72
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $330.72
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $127.17
  • CIGNA — CIGNA COMMERCIAL: $135.43
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L-SPINE W/O CONTRAST $3,564 $3,564 $217.55 – $2,779.92
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,779.92
  • AETNA — AETNA MEDICARE: $221.90
  • AMBETTER — AMBETTER COMMERCIAL: $435.09
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $217.55
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $565.64
  • CIGNA — CIGNA COMMERCIAL: $345
  • CIGNA — CIGNA MEDICARE: $224.07
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $224.07
  • HUMANA — HUMANA MEDICARE: $217.55
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $466.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI-LUMBAR SPINE W/O CONTRAST $3,564 $3,564 $217.55 – $2,779.92
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,779.92
  • AETNA — AETNA MEDICARE: $221.90
  • AMBETTER — AMBETTER COMMERCIAL: $435.09
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $217.55
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $565.64
  • CIGNA — CIGNA COMMERCIAL: $345
  • CIGNA — CIGNA MEDICARE: $224.07
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $224.07
  • HUMANA — HUMANA MEDICARE: $217.55
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $466.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier ME In the file: MRI L-SPINE W/O CONTRAST $3,564 $3,564 $217.55 – $2,779.92
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,779.92
  • AETNA — AETNA MEDICARE: $221.90
  • AMBETTER — AMBETTER COMMERCIAL: $435.09
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $217.55
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $565.64
  • CIGNA — CIGNA COMMERCIAL: $345
  • CIGNA — CIGNA MEDICARE: $224.07
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $224.07
  • HUMANA — HUMANA MEDICARE: $217.55
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $466.08
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: X-CT-PELVIS W $1,308 $1,308 $157 – $1,020.24
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,020.24
  • AETNA — AETNA MEDICARE: $163.12
  • AMBETTER — AMBETTER COMMERCIAL: $319.84
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $159.92
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $164.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $164.72
  • HUMANA — HUMANA MEDICARE: $159.92
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $364.44
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE $1,308 $1,308 $157 – $1,020.24
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,020.24
  • AETNA — AETNA MEDICARE: $163.12
  • AMBETTER — AMBETTER COMMERCIAL: $319.84
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $159.92
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $164.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $164.72
  • HUMANA — HUMANA MEDICARE: $159.92
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $364.44
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 59 In the file: CT PELVIS W/DYE $1,308 $1,308 $157 – $1,020.24
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $1,020.24
  • AETNA — AETNA MEDICARE: $163.12
  • AMBETTER — AMBETTER COMMERCIAL: $319.84
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $159.92
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $164.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $164.72
  • HUMANA — HUMANA MEDICARE: $159.92
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $364.44
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE $3,300 $3,300 $217.55 – $2,574
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,574
  • AETNA — AETNA MEDICARE: $221.90
  • AMBETTER — AMBETTER COMMERCIAL: $435.09
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $217.55
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $565.64
  • CIGNA — CIGNA COMMERCIAL: $345
  • CIGNA — CIGNA MEDICARE: $224.07
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $224.07
  • HUMANA — HUMANA MEDICARE: $217.55
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $466.08
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN & PELVIS W/CONTRAST $2,616 $2,616 $157 – $2,040.48
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,040.48
  • AETNA — AETNA MEDICARE: $324.45
  • AMBETTER — AMBETTER COMMERCIAL: $636.17
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $318.09
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $327.63
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $327.63
  • HUMANA — HUMANA MEDICARE: $318.09
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $763.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD/PELVIS IV CONTRAST ONLY $2,616 $2,616 $157 – $2,040.48
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,040.48
  • AETNA — AETNA MEDICARE: $324.45
  • AMBETTER — AMBETTER COMMERCIAL: $636.17
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $318.09
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $327.63
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $327.63
  • HUMANA — HUMANA MEDICARE: $318.09
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $763.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier MA In the file: CT ABDOMEN & PELVIS W/CONTRAST $2,616 $2,616 $157 – $2,040.48
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,040.48
  • AETNA — AETNA MEDICARE: $324.45
  • AMBETTER — AMBETTER COMMERCIAL: $636.17
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $318.09
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $701.97
  • CIGNA — CIGNA COMMERCIAL: $157
  • CIGNA — CIGNA MEDICARE: $327.63
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $327.63
  • HUMANA — HUMANA MEDICARE: $318.09
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $763.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABD.-COMPLETE $636 $636 $95.32 – $496.08
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $496.08
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $373.02
  • CIGNA — CIGNA COMMERCIAL: $135.43
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: ULTRASOUND 1ST GEST > 14 WKS $480 $480 $95.32 – $374.40
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $374.40
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $225.80
  • CIGNA — CIGNA COMMERCIAL: $135.43
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL NON-OB $277 $277 $95.32 – $245.71
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $216.06
  • AETNA — AETNA MEDICARE: $97.23
  • AMBETTER — AMBETTER COMMERCIAL: $190.64
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $95.32
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $245.71
  • CIGNA — CIGNA COMMERCIAL: $135.43
  • CIGNA — CIGNA MEDICARE: $98.18
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $98.18
  • HUMANA — HUMANA MEDICARE: $95.32
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $224.16
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO UNILATERAL DIAG DIG $235.24 $235.24 $75.30 – $189.10
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $183.49
  • AETNA — AETNA MEDICARE: $76.81
  • AMBETTER — AMBETTER COMMERCIAL: $150.60
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $75.30
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $112.44
  • CIGNA — CIGNA COMMERCIAL: $109.87
  • CIGNA — CIGNA MEDICARE: $77.56
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $77.56
  • HUMANA — HUMANA MEDICARE: $75.30
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $189.10
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI $252.84 $252.84 $75.30 – $197.22
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $197.22
  • AETNA — AETNA MEDICARE: $76.81
  • AMBETTER — AMBETTER COMMERCIAL: $150.60
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $75.30
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $112.44
  • CIGNA — CIGNA COMMERCIAL: $109.87
  • CIGNA — CIGNA MEDICARE: $77.56
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $77.56
  • HUMANA — HUMANA MEDICARE: $75.30
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $189.10
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier 50 In the file: MAMMO UNILATERAL DIAG DIG $235.24 $235.24 $75.30 – $189.10
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $183.49
  • AETNA — AETNA MEDICARE: $76.81
  • AMBETTER — AMBETTER COMMERCIAL: $150.60
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $75.30
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $168.66
  • CIGNA — CIGNA COMMERCIAL: $109.87
  • CIGNA — CIGNA MEDICARE: $77.56
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $77.56
  • HUMANA — HUMANA MEDICARE: $75.30
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $189.10
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAM-BILATERAL DIAGNOSTIC $234 $234 $96.53 – $234
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $182.52
  • AETNA — AETNA MEDICARE: $98.46
  • AMBETTER — AMBETTER COMMERCIAL: $193.06
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $96.53
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $112.44
  • CIGNA — CIGNA COMMERCIAL: $140.03
  • CIGNA — CIGNA MEDICARE: $99.43
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $99.43
  • HUMANA — HUMANA MEDICARE: $96.53
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $234
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DIG BIL MAMMO W/IMPLANTS DIAG $379.30 $379.30 $96.53 – $295.85
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $295.85
  • AETNA — AETNA MEDICARE: $98.46
  • AMBETTER — AMBETTER COMMERCIAL: $193.06
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $96.53
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $112.44
  • CIGNA — CIGNA COMMERCIAL: $140.03
  • CIGNA — CIGNA MEDICARE: $99.43
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $99.43
  • HUMANA — HUMANA MEDICARE: $96.53
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $241.08
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DIG BIL MAMMOGRAM DIAGNOSTIC $253.30 $253.30 $96.53 – $241.08
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $197.57
  • AETNA — AETNA MEDICARE: $98.46
  • AMBETTER — AMBETTER COMMERCIAL: $193.06
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $96.53
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $112.44
  • CIGNA — CIGNA COMMERCIAL: $140.03
  • CIGNA — CIGNA MEDICARE: $99.43
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $99.43
  • HUMANA — HUMANA MEDICARE: $96.53
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $241.08
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD $379.30 $379.30 $79.68 – $295.85
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $295.85
  • AETNA — AETNA MEDICARE: $81.27
  • AMBETTER — AMBETTER COMMERCIAL: $159.36
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $79.68
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $112.44
  • CIGNA — CIGNA COMMERCIAL: $115.88
  • CIGNA — CIGNA MEDICARE: $82.07
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $82.07
  • HUMANA — HUMANA MEDICARE: $79.68
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $199.94
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: SCR MAMMO BI INCL CAD $379.30 $379.30 $28.11 – $295.85
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $295.85
  • AETNA — AETNA MEDICARE: $81.27
  • AMBETTER — AMBETTER COMMERCIAL: $159.36
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $79.68
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $28.11
  • CIGNA — CIGNA COMMERCIAL: $115.88
  • CIGNA — CIGNA MEDICARE: $82.07
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $82.07
  • HUMANA — HUMANA MEDICARE: $39.84
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $199.94
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 59 In the file: SCR MAMMO BI INCL CAD $379.30 $379.30 $11.98 – $295.85
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $295.85
  • AETNA — AETNA MEDICARE: $12.22
  • AMBETTER — AMBETTER COMMERCIAL: $159.36
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $11.98
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $112.44
  • CIGNA — CIGNA COMMERCIAL: $115.88
  • CIGNA — CIGNA MEDICARE: $12.34
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $12.34
  • HUMANA — HUMANA MEDICARE: $11.98
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $199.94

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/ VENTRCLGRPHY $6,545 $6,545 $2,290.75 – $6,545
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $5,105.10
  • AETNA — AETNA MEDICARE: $3,014.95
  • AMBETTER — AMBETTER COMMERCIAL: $5,911.66
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $2,955.83
  • CIGNA — CIGNA COMMERCIAL: $6,545
  • CIGNA — CIGNA MEDICARE: $3,044.50
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $3,044.50
  • HUMANA — HUMANA MEDICARE: $2,955.83
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $4,905.60
  • UNITED HEALTHCARE — UNITED MEDICARE: $3,029.72
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $2,290.75 – $6,545
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOMNOGRAM $3,360 $3,360 $573.30 – $2,620.80
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,620.80
  • AETNA — AETNA MEDICARE: $798.61
  • AMBETTER — AMBETTER COMMERCIAL: $1,565.91
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $782.96
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $1,692.66
  • CIGNA — CIGNA COMMERCIAL: $1,321.79
  • CIGNA — CIGNA MEDICARE: $806.44
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $806.44
  • HUMANA — HUMANA MEDICARE: $782.96
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $573.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: MOD POLYSOMNOGRAM < 6 HOURS $3,360 $3,360 $195.74 – $2,620.80
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $2,620.80
  • AETNA — AETNA MEDICARE: $399.31
  • AMBETTER — AMBETTER COMMERCIAL: $782.96
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $391.48
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $423.17
  • CIGNA — CIGNA COMMERCIAL: $1,321.79
  • CIGNA — CIGNA MEDICARE: $403.22
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $403.22
  • HUMANA — HUMANA MEDICARE: $195.74
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $573.30

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES $125 $125 $27.20 – $125
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $97.50
  • AETNA — AETNA MEDICARE: $27.74
  • AMBETTER — AMBETTER COMMERCIAL: $54.40
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $27.20
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $85.75
  • CIGNA — CIGNA COMMERCIAL: $125
  • CIGNA — CIGNA MEDICARE: $28.02
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $28.02
  • HUMANA — HUMANA MEDICARE: $27.20
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC EXERCISES $125 $125 $27.20 – $125
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $97.50
  • AETNA — AETNA MEDICARE: $27.74
  • AMBETTER — AMBETTER COMMERCIAL: $54.40
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $27.20
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $85.75
  • CIGNA — CIGNA COMMERCIAL: $125
  • CIGNA — CIGNA MEDICARE: $28.02
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $28.02
  • HUMANA — HUMANA MEDICARE: $27.20
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC EXERCISES $125 $125 $27.20 – $125
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $97.50
  • AETNA — AETNA MEDICARE: $27.74
  • AMBETTER — AMBETTER COMMERCIAL: $54.40
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $27.20
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $85.75
  • CIGNA — CIGNA COMMERCIAL: $125
  • CIGNA — CIGNA MEDICARE: $28.02
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $28.02
  • HUMANA — HUMANA MEDICARE: $27.20
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN $175.40 $175.40 $91.96 – $531.65
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $136.81
  • AETNA — AETNA MEDICARE: $93.80
  • AMBETTER — AMBETTER COMMERCIAL: $175.40
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $91.96
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $531.65
  • CIGNA — CIGNA COMMERCIAL: $150
  • CIGNA — CIGNA MEDICARE: $94.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $94.72
  • HUMANA — HUMANA MEDICARE: $91.96
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $175.40 $175.40 $91.96 – $531.65
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $136.81
  • AETNA — AETNA MEDICARE: $93.80
  • AMBETTER — AMBETTER COMMERCIAL: $175.40
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $91.96
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $531.65
  • CIGNA — CIGNA COMMERCIAL: $150
  • CIGNA — CIGNA MEDICARE: $94.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $94.72
  • HUMANA — HUMANA MEDICARE: $91.96
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN $214.25 $214.25 $91.96 – $531.65
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $167.12
  • AETNA — AETNA MEDICARE: $93.80
  • AMBETTER — AMBETTER COMMERCIAL: $183.92
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $91.96
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $531.65
  • CIGNA — CIGNA COMMERCIAL: $150
  • CIGNA — CIGNA MEDICARE: $94.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $94.72
  • HUMANA — HUMANA MEDICARE: $91.96
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $214.25 $214.25 $91.96 – $531.65
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $167.12
  • AETNA — AETNA MEDICARE: $93.80
  • AMBETTER — AMBETTER COMMERCIAL: $183.92
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $91.96
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $531.65
  • CIGNA — CIGNA COMMERCIAL: $150
  • CIGNA — CIGNA MEDICARE: $94.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $94.72
  • HUMANA — HUMANA MEDICARE: $91.96
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL-HIGH COMPLEXITY $263.40 $263.40 $91.96 – $531.65
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $205.45
  • AETNA — AETNA MEDICARE: $93.80
  • AMBETTER — AMBETTER COMMERCIAL: $183.92
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $91.96
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $531.65
  • CIGNA — CIGNA COMMERCIAL: $150
  • CIGNA — CIGNA MEDICARE: $94.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $94.72
  • HUMANA — HUMANA MEDICARE: $91.96
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $263.40 $263.40 $91.96 – $531.65
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $205.45
  • AETNA — AETNA MEDICARE: $93.80
  • AMBETTER — AMBETTER COMMERCIAL: $183.92
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $91.96
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $531.65
  • CIGNA — CIGNA COMMERCIAL: $150
  • CIGNA — CIGNA MEDICARE: $94.72
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $94.72
  • HUMANA — HUMANA MEDICARE: $91.96
  • UNITED HEALTHCARE — UNITED COMMERCIAL: $108.15
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: INDIVID. THERAPY 30 MINS $108 $108 $27 – $269.21
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $84.24
  • AETNA — AETNA MEDICARE: $165.07
  • AMBETTER — AMBETTER COMMERCIAL: $108
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $161.83
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $269.21
  • CIGNA — CIGNA COMMERCIAL: $27
  • CIGNA — CIGNA MEDICARE: $166.69
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $108
  • HUMANA — HUMANA MEDICARE: $108
  • UNITED HEALTHCARE — UNITED MEDICARE: $108
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: INDIVID. THERAPY 45 MINS. $150 $150 $37.50 – $324.70
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $117
  • AETNA — AETNA MEDICARE: $165.07
  • AMBETTER — AMBETTER COMMERCIAL: $150
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $161.83
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $324.70
  • CIGNA — CIGNA COMMERCIAL: $37.50
  • CIGNA — CIGNA MEDICARE: $166.69
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $150
  • HUMANA — HUMANA MEDICARE: $150
  • UNITED HEALTHCARE — UNITED MEDICARE: $150
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: INDIV. THERAPY 60 MIN. $228 $228 $57 – $324.70
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $177.84
  • AETNA — AETNA MEDICARE: $165.07
  • AMBETTER — AMBETTER COMMERCIAL: $228
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $161.83
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $324.70
  • CIGNA — CIGNA COMMERCIAL: $57
  • CIGNA — CIGNA MEDICARE: $166.69
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $166.69
  • HUMANA — HUMANA MEDICARE: $161.83
  • UNITED HEALTHCARE — UNITED MEDICARE: $165.88
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAM.PSYCHOTHERAPY W/O PT $226 $226 $56.50 – $335.19
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $176.28
  • AETNA — AETNA MEDICARE: $165.07
  • AMBETTER — AMBETTER COMMERCIAL: $226
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $161.83
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $335.19
  • CIGNA — CIGNA COMMERCIAL: $56.50
  • CIGNA — CIGNA MEDICARE: $166.69
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $166.69
  • HUMANA — HUMANA MEDICARE: $161.83
  • UNITED HEALTHCARE — UNITED MEDICARE: $165.88
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN $213.42 $213.42 $53.36 – $335.19
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
  • AETNA — AETNA COMMERCIAL: $166.47
  • AETNA — AETNA MEDICARE: $165.07
  • AMBETTER — AMBETTER COMMERCIAL: $213.42
  • BLUE CROSS OF AL — BLUE ADVANTAGE: $161.83
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $335.19
  • CIGNA — CIGNA COMMERCIAL: $53.36
  • CIGNA — CIGNA MEDICARE: $166.69
  • DEVOTED HEALTH INC — DEVOTED HEALTH INC: $166.69
  • HUMANA — HUMANA MEDICARE: $161.83
  • UNITED HEALTHCARE — UNITED MEDICARE: $165.88

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $2,442 – $7,139.79
Removal of breast growth (open surgery): rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $2,775.57 – $7,139.79
Removal of breast growth (open surgery): rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 59 In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $2,442 – $7,139.79
Removal of breast growth (open surgery): rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $3,800 – $23,250
Total hip replacement: rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $3,800 – $23,250
Total knee replacement: rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,634.85 – $4,965.80
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $2,807 – $7,665
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier XS In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $2,807 – $7,665
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $2,442 – $7,818.98
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $120.93 – $2,124.75
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier XS In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $532.95 – $2,131.79
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $562.62 – $2,250.46
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XS In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $562.62 – $2,250.46
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 59 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $562.62 – $2,250.46
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $847.89 – $3,113.14
Colonoscopy (diagnostic): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier PT In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $847.89 – $3,113.14
Colonoscopy (diagnostic): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 33 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $529.29 – $2,156.61
Colonoscopy (diagnostic): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $669.42 – $2,156.61
Colonoscopy with biopsy: rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $669.42 – $2,156.61
Colonoscopy with biopsy: rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier XS In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $669.42 – $2,156.61
Colonoscopy with biopsy: rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $770.40 – $2,201.13
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $655.70 – $2,622.81
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier XS In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $655.70 – $2,622.81
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $515.58 – $2,156.61
Screening colonoscopy (not high risk): rates for 3 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA COMMERCIAL: 25% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $3,800 – $11,024.01
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $2,807 – $10,277.28
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $3,800 – $11,670.85
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BX PROSTATE,NEED./PUNCH $1,393 $1,393 $487.55 – $3,387.17
Prostate biopsy: rates for 4 insurance plans
  • AETNA — AETNA COMMERCIAL: $1,086.54
  • BLUE CROSS OF AL — BLUE CROSS AL COMMERCIAL: $3,387.17
  • CIGNA — CIGNA COMMERCIAL: $1,393
  • VIVA — VIVA COMMERCIAL: $487.55
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $1,704 – $4,525.93
Prostate biopsy: rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $3,800 – $37,672.70
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $2,442 – $5,911.59
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,704 – $4,761.42
Carpal tunnel release: rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 59 In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,704 – $4,761.42
Carpal tunnel release: rates for 2 insurance plans
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
  • VIVA — VIVA COMMERCIAL: 35% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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 $2,000 – $46,171.22
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $2,000 – $25,136.44
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan
  • AETNA — AETNA COMMERCIAL: 78% (a percentage in the contract, not a dollar amount)

Source: Decatur Morgan Hospital - Decatur Campus’s standard charges file (hh.health, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 2026; retrieved November 5, 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 typeAcute Care Hospital
Address1201 7th Street SE, Decatur, AL 35601
CountyMorgan County
StateAlabama
Phone(256) 341‑2000
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number010085
Name in Medicare recordsDECATUR MORGAN HOSPITAL - DECATUR CAMPUS
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(256) 973‑2000[4][5]
Name on the hospital’s websiteDecatur Morgan Hospital
Official websitehh.health
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Decatur Morgan Hospital | Huntsville Hospital Health System — hh.health
  2. DMH - Visitor Information | Huntsville Hospital Health System — hh.health
  3. DMH - Maternity Care | Huntsville Hospital Health System — hh.health