Does Fayette Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Fayette Medical Center. In a medical emergency, call 911.

Where is Fayette Medical Center?

1653 Temple Avenue North, Fayette, AL 35555, in Fayette County, Alabama.

What is the phone number of Fayette Medical Center?

(205) 932-5966, as listed by Medicare (CMS).

What is the Medicare star rating of Fayette Medical Center?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Fayette Medical Center — Fayette, AL

Quick answers

Does Fayette Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Fayette Medical Center. In a medical emergency, call 911.
Where is Fayette Medical Center?: 1653 Temple Avenue North, Fayette, AL 35555, in Fayette County, Alabama.
What is the phone number of Fayette Medical Center?: (205) 932-5966, as listed by Medicare (CMS).
What is the Medicare star rating of Fayette Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Treatments^[4]

Procedures^[4]

Advanced endoscopic procedures
MRI
CT scan (3D)
Nuclear medicine
Ultrasound with cardiac Doppler
Angiography
Mammography
Bone densitometry
Fluoroscopy
Mobile PET/CT
Pulmonary function testing
Cardiac stress testing
Holter monitoring

Programs and centers^[4]

Swing Bed Program
Long Term Care Unit

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Level III Stroke Center

Visiting and practical information

Visiting	DCH system policy: general visiting 4 a.m. to 9 p.m.; after-hours visits need unit permission and photo ID. Critical care rules may differ^[5]
Patient portal	https://www.dchsystem.com/patient-portal/

Recognition^[4][6]

Level III Stroke Center
CAP-certified laboratory

Doctors and clinicians (128)

128 doctors and other clinicians list Fayette Medical Center 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

And 104 more: the button below opens the full list.

Other emergency rooms nearby

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

North Mississippi Health Services - South Marion15 mi · Winfield, AL · Acute Care Hospital
Marion Regional Medical Center30 mi · Hamilton, AL · Acute Care Hospital
Walker Baptist Medical Center35 mi · Jasper, AL · Acute Care Hospital
Bmh-Golden Triangle37 mi · Columbus, MS · Acute Care Hospital
Mary S Harper Geriatric Psychiatry Center38 mi · Tuscaloosa, AL · Psychiatric Hospital

Other hospitals nearby

DCH Regional Medical Center39 mi · Tuscaloosa, AL · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Fayette Medical Center Long Term Care Unit0.0 mi · Fayette, AL · 5 of 5 stars
Diversicare of Winfield16 mi · Winfield, AL · 4 of 5 stars
Sunset Manor19 mi · Guin, AL · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Northwest Alabama15 mi · Winfield, AL

All hospice providers in the state →

Home health agencies

Fayette Medical Center Homecare2.5 mi · Fayette, AL
Enhabit Home Health16 mi · Vernon, AL

All home health agencies in the state →

Dialysis facilities

DaVita Fayette Dialysis2.5 mi · Fayette, AL · 3 of 5 stars

All dialysis facilities 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

Whatley Health Services at Vernon17 mi · Vernon, AL · Community health center
Capstone Hilltop Health23 mi · Carbon Hill, AL · Community health center

Clinics and urgent care

FMC Medical Clinic Fayette2.5 mi · Fayette, AL · Rural health clinic
Medcenter Fayette2.5 mi · Fayette, AL · Rural health clinic
Marion Regional Health - Winfield, Inc.15 mi · Winfield, AL · Rural health clinic

Pharmacies

Bolling Pharmacy, Inc.2.5 mi · Fayette, AL · Community/retail pharmacy
Corbett's Pharmacy LLC2.5 mi · Fayette, AL · Community/retail pharmacy
Fayette Downtown Pharmacy, Inc2.5 mi · Fayette, AL · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Fayette Medical Center 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)	5 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Staff explained medicines	5 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	88%National average: 72%
Would definitely recommend the hospital	86%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	90%National average: 80%
Staff “always” explained medicines before giving them	68%National average: 62%
Were given information about recovery at home	93%National average: 86%
Room and bathroom “always” clean	81%National average: 74%
Area around the room “always” quiet at night	74%National average: 60%
Completed surveys	148Response rate: 35%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.873No different from 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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	10.7%
Deaths within 30 days: pneumonia patients	14.4%
Deaths within 30 days: COPD patients	9%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Too few cases to report
Complications after hip or knee replacement	Not reported to Medicare

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 attack	Too few cases to report
Readmitted within 30 days: heart failure	21.3%
Readmitted within 30 days: pneumonia	16.3%
Readmitted within 30 days: COPD	19.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	113 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	66%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.

ER wait times in Alabama Best hospitals in Alabama

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as Fayette Medical Center 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL III	$562	$281	$245.69 – $650
Emergency room visit (moderate): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $650 AETNA — MEDICARE: $250.60 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $281 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $245.69 CIGNA — ALL PRODUCTS: $710 HEALTHNET — ALL PRODUCTS: $600 HEALTHSPRING — MEDICARE: $562 HUMANA — ALL PRODUCTS: $625 HUMANA — MEDICARE: $245.69 SEVEN CORNERS — MEDICARE: $417.67
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL IV	$899	$449.50	$375.55 – $950
Emergency room visit (moderately high): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $950 AETNA — MEDICARE: $383.06 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $449.50 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $375.55 CIGNA — ALL PRODUCTS: $1,523 HEALTHNET — ALL PRODUCTS: $900 HEALTHSPRING — MEDICARE: $899 HUMANA — ALL PRODUCTS: $925 HUMANA — MEDICARE: $375.55 SEVEN CORNERS — MEDICARE: $638.44
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL V	$1,348.50	$674.25	$536 – $1,575
Emergency room visit (high): 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $1,575 AETNA — MEDICARE: $546.72 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $674.25 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $536 CIGNA — ALL PRODUCTS: $1,523 HEALTHNET — ALL PRODUCTS: $1,575 HEALTHSPRING — MEDICARE: $1,348.50 HUMANA — ALL PRODUCTS: $1,575 HUMANA — MEDICARE: $536 SEVEN CORNERS — MEDICARE: $911.20

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL Ca TOTAL	$210.25	$105.13	$8.46 – $14.38
Basic metabolic panel (blood test): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $115.64 AETNA — MEDICARE: $8.63 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $105.13 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $8.46 CIGNA — ALL PRODUCTS: $115.64 HEALTHNET — ALL PRODUCTS: $115.64 HEALTHSPRING — MEDICARE: $210.25 HUMANA — ALL PRODUCTS: $126.15 HUMANA — MEDICARE: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$189	$94.50	$94.50 – $189
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $103.95 AETNA — MEDICARE: $10.77 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $94.50 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $10.56 CIGNA — ALL PRODUCTS: $103.95 HEALTHNET — ALL PRODUCTS: $103.95 HEALTHSPRING — MEDICARE: $189 HUMANA — ALL PRODUCTS: $113.40 HUMANA — MEDICARE: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXEC PROF CMP	$30.50	$15.25	$10.56 – $17.95
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $16.78 AETNA — MEDICARE: $10.77 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $15.25 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $10.56 CIGNA — ALL PRODUCTS: $16.78 HEALTHNET — ALL PRODUCTS: $16.78 HEALTHSPRING — MEDICARE: $30.50 HUMANA — ALL PRODUCTS: $18.30 HUMANA — MEDICARE: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$1,002.50	$501.25	$501.25 – $1,002.50
Obstetric blood test panel: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $551.38 AETNA — MEDICARE: $48.77 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $501.25 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $47.81 CIGNA — ALL PRODUCTS: $551.38 HEALTHNET — ALL PRODUCTS: $551.38 HEALTHSPRING — MEDICARE: $1,002.50 HUMANA — ALL PRODUCTS: $601.50 HUMANA — MEDICARE: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXEC PROF LIPID	$22.75	$11.38	$13.39 – $22.76
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $12.51 AETNA — MEDICARE: $13.66 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $11.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $13.39 CIGNA — ALL PRODUCTS: $12.51 HEALTHNET — ALL PRODUCTS: $12.51 HEALTHSPRING — MEDICARE: $22.75 HUMANA — ALL PRODUCTS: $13.65 HUMANA — MEDICARE: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE FASTING	$100.25	$50.13	$50.13 – $100.25
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $55.14 AETNA — MEDICARE: $13.66 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $50.13 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $13.39 CIGNA — ALL PRODUCTS: $55.14 HEALTHNET — ALL PRODUCTS: $55.14 HEALTHSPRING — MEDICARE: $100.25 HUMANA — ALL PRODUCTS: $60.15 HUMANA — MEDICARE: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: NMR LIPID PROFILE	$72.25	$36.13	$8.67 – $72.25
Cholesterol panel (lipid panel): rates for 9 insurance plans AETNA — ALL PRODUCTS: $39.74 AETNA — MEDICARE: $8.67 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $36.13 CIGNA — ALL PRODUCTS: $39.74 HEALTHNET — ALL PRODUCTS: $39.74 HEALTHSPRING — MEDICARE: $72.25 HUMANA — ALL PRODUCTS: $43.35 HUMANA — MEDICARE: $28.90 UNITED HEALTHCARE — ALL PRODUCTS: $72.25
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY STONE FORMER PRFL PT 1	$30.50	$15.25	$15.25 – $30.50
Kidney function panel: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $16.78 AETNA — MEDICARE: $8.85 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $15.25 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $8.68 CIGNA — ALL PRODUCTS: $16.78 HEALTHNET — ALL PRODUCTS: $16.78 HEALTHSPRING — MEDICARE: $30.50 HUMANA — ALL PRODUCTS: $18.30 HUMANA — MEDICARE: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$439.50	$219.75	$8.68 – $14.76
Kidney function panel: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $241.73 AETNA — MEDICARE: $8.85 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $219.75 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $8.68 CIGNA — ALL PRODUCTS: $241.73 HEALTHNET — ALL PRODUCTS: $241.73 HEALTHSPRING — MEDICARE: $439.50 HUMANA — ALL PRODUCTS: $263.70 HUMANA — MEDICARE: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$205.75	$102.88	$102.88 – $205.75
Liver function panel: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $113.16 AETNA — MEDICARE: $8.33 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $102.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $11.22 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $8.17 CIGNA — ALL PRODUCTS: $113.16 HEALTHNET — ALL PRODUCTS: $113.16 HEALTHSPRING — MEDICARE: $205.75 HUMANA — ALL PRODUCTS: $123.45 HUMANA — MEDICARE: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXEC PROF UA	$10	$5	$3.17 – $5.39
Urine test (automated, with microscope): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $5.50 AETNA — MEDICARE: $3.23 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $5 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3.73 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $3.17 CIGNA — ALL PRODUCTS: $5.50 HEALTHNET — ALL PRODUCTS: $5.50 HEALTHSPRING — MEDICARE: $10 HUMANA — ALL PRODUCTS: $6 HUMANA — MEDICARE: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MIC	$104.75	$52.38	$52.38 – $104.75
Urine test (automated, with microscope): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $57.61 AETNA — MEDICARE: $3.23 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $52.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3.73 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $3.17 CIGNA — ALL PRODUCTS: $57.61 HEALTHNET — ALL PRODUCTS: $57.61 HEALTHSPRING — MEDICARE: $104.75 HUMANA — ALL PRODUCTS: $62.85 HUMANA — MEDICARE: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BILE	$31.75	$15.88	$15.88 – $31.75
Urine test (manual, without microscope): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $17.46 AETNA — MEDICARE: $3.55 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $15.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3.73 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $3.48 CIGNA — ALL PRODUCTS: $17.46 HEALTHNET — ALL PRODUCTS: $17.46 HEALTHSPRING — MEDICARE: $31.75 HUMANA — ALL PRODUCTS: $19.05 HUMANA — MEDICARE: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY STONE FORMER PRFL PT 6	$11.50	$5.75	$2.25 – $3.83
Urine test (automated, without microscope): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $6.33 AETNA — MEDICARE: $2.30 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $5.75 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3.73 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $2.25 CIGNA — ALL PRODUCTS: $6.33 HEALTHNET — ALL PRODUCTS: $6.33 HEALTHSPRING — MEDICARE: $11.50 HUMANA — ALL PRODUCTS: $6.90 HUMANA — MEDICARE: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KID STONE URINE PROF PART 14	$34	$17	$2.25 – $3.83
Urine test (automated, without microscope): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $18.70 AETNA — MEDICARE: $2.30 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $17 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3.73 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $2.25 CIGNA — ALL PRODUCTS: $18.70 HEALTHNET — ALL PRODUCTS: $18.70 HEALTHSPRING — MEDICARE: $34 HUMANA — ALL PRODUCTS: $20.40 HUMANA — MEDICARE: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPECIFIC GRAVITY-URINE	$83.25	$41.63	$2.25 – $3.83
Urine test (automated, without microscope): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $45.79 AETNA — MEDICARE: $2.30 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $41.63 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3.73 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $2.25 CIGNA — ALL PRODUCTS: $45.79 HEALTHNET — ALL PRODUCTS: $45.79 HEALTHSPRING — MEDICARE: $83.25 HUMANA — ALL PRODUCTS: $49.95 HUMANA — MEDICARE: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC	$160	$80	$18.39 – $31.26
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $88 AETNA — MEDICARE: $18.76 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $80 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $16.47 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $18.39 CIGNA — ALL PRODUCTS: $88 HEALTHNET — ALL PRODUCTS: $88 HEALTHSPRING — MEDICARE: $160 HUMANA — ALL PRODUCTS: $96 HUMANA — MEDICARE: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH HIGH SENSITIVITY	$127.25	$63.63	$63.63 – $127.25
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $69.99 AETNA — MEDICARE: $17.14 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $63.63 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $17.05 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $16.80 CIGNA — ALL PRODUCTS: $69.99 HEALTHNET — ALL PRODUCTS: $69.99 HEALTHSPRING — MEDICARE: $127.25 HUMANA — ALL PRODUCTS: $76.35 HUMANA — MEDICARE: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH(THYROID STIMULATING HORMON	$110.25	$55.13	$55.13 – $110.25
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $60.64 AETNA — MEDICARE: $17.14 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $55.13 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $17.05 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $16.80 CIGNA — ALL PRODUCTS: $60.64 HEALTHNET — ALL PRODUCTS: $60.64 HEALTHSPRING — MEDICARE: $110.25 HUMANA — ALL PRODUCTS: $66.15 HUMANA — MEDICARE: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXEC PROF CBC	$22.75	$11.38	$7.77 – $13.21
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $12.51 AETNA — MEDICARE: $7.93 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $11.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $7.65 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $7.77 CIGNA — ALL PRODUCTS: $12.51 HEALTHNET — ALL PRODUCTS: $12.51 HEALTHSPRING — MEDICARE: $22.75 HUMANA — ALL PRODUCTS: $13.65 HUMANA — MEDICARE: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTOMATED DIFF	$112.50	$56.25	$56.25 – $112.50
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $61.88 AETNA — MEDICARE: $7.93 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $56.25 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $7.65 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $7.77 CIGNA — ALL PRODUCTS: $61.88 HEALTHNET — ALL PRODUCTS: $61.88 HEALTHSPRING — MEDICARE: $112.50 HUMANA — ALL PRODUCTS: $67.50 HUMANA — MEDICARE: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/O DIFF	$84.50	$42.25	$6.47 – $11
Complete blood count (CBC), automated: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $46.48 AETNA — MEDICARE: $6.60 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $42.25 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $7.65 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $6.47 CIGNA — ALL PRODUCTS: $46.48 HEALTHNET — ALL PRODUCTS: $46.48 HEALTHSPRING — MEDICARE: $84.50 HUMANA — ALL PRODUCTS: $50.70 HUMANA — MEDICARE: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time	$76.75	$38.38	$4.29 – $7.29
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $42.21 AETNA — MEDICARE: $4.38 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $38.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $5.04 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $4.29 CIGNA — ALL PRODUCTS: $42.21 HEALTHNET — ALL PRODUCTS: $42.21 HEALTHSPRING — MEDICARE: $76.75 HUMANA — ALL PRODUCTS: $46.05 HUMANA — MEDICARE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN.TIME (PT)	$48.50	$24.25	$24.25 – $48.50
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $26.68 AETNA — MEDICARE: $4.38 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $24.25 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $5.04 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $4.29 CIGNA — ALL PRODUCTS: $26.68 HEALTHNET — ALL PRODUCTS: $26.68 HEALTHSPRING — MEDICARE: $48.50 HUMANA — ALL PRODUCTS: $29.10 HUMANA — MEDICARE: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$224.75	$112.38	$6.01 – $10.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $123.61 AETNA — MEDICARE: $6.13 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $112.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $5.04 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $6.01 CIGNA — ALL PRODUCTS: $123.61 HEALTHNET — ALL PRODUCTS: $123.61 HEALTHSPRING — MEDICARE: $224.75 HUMANA — ALL PRODUCTS: $134.85 HUMANA — MEDICARE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUPUS ANTICOAG DRVVT	$167.50	$83.75	$83.75 – $167.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $92.13 AETNA — MEDICARE: $6.13 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $83.75 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $5.04 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $6.01 CIGNA — ALL PRODUCTS: $92.13 HEALTHNET — ALL PRODUCTS: $92.13 HEALTHSPRING — MEDICARE: $167.50 HUMANA — ALL PRODUCTS: $100.50 HUMANA — MEDICARE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$84.50	$42.25	$42.25 – $84.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $46.48 AETNA — MEDICARE: $6.13 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $42.25 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $5.04 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $6.01 CIGNA — ALL PRODUCTS: $46.48 HEALTHNET — ALL PRODUCTS: $46.48 HEALTHSPRING — MEDICARE: $84.50 HUMANA — ALL PRODUCTS: $50.70 HUMANA — MEDICARE: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD	$2,157.50	$1,078.75	$94.10 – $159.96
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $1,186.63 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,078.75 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $428.24 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $591 HEALTHNET — ALL PRODUCTS: $1,186.63 HEALTHSPRING — MEDICARE: $2,157.50 HUMANA — ALL PRODUCTS: $1,294.50 HUMANA — MEDICARE: $94.10
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN CONTRAST WO/W	$4,630.75	$2,315.38	$2,315.38 – $4,630.75
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $2,546.91 AETNA — MEDICARE: $320.28 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $2,315.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $604.66 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $314 CIGNA — ALL PRODUCTS: $1,301 HEALTHNET — ALL PRODUCTS: $2,546.91 HEALTHSPRING — MEDICARE: $4,630.75 HUMANA — ALL PRODUCTS: $2,778.45 HUMANA — MEDICARE: $314
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AP/Lat Chest	$353.75	$176.88	$78.33 – $133.15
Chest X-ray, 2 views: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $194.56 AETNA — MEDICARE: $79.89 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $176.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $77.59 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $78.33 CIGNA — ALL PRODUCTS: $194.56 HEALTHNET — ALL PRODUCTS: $194.56 HEALTHSPRING — MEDICARE: $353.75 HUMANA — ALL PRODUCTS: $212.25 HUMANA — MEDICARE: $78.33
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest PA Rt Lateral	$353.75	$176.88	$78.33 – $133.15
Chest X-ray, 2 views: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $194.56 AETNA — MEDICARE: $79.89 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $176.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $77.59 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $78.33 CIGNA — ALL PRODUCTS: $194.56 HEALTHNET — ALL PRODUCTS: $194.56 HEALTHSPRING — MEDICARE: $353.75 HUMANA — ALL PRODUCTS: $212.25 HUMANA — MEDICARE: $78.33
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest Bilateral Decub	$353.75	$176.88	$78.33 – $133.15
Chest X-ray, 2 views: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $194.56 AETNA — MEDICARE: $79.89 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $176.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $77.59 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $78.33 CIGNA — ALL PRODUCTS: $194.56 HEALTHNET — ALL PRODUCTS: $194.56 HEALTHSPRING — MEDICARE: $353.75 HUMANA — ALL PRODUCTS: $212.25 HUMANA — MEDICARE: $78.33
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LS SP BENDING	$490	$245	$245 – $490
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $269.50 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $245 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $77.59 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $269.50 HEALTHNET — ALL PRODUCTS: $269.50 HEALTHSPRING — MEDICARE: $490 HUMANA — ALL PRODUCTS: $294 HUMANA — MEDICARE: $94.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LS SP with Obliques 4+ views	$490	$245	$94.10 – $159.96
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $269.50 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $245 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $77.59 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $269.50 HEALTHNET — ALL PRODUCTS: $269.50 HEALTHSPRING — MEDICARE: $490 HUMANA — ALL PRODUCTS: $294 HUMANA — MEDICARE: $94.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE 4 VIEWS	$490	$245	$245 – $490
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $269.50 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $245 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $77.59 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $269.50 HEALTHNET — ALL PRODUCTS: $269.50 HEALTHSPRING — MEDICARE: $490 HUMANA — ALL PRODUCTS: $294 HUMANA — MEDICARE: $94.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LUMBAR SPINE	$3,033.75	$1,516.88	$1,516.88 – $3,033.75
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $1,668.56 AETNA — MEDICARE: $219.05 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,516.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $345.08 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $214.75 CIGNA — ALL PRODUCTS: $1,301 HEALTHNET — ALL PRODUCTS: $1,668.56 HEALTHSPRING — MEDICARE: $3,033.75 HUMANA — ALL PRODUCTS: $1,820.25 HUMANA — MEDICARE: $214.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: MR LUMBAR SPINE SCREEN	$3,033.75	$1,516.88	$364.05 – $3,033.75
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans AETNA — ALL PRODUCTS: $1,668.56 AETNA — MEDICARE: $364.05 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,516.88 CIGNA — ALL PRODUCTS: $1,301 HEALTHNET — ALL PRODUCTS: $1,668.56 HEALTHSPRING — MEDICARE: $3,033.75 HUMANA — ALL PRODUCTS: $1,820.25 HUMANA — MEDICARE: $1,213.50 UNITED HEALTHCARE — ALL PRODUCTS: $3,033.75
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS CONT.ONLY	$2,449.75	$1,224.88	$157.87 – $268.38
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $1,347.36 AETNA — MEDICARE: $161.03 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,224.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $428.24 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $157.87 CIGNA — ALL PRODUCTS: $591 HEALTHNET — ALL PRODUCTS: $1,347.36 HEALTHSPRING — MEDICARE: $2,449.75 HUMANA — ALL PRODUCTS: $1,469.85 HUMANA — MEDICARE: $157.87
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/IV CONT ONLY	$2,449.75	$1,224.88	$157.87 – $268.38
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $1,347.36 AETNA — MEDICARE: $161.03 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,224.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $428.24 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $157.87 CIGNA — ALL PRODUCTS: $591 HEALTHNET — ALL PRODUCTS: $1,347.36 HEALTHSPRING — MEDICARE: $2,449.75 HUMANA — ALL PRODUCTS: $1,469.85 HUMANA — MEDICARE: $157.87
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR TOE	$3,115	$1,557.50	$1,557.50 – $3,115
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $1,713.25 AETNA — MEDICARE: $219.05 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,557.50 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $345.08 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $214.75 CIGNA — ALL PRODUCTS: $1,301 HEALTHNET — ALL PRODUCTS: $1,713.25 HEALTHSPRING — MEDICARE: $3,115 HUMANA — ALL PRODUCTS: $1,869 HUMANA — MEDICARE: $214.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MR KNEE RT	$3,115	$1,557.50	$373.80 – $3,115
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans AETNA — ALL PRODUCTS: $1,713.25 AETNA — MEDICARE: $373.80 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,557.50 CIGNA — ALL PRODUCTS: $1,301 HEALTHNET — ALL PRODUCTS: $1,713.25 HEALTHSPRING — MEDICARE: $3,115 HUMANA — ALL PRODUCTS: $1,869 HUMANA — MEDICARE: $1,246 UNITED HEALTHCARE — ALL PRODUCTS: $3,115
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MR ANKLE RT	$3,115	$1,557.50	$373.80 – $3,115
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans AETNA — ALL PRODUCTS: $1,713.25 AETNA — MEDICARE: $373.80 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,557.50 CIGNA — ALL PRODUCTS: $1,301 HEALTHNET — ALL PRODUCTS: $1,713.25 HEALTHSPRING — MEDICARE: $3,115 HUMANA — ALL PRODUCTS: $1,869 HUMANA — MEDICARE: $1,246 UNITED HEALTHCARE — ALL PRODUCTS: $3,115
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT UPPER ABD/PEL W/CONT	$4,936.25	$2,468.13	$2,468.13 – $4,936.25
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $2,714.94 AETNA — MEDICARE: $320.28 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $2,468.13 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $428.24 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $314 CIGNA — ALL PRODUCTS: $591 HEALTHNET — ALL PRODUCTS: $2,714.94 HEALTHSPRING — MEDICARE: $4,936.25 HUMANA — ALL PRODUCTS: $2,961.75 HUMANA — MEDICARE: $314
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT UP ABD/PEL W/IV CONT ONLY	$4,944	$2,472	$2,472 – $4,944
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $2,719.20 AETNA — MEDICARE: $320.28 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $2,472 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $428.24 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $314 CIGNA — ALL PRODUCTS: $591 HEALTHNET — ALL PRODUCTS: $2,719.20 HEALTHSPRING — MEDICARE: $4,944 HUMANA — ALL PRODUCTS: $2,966.40 HUMANA — MEDICARE: $314
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US UPPER ABDOMEN	$898	$449	$94.10 – $159.96
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $493.90 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $449 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $227.55 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $493.90 HEALTHNET — ALL PRODUCTS: $493.90 HEALTHSPRING — MEDICARE: $898 HUMANA — ALL PRODUCTS: $538.80 HUMANA — MEDICARE: $94.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND FETAL	$716	$358	$358 – $716
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $393.80 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $358 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $137.78 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $393.80 HEALTHNET — ALL PRODUCTS: $393.80 HEALTHSPRING — MEDICARE: $716 HUMANA — ALL PRODUCTS: $429.60 HUMANA — MEDICARE: $94.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREG + 14WKS 0 DAYS	$695.75	$347.88	$347.88 – $695.75
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $382.66 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $347.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $137.78 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $382.66 HEALTHNET — ALL PRODUCTS: $382.66 HEALTHSPRING — MEDICARE: $695.75 HUMANA — ALL PRODUCTS: $417.45 HUMANA — MEDICARE: $94.10
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US INTRAVAGINAL ULTRASOUND	$583.50	$291.75	$291.75 – $583.50
Transvaginal ultrasound: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $320.93 AETNA — MEDICARE: $95.98 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $291.75 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $149.89 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $94.10 CIGNA — ALL PRODUCTS: $320.93 HEALTHNET — ALL PRODUCTS: $320.93 HEALTHSPRING — MEDICARE: $583.50 HUMANA — ALL PRODUCTS: $350.10 HUMANA — MEDICARE: $94.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Digital Add'l Unilat	$195.75	$97.88	$168.11 – $285.79
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $107.66 AETNA — MEDICARE: $171.47 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $97.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $68.63 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $168.11 CIGNA — ALL PRODUCTS: $107.66 HEALTHNET — ALL PRODUCTS: $107.66 HEALTHSPRING — MEDICARE: $195.75 HUMANA — ALL PRODUCTS: $117.45 HUMANA — MEDICARE: $168.11
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diag Post Scr Uni	$195.75	$97.88	$168.11 – $285.79
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $107.66 AETNA — MEDICARE: $171.47 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $97.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $68.63 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $168.11 CIGNA — ALL PRODUCTS: $107.66 HEALTHNET — ALL PRODUCTS: $107.66 HEALTHSPRING — MEDICARE: $195.75 HUMANA — ALL PRODUCTS: $117.45 HUMANA — MEDICARE: $168.11
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: Mamm Diagnostic Dig/CAD Left	$390.75	$195.38	$46.89 – $390.75
Diagnostic mammogram, one breast: rates for 9 insurance plans AETNA — ALL PRODUCTS: $214.91 AETNA — MEDICARE: $46.89 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $195.38 CIGNA — ALL PRODUCTS: $214.91 HEALTHNET — ALL PRODUCTS: $214.91 HEALTHSPRING — MEDICARE: $390.75 HUMANA — ALL PRODUCTS: $234.45 HUMANA — MEDICARE: $156.30 UNITED HEALTHCARE — ALL PRODUCTS: $390.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Digital Add'l Bilateral	$306	$153	$153 – $306
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $168.30 AETNA — MEDICARE: $217.34 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $153 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $68.63 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $213.08 CIGNA — ALL PRODUCTS: $168.30 HEALTHNET — ALL PRODUCTS: $168.30 HEALTHSPRING — MEDICARE: $306 HUMANA — ALL PRODUCTS: $183.60 HUMANA — MEDICARE: $213.08
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diagnostic Digitalw/CAD B	$415.50	$207.75	$207.75 – $415.50
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $228.53 AETNA — MEDICARE: $217.34 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $207.75 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $68.63 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $213.08 CIGNA — ALL PRODUCTS: $228.53 HEALTHNET — ALL PRODUCTS: $228.53 HEALTHSPRING — MEDICARE: $415.50 HUMANA — ALL PRODUCTS: $249.30 HUMANA — MEDICARE: $213.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Screen Digital w/CAD Bil	$361.50	$180.75	$180.75 – $361.50
Screening mammogram, both breasts: 10 of 15 insurance plan rates AETNA — ALL PRODUCTS: $198.83 AETNA — MEDICARE: $175.79 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $180.75 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $68.63 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $172.34 CIGNA — ALL PRODUCTS: $198.83 HEALTHNET — ALL PRODUCTS: $198.83 HEALTHSPRING — MEDICARE: $361.50 HUMANA — ALL PRODUCTS: $216.90 HUMANA — MEDICARE: $172.34
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: Mamm Screen Digital w/CAD redu	$330	$165	$39.60 – $330
Screening mammogram, both breasts: rates for 9 insurance plans AETNA — ALL PRODUCTS: $181.50 AETNA — MEDICARE: $39.60 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $165 CIGNA — ALL PRODUCTS: $181.50 HEALTHNET — ALL PRODUCTS: $181.50 HEALTHSPRING — MEDICARE: $330 HUMANA — ALL PRODUCTS: $198 HUMANA — MEDICARE: $132 UNITED HEALTHCARE — ALL PRODUCTS: $330

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$35.74
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $35.74
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$2,917.87 – $4,960.38
Left heart catheterization (diagnostic): rates for 9 insurance plans AETNA — MEDICARE: $2,976.23 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3,190.08 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $2,917.87 HUMANA — MEDICARE: $2,917.87 SEVEN CORNERS — MEDICARE: $4,960.38 SIMPRA — MEDICARE: $2,917.87 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $605.91 TRADITIONAL MEDICARE — MEDICARE: $2,917.87 UNITED HEALTHCARE — MEDICARE: $2,917.87
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$7,020.02 – $11,934.03
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans AETNA — MEDICARE: $7,160.42 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $22,146.75 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $7,020.02 HUMANA — MEDICARE: $7,020.02 SEVEN CORNERS — MEDICARE: $11,934.03 SIMPRA — MEDICARE: $7,020.02 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $225.43 TRADITIONAL MEDICARE — MEDICARE: $7,020.02 UNITED HEALTHCARE — MEDICARE: $7,020.02
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP EVAL ABL AFIB PULMVEIN ISO	$28,314.75	$14,157.38	$3,850 – $39,992.75
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $15,573.11 AETNA — MEDICARE: $23,995.65 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $14,157.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $22,146.75 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $23,525.15 CIGNA — ALL PRODUCTS: $4,552 HEALTHNET — ALL PRODUCTS: $3,850 HEALTHSPRING — MEDICARE: $28,314.75 HUMANA — ALL PRODUCTS: $16,988.85 HUMANA — MEDICARE: $23,525.15
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$772.90 – $1,313.93
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans AETNA — MEDICARE: $788.36 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,032.59 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $772.90 HUMANA — MEDICARE: $772.90 SEVEN CORNERS — MEDICARE: $1,313.93 SIMPRA — MEDICARE: $772.90 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $369.30 TRADITIONAL MEDICARE — MEDICARE: $772.90 UNITED HEALTHCARE — MEDICARE: $772.90

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$37.31 – $63.43
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans AETNA — MEDICARE: $38.06 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $52.33 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $37.31 HUMANA — MEDICARE: $37.31 SEVEN CORNERS — MEDICARE: $63.43 SIMPRA — MEDICARE: $37.31 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $22.24 TRADITIONAL MEDICARE — MEDICARE: $37.31 UNITED HEALTHCARE — MEDICARE: $37.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC PROC EA 15 MIN	$96.25	$48.13	$11.55 – $96.25
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans AETNA — ALL PRODUCTS: $52.94 AETNA — MEDICARE: $11.55 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $48.13 CIGNA — ALL PRODUCTS: $107 HEALTHNET — ALL PRODUCTS: $52.94 HEALTHSPRING — MEDICARE: $96.25 HUMANA — ALL PRODUCTS: $57.75 HUMANA — MEDICARE: $38.50 UNITED HEALTHCARE — ALL PRODUCTS: $96.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC PROC. EA. 15 MIN	$96.25	$48.13	$11.55 – $96.25
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans AETNA — ALL PRODUCTS: $52.94 AETNA — MEDICARE: $11.55 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $48.13 CIGNA — ALL PRODUCTS: $107 HEALTHNET — ALL PRODUCTS: $52.94 HEALTHSPRING — MEDICARE: $96.25 HUMANA — ALL PRODUCTS: $57.75 HUMANA — MEDICARE: $38.50 UNITED HEALTHCARE — ALL PRODUCTS: $96.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$126.43 – $214.93
Physical therapy evaluation (low complexity): rates for 9 insurance plans AETNA — MEDICARE: $128.96 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $324.34 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $126.43 HUMANA — MEDICARE: $126.43 SEVEN CORNERS — MEDICARE: $214.93 SIMPRA — MEDICARE: $126.43 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $71.74 TRADITIONAL MEDICARE — MEDICARE: $126.43 UNITED HEALTHCARE — MEDICARE: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEXITY	$255.75	$127.88	$30.69 – $255.75
Physical therapy evaluation (low complexity): rates for 9 insurance plans AETNA — ALL PRODUCTS: $140.66 AETNA — MEDICARE: $30.69 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $127.88 CIGNA — ALL PRODUCTS: $107 HEALTHNET — ALL PRODUCTS: $140.66 HEALTHSPRING — MEDICARE: $255.75 HUMANA — ALL PRODUCTS: $153.45 HUMANA — MEDICARE: $102.30 UNITED HEALTHCARE — ALL PRODUCTS: $255.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$126.43 – $214.93
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans AETNA — MEDICARE: $128.96 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $324.34 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $126.43 HUMANA — MEDICARE: $126.43 SEVEN CORNERS — MEDICARE: $214.93 SIMPRA — MEDICARE: $126.43 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $71.74 TRADITIONAL MEDICARE — MEDICARE: $126.43 UNITED HEALTHCARE — MEDICARE: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEXITY	$255.75	$127.88	$30.69 – $255.75
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans AETNA — ALL PRODUCTS: $140.66 AETNA — MEDICARE: $30.69 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $127.88 CIGNA — ALL PRODUCTS: $107 HEALTHNET — ALL PRODUCTS: $140.66 HEALTHSPRING — MEDICARE: $255.75 HUMANA — ALL PRODUCTS: $153.45 HUMANA — MEDICARE: $102.30 UNITED HEALTHCARE — ALL PRODUCTS: $255.75
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$126.43 – $214.93
Physical therapy evaluation (high complexity): rates for 9 insurance plans AETNA — MEDICARE: $128.96 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $324.34 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $126.43 HUMANA — MEDICARE: $126.43 SEVEN CORNERS — MEDICARE: $214.93 SIMPRA — MEDICARE: $126.43 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $71.74 TRADITIONAL MEDICARE — MEDICARE: $126.43 UNITED HEALTHCARE — MEDICARE: $126.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEXITY	$255.75	$127.88	$30.69 – $255.75
Physical therapy evaluation (high complexity): rates for 9 insurance plans AETNA — ALL PRODUCTS: $140.66 AETNA — MEDICARE: $30.69 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $127.88 CIGNA — ALL PRODUCTS: $107 HEALTHNET — ALL PRODUCTS: $140.66 HEALTHSPRING — MEDICARE: $255.75 HUMANA — ALL PRODUCTS: $153.45 HUMANA — MEDICARE: $102.30 UNITED HEALTHCARE — ALL PRODUCTS: $255.75
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$159.75 – $271.58
Psychotherapy, 30 minutes: rates for 8 insurance plans AETNA — MEDICARE: $162.95 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $164.23 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $159.75 HUMANA — MEDICARE: $159.75 SEVEN CORNERS — MEDICARE: $271.58 SIMPRA — MEDICARE: $159.75 TRADITIONAL MEDICARE — MEDICARE: $159.75 UNITED HEALTHCARE — MEDICARE: $159.75
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$159.75 – $271.58
Psychotherapy, 45 minutes: rates for 8 insurance plans AETNA — MEDICARE: $162.95 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $198.07 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $159.75 HUMANA — MEDICARE: $159.75 SEVEN CORNERS — MEDICARE: $271.58 SIMPRA — MEDICARE: $159.75 TRADITIONAL MEDICARE — MEDICARE: $159.75 UNITED HEALTHCARE — MEDICARE: $159.75
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$159.75 – $271.58
Psychotherapy, 60 minutes: rates for 8 insurance plans AETNA — MEDICARE: $162.95 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $198.07 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $159.75 HUMANA — MEDICARE: $159.75 SEVEN CORNERS — MEDICARE: $271.58 SIMPRA — MEDICARE: $159.75 TRADITIONAL MEDICARE — MEDICARE: $159.75 UNITED HEALTHCARE — MEDICARE: $159.75
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$159.75 – $271.58
Family psychotherapy, without the patient: rates for 8 insurance plans AETNA — MEDICARE: $162.95 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $204.46 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $159.75 HUMANA — MEDICARE: $159.75 SEVEN CORNERS — MEDICARE: $271.58 SIMPRA — MEDICARE: $159.75 TRADITIONAL MEDICARE — MEDICARE: $159.75 UNITED HEALTHCARE — MEDICARE: $159.75
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$159.75 – $271.58
Family psychotherapy, with the patient: rates for 8 insurance plans AETNA — MEDICARE: $162.95 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $204.46 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $159.75 HUMANA — MEDICARE: $159.75 SEVEN CORNERS — MEDICARE: $271.58 SIMPRA — MEDICARE: $159.75 TRADITIONAL MEDICARE — MEDICARE: $159.75 UNITED HEALTHCARE — MEDICARE: $159.75
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$91.43 – $155.44
Group psychotherapy: rates for 8 insurance plans AETNA — MEDICARE: $93.26 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $290.06 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $91.43 HUMANA — MEDICARE: $91.43 SEVEN CORNERS — MEDICARE: $155.44 SIMPRA — MEDICARE: $91.43 TRADITIONAL MEDICARE — MEDICARE: $91.43 UNITED HEALTHCARE — MEDICARE: $91.43

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,524.05 – $5,990.89
Removal of breast growth (open surgery): rates for 9 insurance plans AETNA — MEDICARE: $3,594.53 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,896.02 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $3,524.05 HUMANA — MEDICARE: $3,524.05 SEVEN CORNERS — MEDICARE: $5,990.89 SIMPRA — MEDICARE: $3,524.05 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $440.80 TRADITIONAL MEDICARE — MEDICARE: $3,524.05 UNITED HEALTHCARE — MEDICARE: $3,524.05
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$11,555.34 – $19,644.08
Total hip replacement: rates for 9 insurance plans AETNA — MEDICARE: $11,786.45 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $12,633.63 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $11,555.34 HUMANA — MEDICARE: $11,555.34 SEVEN CORNERS — MEDICARE: $19,644.08 SIMPRA — MEDICARE: $11,555.34 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $2,376 TRADITIONAL MEDICARE — MEDICARE: $11,555.34 UNITED HEALTHCARE — MEDICARE: $11,555.34
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$11,555.34 – $19,644.08
Total knee replacement: rates for 9 insurance plans AETNA — MEDICARE: $11,786.45 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $12,633.63 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $11,555.34 HUMANA — MEDICARE: $11,555.34 SEVEN CORNERS — MEDICARE: $19,644.08 SIMPRA — MEDICARE: $11,555.34 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $511.49 TRADITIONAL MEDICARE — MEDICARE: $11,555.34 UNITED HEALTHCARE — MEDICARE: $11,555.34
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$440.80 – $3,029.38
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3,029.38 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $440.80
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$2,944.93 – $5,006.39
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans AETNA — MEDICARE: $3,003.83 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3,029.38 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $2,944.93 HUMANA — MEDICARE: $2,944.93 SEVEN CORNERS — MEDICARE: $5,006.39 SIMPRA — MEDICARE: $2,944.93 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $440.80 TRADITIONAL MEDICARE — MEDICARE: $2,944.93 UNITED HEALTHCARE — MEDICARE: $2,944.93
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,328.09 – $9,057.75
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans AETNA — MEDICARE: $5,434.65 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $2,707.40 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $5,328.09 HUMANA — MEDICARE: $5,328.09 SEVEN CORNERS — MEDICARE: $9,057.75 SIMPRA — MEDICARE: $5,328.09 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $542.16 TRADITIONAL MEDICARE — MEDICARE: $5,328.09 UNITED HEALTHCARE — MEDICARE: $5,328.09
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$1,358.75	$679.38	$816.32 – $1,387.75
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $747.31 AETNA — MEDICARE: $832.65 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $679.38 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,296.21 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $816.32 CIGNA — ALL PRODUCTS: $747.31 HEALTHNET — ALL PRODUCTS: $747.31 HEALTHSPRING — MEDICARE: $1,358.75 HUMANA — ALL PRODUCTS: $815.25 HUMANA — MEDICARE: $816.32
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UGI W BX. SGL/MULTIPLE 43239	$1,329.25	$664.63	$664.63 – $1,329.25
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $731.09 AETNA — MEDICARE: $832.65 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $664.63 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,296.21 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $816.32 CIGNA — ALL PRODUCTS: $731.09 HEALTHNET — ALL PRODUCTS: $731.09 HEALTHSPRING — MEDICARE: $1,329.25 HUMANA — ALL PRODUCTS: $797.55 HUMANA — MEDICARE: $816.32
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$837 – $1,422.90
Colonoscopy (diagnostic): rates for 9 insurance plans AETNA — MEDICARE: $853.74 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,315.58 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $837 HUMANA — MEDICARE: $837 SEVEN CORNERS — MEDICARE: $1,422.90 SIMPRA — MEDICARE: $837 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $383.49 TRADITIONAL MEDICARE — MEDICARE: $837 UNITED HEALTHCARE — MEDICARE: $837
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,077.03 – $1,830.95
Colonoscopy with biopsy: rates for 10 insurance plans AETNA — ALL PRODUCTS: $1,575 AETNA — MEDICARE: $1,098.57 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,315.58 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $1,077.03 HUMANA — MEDICARE: $1,077.03 SEVEN CORNERS — MEDICARE: $1,830.95 SIMPRA — MEDICARE: $1,077.03 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $383.49 TRADITIONAL MEDICARE — MEDICARE: $1,077.03 UNITED HEALTHCARE — MEDICARE: $1,077.03
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,077.03 – $1,830.95
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans AETNA — MEDICARE: $1,098.57 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,315.58 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $1,077.03 HUMANA — MEDICARE: $1,077.03 SEVEN CORNERS — MEDICARE: $1,830.95 SIMPRA — MEDICARE: $1,077.03 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $383.49 TRADITIONAL MEDICARE — MEDICARE: $1,077.03 UNITED HEALTHCARE — MEDICARE: $1,077.03
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,077.03 – $1,830.95
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans AETNA — MEDICARE: $1,098.57 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,315.58 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $1,077.03 HUMANA — MEDICARE: $1,077.03 SEVEN CORNERS — MEDICARE: $1,830.95 SIMPRA — MEDICARE: $1,077.03 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $286.51 TRADITIONAL MEDICARE — MEDICARE: $1,077.03 UNITED HEALTHCARE — MEDICARE: $1,077.03
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$837 – $1,422.90
Screening colonoscopy (not high risk): rates for 8 insurance plans AETNA — MEDICARE: $853.74 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,315.58 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $837 HUMANA — MEDICARE: $837 SEVEN CORNERS — MEDICARE: $1,422.90 SIMPRA — MEDICARE: $837 TRADITIONAL MEDICARE — MEDICARE: $837 UNITED HEALTHCARE — MEDICARE: $837
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$4,230 – $9,250.08
Gallbladder removal by laparoscope: rates for 10 insurance plans AETNA — MEDICARE: $5,550.05 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $4,673.84 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $5,441.22 CIGNA — ALL PRODUCTS: $4,230 HUMANA — MEDICARE: $5,441.22 SEVEN CORNERS — MEDICARE: $9,250.08 SIMPRA — MEDICARE: $5,441.22 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $440.80 TRADITIONAL MEDICARE — MEDICARE: $5,441.22 UNITED HEALTHCARE — MEDICARE: $5,441.22
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,222.51 – $5,478.26
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans AETNA — MEDICARE: $3,286.96 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $4,746.47 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $3,222.51 HUMANA — MEDICARE: $3,222.51 SEVEN CORNERS — MEDICARE: $5,478.26 SIMPRA — MEDICARE: $3,222.51 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $542.16 TRADITIONAL MEDICARE — MEDICARE: $3,222.51 UNITED HEALTHCARE — MEDICARE: $3,222.51
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$2,066.33
Prostate biopsy: rates for 1 insurance plan ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $2,066.33
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$9,567.29 – $16,264.39
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans AETNA — MEDICARE: $9,758.63 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $5,817.61 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $9,567.29 HUMANA — MEDICARE: $9,567.29 SEVEN CORNERS — MEDICARE: $16,264.39 SIMPRA — MEDICARE: $9,567.29 TRADITIONAL MEDICARE — MEDICARE: $9,567.29 UNITED HEALTHCARE — MEDICARE: $9,567.29
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$2,913.55 – $4,953.03
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans AETNA — MEDICARE: $2,971.82 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3,078.89 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $2,913.55 HUMANA — MEDICARE: $2,913.55 SEVEN CORNERS — MEDICARE: $4,953.03 SIMPRA — MEDICARE: $2,913.55 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $440.80 TRADITIONAL MEDICARE — MEDICARE: $2,913.55 UNITED HEALTHCARE — MEDICARE: $2,913.55
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NM Cisternogram inj w/imaging	$2,269.75	$1,134.88	$635.32 – $1,704
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates AETNA — ALL PRODUCTS: $1,500 AETNA — MEDICARE: $648.03 AL. DEPT OF MENTAL HEALTH — ALL PRODUCTS: $1,134.88 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,159.15 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $635.32 CIGNA — ALL PRODUCTS: $1,704 HEALTHNET — ALL PRODUCTS: $1,248.36 HEALTHSPRING — MEDICARE: $2,269.75 HUMANA — ALL PRODUCTS: $825 HUMANA — MEDICARE: $635.32
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$796.06 – $1,353.31
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans AETNA — MEDICARE: $811.98 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,159.15 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $796.06 HUMANA — MEDICARE: $796.06 SEVEN CORNERS — MEDICARE: $1,353.31 SIMPRA — MEDICARE: $796.06 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $286.51 TRADITIONAL MEDICARE — MEDICARE: $796.06 UNITED HEALTHCARE — MEDICARE: $796.06
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,757.53 – $2,987.81
Carpal tunnel release: rates for 9 insurance plans AETNA — MEDICARE: $1,792.68 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $1,863.92 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $1,757.53 HUMANA — MEDICARE: $1,757.53 SEVEN CORNERS — MEDICARE: $2,987.81 SIMPRA — MEDICARE: $1,757.53 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $383.49 TRADITIONAL MEDICARE — MEDICARE: $1,757.53 UNITED HEALTHCARE — MEDICARE: $1,757.53
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$495.02 – $841.53
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans AETNA — MEDICARE: $504.92 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $719.14 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $495.02 HUMANA — MEDICARE: $495.02 SEVEN CORNERS — MEDICARE: $841.53 SIMPRA — MEDICARE: $495.02 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $542.16 TRADITIONAL MEDICARE — MEDICARE: $495.02 UNITED HEALTHCARE — MEDICARE: $495.02
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,077.14 – $3,531.13
Cataract removal with lens implant: rates for 10 insurance plans AETNA — MEDICARE: $2,118.68 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $2,336.10 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $2,077.14 CIGNA — ALL PRODUCTS: $2,653 HUMANA — MEDICARE: $2,077.14 SEVEN CORNERS — MEDICARE: $3,531.13 SIMPRA — MEDICARE: $2,077.14 TRADITIONAL MEDICAID — ALABAMA MEDICAID: $1,006.32 TRADITIONAL MEDICARE — MEDICARE: $2,077.14 UNITED HEALTHCARE — MEDICARE: $2,077.14

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,941.71
Vaginal delivery, with care before and after: rates for 1 insurance plan ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $2,941.71
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$3,533.20
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $3,533.20
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,941.71
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $2,941.71

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$66,234.88 – $114,897.24
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $79,240.68 AETNA — MEDICARE: $68,938.34 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $4,046 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $66,234.88 CIGNA — ALL PRODUCTS: $86,714.74 HEALTHNET — ALL PRODUCTS: $73,371 HUMANA — ALL PRODUCTS: $73,371 HUMANA — MEDICARE: $67,586.61 SEVEN CORNERS — MEDICARE: $114,897.24 SIMPRA — MEDICARE: $67,586.61
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$14,466.75 – $29,741.11
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans AETNA — MEDICARE: $17,844.67 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $17,144.87 HUMANA — MEDICARE: $17,494.77 SEVEN CORNERS — MEDICARE: $29,741.11 SIMPRA — MEDICARE: $17,494.77 TRADITIONAL MEDICARE — MEDICARE: $17,494.77 UNITED HEALTHCARE — MEDICARE: $17,494.77
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$14,466.75 – $29,741.11
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans AETNA — ALL PRODUCTS: $15,624.09 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $4,046 CIGNA — ALL PRODUCTS: $17,097.77 HEALTHNET — ALL PRODUCTS: $14,466.75 HUMANA — ALL PRODUCTS: $14,466.75
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$18,309.75 – $35,296.83
Neck (cervical) spinal fusion, without complications: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $19,774.53 AETNA — MEDICARE: $21,178.10 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $4,046 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $20,347.58 CIGNA — ALL PRODUCTS: $21,639.68 HEALTHNET — ALL PRODUCTS: $18,309.75 HUMANA — ALL PRODUCTS: $18,309.75 HUMANA — MEDICARE: $20,762.84 SEVEN CORNERS — MEDICARE: $35,296.83 SIMPRA — MEDICARE: $20,762.84
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,305.25 – $22,279.28
Uterus and ovary surgery (not for cancer), without complications: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $10,049.67 AETNA — MEDICARE: $13,367.57 ALABAMA BLUE CROSS BLUE SHIELD — ALL PRODUCTS: $4,046 ALABAMA BLUE CROSS BLUE SHIELD — MEDICARE: $12,843.35 CIGNA — ALL PRODUCTS: $10,997.56 HEALTHNET — ALL PRODUCTS: $9,305.25 HUMANA — ALL PRODUCTS: $9,305.25 HUMANA — MEDICARE: $13,105.46 SEVEN CORNERS — MEDICARE: $22,279.28 SIMPRA — MEDICARE: $13,105.46

Source: Fayette Medical Center’s standard charges file (dch.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 26, 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 type	Acute Care Hospital
Address	1653 Temple Avenue North, Fayette, AL 35555
County	Fayette County
State	Alabama
Phone	(205) 932‑5966
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
CMS Certification Number	010045
Name in Medicare records	FAYETTE MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	dchsystem.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Fayette Medical Center | Hospital in Fayette, AL — dchsystem.com
Visitation Policy - Patient & Visitor | DCH Health System — dchsystem.com
Emergency Services Tuscaloosa | DCH Health System Emergency Department — dchsystem.com

Fayette Medical Center

Summary

Profile from official sources

At a glance