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Acute Care Hospital

North Alabama Shoals Hospital

Muscle Shoals, Alabama · Colbert County · Emergency services listed

Summary

North Alabama Shoals Hospital is an acute care hospital in Muscle Shoals, Alabama. Medicare data lists emergency services. Its official website lists 47 services, specialties and programs. Medicare lists 163 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 2026-10-30). 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
Not ratedNot rated by CMSMedicare rating
198Beds (hospital website)
47Services listed

Quick answers

Does North Alabama Shoals Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at North Alabama Shoals Hospital. In a medical emergency, call 911.
Where is North Alabama Shoals Hospital?
201 West Avalon Avenue, Muscle Shoals, AL 35661, in Colbert County, Alabama.
What is the phone number of North Alabama Shoals Hospital?
(256) 386-1601, as listed by Medicare (CMS).
What is the Medicare star rating of North Alabama Shoals Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[5]

Conditions treated[6][11][12][16]

Treatments[5][11][12][15]

Procedures[4][5]

  • Minimally invasive robotic surgery
  • Breast biopsies
  • Breast surgery
  • Gynecological surgery
  • Heart CT for calcium scoring
  • Low-dose CT lung cancer screening
  • CT lung scan
  • Heart CT scan

Programs and centers[4][5][12][15]

  • Adult inpatient behavioral health
  • Geriatric inpatient behavioral health
  • Emergency mental health services
  • Post-surgical care unit
  • Senior Care Center
  • Rehabilitation Center
  • Diabetes Care
  • Breast Health

Emergency care (hospital website)[6]

Emergency roomYes
Open 24/7Yes
Stroke designationAcute Stroke Ready Hospital

Visiting and practical information

VisitingGeneral visiting hours 7:00 a.m. to 8:00 p.m.; ICU sets its own hours; hours may change, confirm with your nurse[7]
ParkingPatient and visitor parking in front; outpatient parking behind the hospital; available 24/7[7]
Interpreters and languagesInterpreters and free language assistance are available; ask your nurse[7]
Patient portalInteliChart Patient Portal

Recognition[6][16]

  • Chest Pain Center accreditation (American College of Cardiology)

Doctors and clinicians (163)

163 doctors and other clinicians list North Alabama Shoals Hospital 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 (163)

And 139 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 North Alabama Shoals Hospital 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)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1081%National average: 72%
Would definitely recommend the hospital84%National average: 71%
Nurses “always” communicated well88%National average: 80%
Doctors “always” communicated well88%National average: 80%
Staff “always” explained medicines before giving them66%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean82%National average: 74%
Area around the room “always” quiet at night76%National average: 60%
Completed surveys40Response rate: 14%

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No 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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.97No different from the national rate
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

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 attackNot reported to Medicare
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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)103 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)Too few cases to report

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 62 common services exactly as North Alabama Shoals Hospital 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: Office/outpatient visit new $541.19 Not listed in the file Not listed in the file
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Wc new patient level 3 $541.19 Not listed in the file Not listed in the file
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Office/outpatient visit new $705.01 Not listed in the file Not listed in the file
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Wc new patient level 4 $705.01 Not listed in the file Not listed in the file
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office/outpatient visit new $498.21 Not listed in the file Not listed in the file
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Opc level v new patient $498.21 Not listed in the file Not listed in the file
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/outpatient visit est $643.24 Not listed in the file Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Radiation facility charge l3 $643.24 Not listed in the file Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office/outpatient visit est $785.58 Not listed in the file Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Radiation facility charge l4 $785.58 Not listed in the file Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — AETNA1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna — AETNA1_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2: 49.9% (a percentage in the contract, not a dollar amount)
  • Aetna2 — AETNA2_1: 49.9% (a percentage in the contract, not a dollar amount)
  • Cigna — CIGNA2: 28.7% (a percentage in the contract, not a dollar amount)
  • Cigna_Non-PPO — CIGNA: 64.6% (a percentage in the contract, not a dollar amount)
  • Cigna_PPO — CIGNAPPO: 28.7% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA: 79% (a percentage in the contract, not a dollar amount)
  • Humana_Catchall — CATCHHUMA_1: 79% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency dept visit $470.01 Not listed in the file $252.09
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $252.09
  • Medicare — MCAREAP_1: $252.09
  • Medicare_GPF — MCAREGPF_1: $252.09
  • Medicare_GPF — MCAREGPFAP_1: $252.09
  • Medicare_IRF — MCAREIRF_1: $252.09
  • Medicare_IRF — MCAREIRFAP_1: $252.09
  • Medicare_IRF — MCARERRIRF_1: $252.09
  • Medicare_Part_A — MCARPARTA_1: $252.09
  • Medicare_Part_B — MCARPARTB_1: $252.09
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $252.09
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Np level 3 $470.01 Not listed in the file $252.09
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $252.09
  • Medicare — MCAREAP_1: $252.09
  • Medicare_GPF — MCAREGPF_1: $252.09
  • Medicare_GPF — MCAREGPFAP_1: $252.09
  • Medicare_IRF — MCAREIRF_1: $252.09
  • Medicare_IRF — MCAREIRFAP_1: $252.09
  • Medicare_IRF — MCARERRIRF_1: $252.09
  • Medicare_Part_A — MCARPARTA_1: $252.09
  • Medicare_Part_B — MCARPARTB_1: $252.09
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $252.09
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency dept visit $641.90 Not listed in the file $387.69
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $387.69
  • Medicare — MCAREAP_1: $387.69
  • Medicare_GPF — MCAREGPF_1: $387.69
  • Medicare_GPF — MCAREGPFAP_1: $387.69
  • Medicare_IRF — MCAREIRF_1: $387.69
  • Medicare_IRF — MCAREIRFAP_1: $387.69
  • Medicare_IRF — MCARERRIRF_1: $387.69
  • Medicare_Part_A — MCARPARTA_1: $387.69
  • Medicare_Part_B — MCARPARTB_1: $387.69
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $387.69
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Np level 4 $641.90 Not listed in the file $387.69
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $387.69
  • Medicare — MCAREAP_1: $387.69
  • Medicare_GPF — MCAREGPF_1: $387.69
  • Medicare_GPF — MCAREGPFAP_1: $387.69
  • Medicare_IRF — MCAREIRF_1: $387.69
  • Medicare_IRF — MCAREIRFAP_1: $387.69
  • Medicare_IRF — MCARERRIRF_1: $387.69
  • Medicare_Part_A — MCARPARTA_1: $387.69
  • Medicare_Part_B — MCARPARTB_1: $387.69
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $387.69
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency dept visit $946.73 Not listed in the file $558.20
Emergency room visit (high): 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $558.20
  • Medicare — MCAREAP_1: $558.20
  • Medicare_GPF — MCAREGPF_1: $558.20
  • Medicare_GPF — MCAREGPFAP_1: $558.20
  • Medicare_IRF — MCAREIRF_1: $558.20
  • Medicare_IRF — MCAREIRFAP_1: $558.20
  • Medicare_IRF — MCARERRIRF_1: $558.20
  • Medicare_Part_A — MCARPARTA_1: $558.20
  • Medicare_Part_B — MCARPARTB_1: $558.20
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $558.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Np level 5 $946.73 Not listed in the file $558.20
Emergency room visit (high): 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $558.20
  • Medicare — MCAREAP_1: $558.20
  • Medicare_GPF — MCAREGPF_1: $558.20
  • Medicare_GPF — MCAREGPFAP_1: $558.20
  • Medicare_IRF — MCAREIRF_1: $558.20
  • Medicare_IRF — MCAREIRFAP_1: $558.20
  • Medicare_IRF — MCARERRIRF_1: $558.20
  • Medicare_Part_A — MCARPARTA_1: $558.20
  • Medicare_Part_B — MCARPARTB_1: $558.20
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $558.20

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid cascade $41.63 Not listed in the file $11.32 – $13.39
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $11.32
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $11.32
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $11.32
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $11.32
  • BCBS_Alabama — BCAL2_1: $11.32
  • BCBS_Alabama — BCAL_1: $11.32
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $11.32
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $11.32
  • BCBS_Catchall — BCCATCHA_1: $11.32
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $11.32
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid panel $41.63 Not listed in the file $11.32 – $13.39
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $11.32
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $11.32
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $11.32
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $11.32
  • BCBS_Alabama — BCAL2_1: $11.32
  • BCBS_Alabama — BCAL_1: $11.32
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $11.32
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $11.32
  • BCBS_Catchall — BCCATCHA_1: $11.32
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $11.32
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic function panel $21.94 Not listed in the file $11.32
Liver function panel: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $11.32
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $11.32
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $11.32
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $11.32
  • BCBS_Alabama — BCAL2_1: $11.32
  • BCBS_Alabama — BCAL_1: $11.32
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $11.32
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $11.32
  • BCBS_Catchall — BCCATCHA_1: $11.32
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $11.32
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Hemoglobin free qual urine $81.91 Not listed in the file $3.74
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3.74
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3.74
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3.74
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3.74
  • BCBS_Alabama — BCAL2_1: $3.74
  • BCBS_Alabama — BCAL_1: $3.74
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3.74
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3.74
  • BCBS_Catchall — BCCATCHA_1: $3.74
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3.74
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis auto w/o scope $81.91 Not listed in the file $3.74
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3.74
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3.74
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3.74
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3.74
  • BCBS_Alabama — BCAL2_1: $3.74
  • BCBS_Alabama — BCAL_1: $3.74
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3.74
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3.74
  • BCBS_Catchall — BCCATCHA_1: $3.74
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3.74
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete cbc w/auto diff wbc $35.08 Not listed in the file $7.65
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $7.65
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $7.65
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $7.65
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $7.65
  • BCBS_Alabama — BCAL2_1: $7.65
  • BCBS_Alabama — BCAL_1: $7.65
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $7.65
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $7.65
  • BCBS_Catchall — BCCATCHA_1: $7.65
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $7.65
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete cbc w/diff $35.08 Not listed in the file $7.65
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $7.65
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $7.65
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $7.65
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $7.65
  • BCBS_Alabama — BCAL2_1: $7.65
  • BCBS_Alabama — BCAL_1: $7.65
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $7.65
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $7.65
  • BCBS_Catchall — BCCATCHA_1: $7.65
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $7.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Coag stdy prothrombine time pt $205.47 Not listed in the file $5.05
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $5.05
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $5.05
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $5.05
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $5.05
  • BCBS_Alabama — BCAL2_1: $5.05
  • BCBS_Alabama — BCAL_1: $5.05
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $5.05
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $5.05
  • BCBS_Catchall — BCCATCHA_1: $5.05
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $5.05
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin time $205.47 Not listed in the file $5.05
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $5.05
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $5.05
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $5.05
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $5.05
  • BCBS_Alabama — BCAL2_1: $5.05
  • BCBS_Alabama — BCAL_1: $5.05
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $5.05
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $5.05
  • BCBS_Catchall — BCCATCHA_1: $5.05
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $5.05
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Coag study aptt $205.47 Not listed in the file $5.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $5.05
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $5.05
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $5.05
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $5.05
  • BCBS_Alabama — BCAL2_1: $5.05
  • BCBS_Alabama — BCAL_1: $5.05
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $5.05
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $5.05
  • BCBS_Catchall — BCCATCHA_1: $5.05
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $5.05
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin time partial $205.47 Not listed in the file $5.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $5.05
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $5.05
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $5.05
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $5.05
  • BCBS_Alabama — BCAL2_1: $5.05
  • BCBS_Alabama — BCAL_1: $5.05
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $5.05
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $5.05
  • BCBS_Catchall — BCCATCHA_1: $5.05
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $5.05

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 head/brain w/o cont $4,031.32 Not listed in the file $204.44 – $430.47
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $430.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $430.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $430.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $430.47
  • BCBS_Alabama — BCAL2_1: $430.47
  • BCBS_Alabama — BCAL_1: $430.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $430.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $430.47
  • BCBS_Catchall — BCCATCHA_1: $430.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $430.47
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: Ct head/brain w/o dye $4,031.32 Not listed in the file $204.44 – $430.47
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $430.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $430.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $430.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $430.47
  • BCBS_Alabama — BCAL2_1: $430.47
  • BCBS_Alabama — BCAL_1: $430.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $430.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $430.47
  • BCBS_Catchall — BCCATCHA_1: $430.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $430.47
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain stem w/o & w/dye $7,017.89 Not listed in the file $607.85 – $778.28
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $607.85
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $607.85
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $607.85
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $607.85
  • BCBS_Alabama — BCAL2_1: $607.85
  • BCBS_Alabama — BCAL_1: $607.85
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $607.85
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $607.85
  • BCBS_Catchall — BCCATCHA_1: $607.85
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $607.85
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain w/o &w cont $7,017.89 Not listed in the file $607.85 – $778.28
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $607.85
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $607.85
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $607.85
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $607.85
  • BCBS_Alabama — BCAL2_1: $607.85
  • BCBS_Alabama — BCAL_1: $607.85
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $607.85
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $607.85
  • BCBS_Catchall — BCCATCHA_1: $607.85
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $607.85
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-ray exam chest 2 views $703.67 Not listed in the file $77.99 – $767.15
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $77.99
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $77.99
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $77.99
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $77.99
  • BCBS_Alabama — BCAL2_1: $77.99
  • BCBS_Alabama — BCAL_1: $77.99
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $77.99
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $77.99
  • BCBS_Catchall — BCCATCHA_1: $77.99
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $77.99
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Xr chest expiration $703.67 Not listed in the file $77.99 – $767.15
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $77.99
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $77.99
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $77.99
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $77.99
  • BCBS_Alabama — BCAL2_1: $77.99
  • BCBS_Alabama — BCAL_1: $77.99
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $77.99
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $77.99
  • BCBS_Catchall — BCCATCHA_1: $77.99
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $77.99
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 $884.96 Not listed in the file $77.99 – $96.82
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $77.99
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $77.99
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $77.99
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $77.99
  • BCBS_Alabama — BCAL2_1: $77.99
  • BCBS_Alabama — BCAL_1: $77.99
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $77.99
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $77.99
  • BCBS_Catchall — BCCATCHA_1: $77.99
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $77.99
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Xr l-spine 4+ v $884.96 Not listed in the file $77.99 – $96.82
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $77.99
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $77.99
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $77.99
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $77.99
  • BCBS_Alabama — BCAL2_1: $77.99
  • BCBS_Alabama — BCAL_1: $77.99
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $77.99
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $77.99
  • BCBS_Catchall — BCCATCHA_1: $77.99
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $77.99
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri l-spine w/o cont $5,865.70 Not listed in the file $346.87 – $491.89
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $346.87
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $346.87
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $346.87
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $346.87
  • BCBS_Alabama — BCAL2_1: $346.87
  • BCBS_Alabama — BCAL_1: $346.87
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $346.87
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $346.87
  • BCBS_Catchall — BCCATCHA_1: $346.87
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $346.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri lumbar spine w/o dye $5,865.70 Not listed in the file $346.87 – $491.89
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $346.87
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $346.87
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $346.87
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $346.87
  • BCBS_Alabama — BCAL2_1: $346.87
  • BCBS_Alabama — BCAL_1: $346.87
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $346.87
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $346.87
  • BCBS_Catchall — BCCATCHA_1: $346.87
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $346.87
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct pelvis w/contrast $3,895.69 Not listed in the file $396.16 – $430.47
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $430.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $430.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $430.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $430.47
  • BCBS_Alabama — BCAL2_1: $430.47
  • BCBS_Alabama — BCAL_1: $430.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $430.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $430.47
  • BCBS_Catchall — BCCATCHA_1: $430.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $430.47
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct pelvis w/dye $3,895.69 Not listed in the file $396.16 – $430.47
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $430.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $430.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $430.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $430.47
  • BCBS_Alabama — BCAL2_1: $430.47
  • BCBS_Alabama — BCAL_1: $430.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $430.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $430.47
  • BCBS_Catchall — BCCATCHA_1: $430.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $430.47
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 $6,747.97 Not listed in the file $346.87 – $491.89
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $346.87
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $346.87
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $346.87
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $346.87
  • BCBS_Alabama — BCAL2_1: $346.87
  • BCBS_Alabama — BCAL_1: $346.87
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $346.87
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $346.87
  • BCBS_Catchall — BCCATCHA_1: $346.87
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $346.87
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: Mri lw ext jnt w/o cont bilatm $6,747.97 Not listed in the file $346.87 – $491.89
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $346.87
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $346.87
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $346.87
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $346.87
  • BCBS_Alabama — BCAL2_1: $346.87
  • BCBS_Alabama — BCAL_1: $346.87
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $346.87
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $346.87
  • BCBS_Catchall — BCCATCHA_1: $346.87
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $346.87
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Ct abd & pelv w/contrast $8,170.08 Not listed in the file $396.16 – $430.47
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $430.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $430.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $430.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $430.47
  • BCBS_Alabama — BCAL2_1: $430.47
  • BCBS_Alabama — BCAL_1: $430.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $430.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $430.47
  • BCBS_Catchall — BCCATCHA_1: $430.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $430.47
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Ct abdomen/pelvis w contrast $8,170.08 Not listed in the file $396.16 – $430.47
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $430.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $430.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $430.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $430.47
  • BCBS_Alabama — BCAL2_1: $430.47
  • BCBS_Alabama — BCAL_1: $430.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $430.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $430.47
  • BCBS_Catchall — BCCATCHA_1: $430.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $430.47
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Us abdomen complete $1,407.34 Not listed in the file $228.75 – $279.05
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $228.75
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $228.75
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $228.75
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $228.75
  • BCBS_Alabama — BCAL2_1: $228.75
  • BCBS_Alabama — BCAL_1: $228.75
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $228.75
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $228.75
  • BCBS_Catchall — BCCATCHA_1: $228.75
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $228.75
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Us exam abdom complete $1,407.34 Not listed in the file $228.75 – $279.05
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $228.75
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $228.75
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $228.75
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $228.75
  • BCBS_Alabama — BCAL2_1: $228.75
  • BCBS_Alabama — BCAL_1: $228.75
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $228.75
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $228.75
  • BCBS_Catchall — BCCATCHA_1: $228.75
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $228.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Ob us >= 14 wks sngl fetus $1,259.63 Not listed in the file $96.82 – $138.47
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $138.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $138.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $138.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $138.47
  • BCBS_Alabama — BCAL2_1: $138.47
  • BCBS_Alabama — BCAL_1: $138.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $138.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $138.47
  • BCBS_Catchall — BCCATCHA_1: $138.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $138.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Us pregnancy comp $1,259.63 Not listed in the file $96.82 – $138.47
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $138.47
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $138.47
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $138.47
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $138.47
  • BCBS_Alabama — BCAL2_1: $138.47
  • BCBS_Alabama — BCAL_1: $138.47
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $138.47
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $138.47
  • BCBS_Catchall — BCCATCHA_1: $138.47
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $138.47
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Transvaginal us non-ob $1,407.34 Not listed in the file $96.82 – $150.68
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $150.68
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $150.68
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $150.68
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $150.68
  • BCBS_Alabama — BCAL2_1: $150.68
  • BCBS_Alabama — BCAL_1: $150.68
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $150.68
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $150.68
  • BCBS_Catchall — BCCATCHA_1: $150.68
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $150.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Us transvaginal $1,407.34 Not listed in the file $96.82 – $150.68
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $150.68
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $150.68
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $150.68
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $150.68
  • BCBS_Alabama — BCAL2_1: $150.68
  • BCBS_Alabama — BCAL_1: $150.68
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $150.68
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $150.68
  • BCBS_Catchall — BCCATCHA_1: $150.68
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $150.68
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Dx mammo incl cad uni $416.29 Not listed in the file $68.95 – $108.83
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $68.95
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $68.95
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $68.95
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $68.95
  • BCBS_Alabama — BCAL2_1: $68.95
  • BCBS_Alabama — BCAL_1: $68.95
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $68.95
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $68.95
  • BCBS_Catchall — BCCATCHA_1: $68.95
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $68.95
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Mammo digtl diag unilt wcad rt $416.29 Not listed in the file $68.95 – $108.83
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $68.95
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $68.95
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $68.95
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $68.95
  • BCBS_Alabama — BCAL2_1: $68.95
  • BCBS_Alabama — BCAL_1: $68.95
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $68.95
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $68.95
  • BCBS_Catchall — BCCATCHA_1: $68.95
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $68.95
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Dx mammo incl cad bi $498.21 Not listed in the file $68.95 – $137.19
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $68.95
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $68.95
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $68.95
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $68.95
  • BCBS_Alabama — BCAL2_1: $68.95
  • BCBS_Alabama — BCAL_1: $68.95
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $68.95
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $68.95
  • BCBS_Catchall — BCCATCHA_1: $68.95
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $68.95
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Mammo digitl diagnst bilat cad $498.21 Not listed in the file $68.95 – $137.19
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $68.95
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $68.95
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $68.95
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $68.95
  • BCBS_Alabama — BCAL2_1: $68.95
  • BCBS_Alabama — BCAL_1: $68.95
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $68.95
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $68.95
  • BCBS_Catchall — BCCATCHA_1: $68.95
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $68.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammo digtl screening w/cad $461.95 Not listed in the file $68.95 – $110.96
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $68.95
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $68.95
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $68.95
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $68.95
  • BCBS_Alabama — BCAL2_1: $68.95
  • BCBS_Alabama — BCAL_1: $68.95
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $68.95
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $68.95
  • BCBS_Catchall — BCCATCHA_1: $68.95
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $68.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Scr mammo bi incl cad $461.95 Not listed in the file $68.95 – $110.96
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $68.95
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $68.95
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $68.95
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $68.95
  • BCBS_Alabama — BCAL2_1: $68.95
  • BCBS_Alabama — BCAL_1: $68.95
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $68.95
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $68.95
  • BCBS_Catchall — BCCATCHA_1: $68.95
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $68.95

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: Electrophysiology evaluation $48,093.01 Not listed in the file $6,908.59 – $22,262.72
Heart rhythm study (electrophysiology evaluation): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $22,262.72
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $22,262.72
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $22,262.72
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $22,262.72
  • BCBS_Alabama — BCAL2_1: $22,262.72
  • BCBS_Alabama — BCAL_1: $22,262.72
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $22,262.72
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $22,262.72
  • BCBS_Catchall — BCCATCHA_1: $22,262.72
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $22,262.72
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: Tx atrial fib pulm vein isol $114,366.39 Not listed in the file $22,262.72 – $22,335.43
Heart rhythm study with ablation for atrial fibrillation: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $22,262.72
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $22,262.72
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $22,262.72
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $22,262.72
  • BCBS_Alabama — BCAL2_1: $22,262.72
  • BCBS_Alabama — BCAL_1: $22,262.72
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $22,262.72
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $22,262.72
  • BCBS_Catchall — BCCATCHA_1: $22,262.72
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $22,262.72

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: Irf therapeutic exercise $210.83 Not listed in the file $26.83 – $52.59
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $52.59
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $52.59
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $52.59
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $52.59
  • BCBS_Alabama — BCAL2_1: $52.59
  • BCBS_Alabama — BCAL_1: $52.59
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $52.59
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $52.59
  • BCBS_Catchall — BCCATCHA_1: $52.59
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $52.59
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic exercises $210.83 Not listed in the file $26.83 – $52.59
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $52.59
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $52.59
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $52.59
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $52.59
  • BCBS_Alabama — BCAL2_1: $52.59
  • BCBS_Alabama — BCAL_1: $52.59
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $52.59
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $52.59
  • BCBS_Catchall — BCCATCHA_1: $52.59
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $52.59
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Gpf evaluation low complexity $179.95 Not listed in the file $91.32 – $326.03
Physical therapy evaluation (low complexity): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $326.03
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $326.03
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $326.03
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $326.03
  • BCBS_Alabama — BCAL2_1: $326.03
  • BCBS_Alabama — BCAL_1: $326.03
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $326.03
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $326.03
  • BCBS_Catchall — BCCATCHA_1: $326.03
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $326.03
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Pt eval low complex 20 min $179.95 Not listed in the file $91.32 – $326.03
Physical therapy evaluation (low complexity): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $326.03
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $326.03
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $326.03
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $326.03
  • BCBS_Alabama — BCAL2_1: $326.03
  • BCBS_Alabama — BCAL_1: $326.03
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $326.03
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $326.03
  • BCBS_Catchall — BCCATCHA_1: $326.03
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $326.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Gpf evaluation moderate comple $331.69 Not listed in the file $91.32 – $326.03
Physical therapy evaluation (moderate complexity): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $326.03
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $326.03
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $326.03
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $326.03
  • BCBS_Alabama — BCAL2_1: $326.03
  • BCBS_Alabama — BCAL_1: $326.03
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $326.03
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $326.03
  • BCBS_Catchall — BCCATCHA_1: $326.03
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $326.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Pt eval mod complex 30 min $331.69 Not listed in the file $91.32 – $326.03
Physical therapy evaluation (moderate complexity): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $326.03
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $326.03
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $326.03
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $326.03
  • BCBS_Alabama — BCAL2_1: $326.03
  • BCBS_Alabama — BCAL_1: $326.03
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $326.03
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $326.03
  • BCBS_Catchall — BCCATCHA_1: $326.03
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $326.03
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Gpf evaluation high complexity $494.18 Not listed in the file $91.32 – $326.03
Physical therapy evaluation (high complexity): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $326.03
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $326.03
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $326.03
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $326.03
  • BCBS_Alabama — BCAL2_1: $326.03
  • BCBS_Alabama — BCAL_1: $326.03
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $326.03
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $326.03
  • BCBS_Catchall — BCCATCHA_1: $326.03
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $326.03
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Pt eval high complex 45 min $494.18 Not listed in the file $91.32 – $326.03
Physical therapy evaluation (high complexity): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $326.03
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $326.03
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $326.03
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $326.03
  • BCBS_Alabama — BCAL2_1: $326.03
  • BCBS_Alabama — BCAL_1: $326.03
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $326.03
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $326.03
  • BCBS_Catchall — BCCATCHA_1: $326.03
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $326.03

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: Removal of breast lesion $55,495.41 Not listed in the file $1,905.94 – $3,486.37
Removal of breast growth (open surgery): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,905.94
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,905.94
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,905.94
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,905.94
  • BCBS_Alabama — BCAL2_1: $1,905.94
  • BCBS_Alabama — BCAL_1: $1,905.94
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,905.94
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,905.94
  • BCBS_Catchall — BCCATCHA_1: $1,905.94
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,905.94
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion $16,666.46 Not listed in the file $1,905.94 – $3,486.37
Removal of breast growth (open surgery): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,905.94
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,905.94
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,905.94
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,905.94
  • BCBS_Alabama — BCAL2_1: $1,905.94
  • BCBS_Alabama — BCAL_1: $1,905.94
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,905.94
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,905.94
  • BCBS_Catchall — BCCATCHA_1: $1,905.94
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,905.94
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier LT In the file: Removal of breast lesion $17,163.56 Not listed in the file $1,905.94 – $3,486.37
Removal of breast growth (open surgery): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,905.94
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,905.94
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,905.94
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,905.94
  • BCBS_Alabama — BCAL2_1: $1,905.94
  • BCBS_Alabama — BCAL_1: $1,905.94
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,905.94
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,905.94
  • BCBS_Catchall — BCCATCHA_1: $1,905.94
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,905.94
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Total hip arthroplasty $85,763.83 Not listed in the file $11,714.60
Total hip replacement: 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $11,714.60
  • Medicare — MCAREAP_1: $11,714.60
  • Medicare_GPF — MCAREGPF_1: $11,714.60
  • Medicare_GPF — MCAREGPFAP_1: $11,714.60
  • Medicare_IRF — MCAREIRF_1: $11,714.60
  • Medicare_IRF — MCAREIRFAP_1: $11,714.60
  • Medicare_IRF — MCARERRIRF_1: $11,714.60
  • Medicare_Part_A — MCARPARTA_1: $11,714.60
  • Medicare_Part_B — MCARPARTB_1: $11,714.60
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $11,714.60
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty $64,162.33 Not listed in the file $11,714.60
Total hip replacement: 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $11,714.60
  • Medicare — MCAREAP_1: $11,714.60
  • Medicare_GPF — MCAREGPF_1: $11,714.60
  • Medicare_GPF — MCAREGPFAP_1: $11,714.60
  • Medicare_IRF — MCAREIRF_1: $11,714.60
  • Medicare_IRF — MCAREIRFAP_1: $11,714.60
  • Medicare_IRF — MCARERRIRF_1: $11,714.60
  • Medicare_Part_A — MCARPARTA_1: $11,714.60
  • Medicare_Part_B — MCARPARTB_1: $11,714.60
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $11,714.60
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier 50 In the file: Total hip arthroplasty $61,615.05 Not listed in the file $11,714.60
Total hip replacement: 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $11,714.60
  • Medicare — MCAREAP_1: $11,714.60
  • Medicare_GPF — MCAREGPF_1: $11,714.60
  • Medicare_GPF — MCAREGPFAP_1: $11,714.60
  • Medicare_IRF — MCAREIRF_1: $11,714.60
  • Medicare_IRF — MCAREIRFAP_1: $11,714.60
  • Medicare_IRF — MCARERRIRF_1: $11,714.60
  • Medicare_Part_A — MCARPARTA_1: $11,714.60
  • Medicare_Part_B — MCARPARTB_1: $11,714.60
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $11,714.60
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Total knee arthroplasty $85,610.46 Not listed in the file $11,714.60
Total knee replacement: 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $11,714.60
  • Medicare — MCAREAP_1: $11,714.60
  • Medicare_GPF — MCAREGPF_1: $11,714.60
  • Medicare_GPF — MCAREGPFAP_1: $11,714.60
  • Medicare_IRF — MCAREIRF_1: $11,714.60
  • Medicare_IRF — MCAREIRFAP_1: $11,714.60
  • Medicare_IRF — MCARERRIRF_1: $11,714.60
  • Medicare_Part_A — MCARPARTA_1: $11,714.60
  • Medicare_Part_B — MCARPARTB_1: $11,714.60
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $11,714.60
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty $65,370.87 Not listed in the file $11,714.60
Total knee replacement: 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $11,714.60
  • Medicare — MCAREAP_1: $11,714.60
  • Medicare_GPF — MCAREGPF_1: $11,714.60
  • Medicare_GPF — MCAREGPFAP_1: $11,714.60
  • Medicare_IRF — MCAREIRF_1: $11,714.60
  • Medicare_IRF — MCAREIRFAP_1: $11,714.60
  • Medicare_IRF — MCARERRIRF_1: $11,714.60
  • Medicare_Part_A — MCARPARTA_1: $11,714.60
  • Medicare_Part_B — MCARPARTB_1: $11,714.60
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $11,714.60
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier 50 In the file: Total knee arthroplasty $92,853.10 Not listed in the file $11,714.60
Total knee replacement: 10 of 22 insurance plan rates
  • Medicare — MCARE_1: $11,714.60
  • Medicare — MCAREAP_1: $11,714.60
  • Medicare_GPF — MCAREGPF_1: $11,714.60
  • Medicare_GPF — MCAREGPFAP_1: $11,714.60
  • Medicare_IRF — MCAREIRF_1: $11,714.60
  • Medicare_IRF — MCAREIRFAP_1: $11,714.60
  • Medicare_IRF — MCARERRIRF_1: $11,714.60
  • Medicare_Part_A — MCARPARTA_1: $11,714.60
  • Medicare_Part_B — MCARPARTB_1: $11,714.60
  • Medicare_Part_B_GPF — MCARPTBGFP_1: $11,714.60
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: Shoulder arthroscopy/surgery $40,848.63 Not listed in the file $3,045.20
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,045.20
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,045.20
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,045.20
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,045.20
  • BCBS_Alabama — BCAL2_1: $3,045.20
  • BCBS_Alabama — BCAL_1: $3,045.20
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,045.20
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,045.20
  • BCBS_Catchall — BCCATCHA_1: $3,045.20
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,045.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier LT In the file: Shoulder arthroscopy/surgery $35,529.66 Not listed in the file $3,045.20
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,045.20
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,045.20
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,045.20
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,045.20
  • BCBS_Alabama — BCAL2_1: $3,045.20
  • BCBS_Alabama — BCAL_1: $3,045.20
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,045.20
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,045.20
  • BCBS_Catchall — BCCATCHA_1: $3,045.20
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,045.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier RT In the file: Shoulder arthroscopy/surgery $40,848.63 Not listed in the file $3,045.20
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,045.20
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,045.20
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,045.20
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,045.20
  • BCBS_Alabama — BCAL2_1: $3,045.20
  • BCBS_Alabama — BCAL_1: $3,045.20
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,045.20
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,045.20
  • BCBS_Catchall — BCCATCHA_1: $3,045.20
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,045.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: Knee arthroscopy/surgery $42,943.84 Not listed in the file $2,954.06 – $3,045.20
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,045.20
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,045.20
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,045.20
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,045.20
  • BCBS_Alabama — BCAL2_1: $3,045.20
  • BCBS_Alabama — BCAL_1: $3,045.20
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,045.20
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,045.20
  • BCBS_Catchall — BCCATCHA_1: $3,045.20
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,045.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery $19,746.05 Not listed in the file $2,954.06 – $3,045.20
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,045.20
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,045.20
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,045.20
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,045.20
  • BCBS_Alabama — BCAL2_1: $3,045.20
  • BCBS_Alabama — BCAL_1: $3,045.20
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,045.20
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,045.20
  • BCBS_Catchall — BCCATCHA_1: $3,045.20
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,045.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier LT In the file: Knee arthroscopy/surgery $23,794.59 Not listed in the file $2,954.06 – $3,045.20
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,045.20
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,045.20
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,045.20
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,045.20
  • BCBS_Alabama — BCAL2_1: $3,045.20
  • BCBS_Alabama — BCAL_1: $3,045.20
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,045.20
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,045.20
  • BCBS_Catchall — BCCATCHA_1: $3,045.20
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,045.20
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: Remove tonsils and adenoids $12,929.07 Not listed in the file $2,721.53 – $5,385.91
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,721.53
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,721.53
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,721.53
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,721.53
  • BCBS_Alabama — BCAL2_1: $2,721.53
  • BCBS_Alabama — BCAL_1: $2,721.53
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,721.53
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,721.53
  • BCBS_Catchall — BCCATCHA_1: $2,721.53
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,721.53
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · modifier LT In the file: Remove tonsils and adenoids $13,138.20 Not listed in the file $2,721.53 – $5,385.91
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,721.53
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,721.53
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,721.53
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,721.53
  • BCBS_Alabama — BCAL2_1: $2,721.53
  • BCBS_Alabama — BCAL_1: $2,721.53
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,721.53
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,721.53
  • BCBS_Catchall — BCCATCHA_1: $2,721.53
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,721.53
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · modifier RT In the file: Remove tonsils and adenoids $13,138.20 Not listed in the file $2,721.53 – $5,385.91
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,721.53
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,721.53
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,721.53
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,721.53
  • BCBS_Alabama — BCAL2_1: $2,721.53
  • BCBS_Alabama — BCAL_1: $2,721.53
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,721.53
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,721.53
  • BCBS_Catchall — BCCATCHA_1: $2,721.53
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,721.53
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Egd diagnostic brush wash $54,583.02 Not listed in the file $853.60 – $1,302.97
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,302.97
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,302.97
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,302.97
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,302.97
  • BCBS_Alabama — BCAL2_1: $1,302.97
  • BCBS_Alabama — BCAL_1: $1,302.97
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,302.97
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,302.97
  • BCBS_Catchall — BCCATCHA_1: $1,302.97
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,302.97
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash $11,617.46 Not listed in the file $853.60 – $1,302.97
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,302.97
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,302.97
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,302.97
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,302.97
  • BCBS_Alabama — BCAL2_1: $1,302.97
  • BCBS_Alabama — BCAL_1: $1,302.97
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,302.97
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,302.97
  • BCBS_Catchall — BCCATCHA_1: $1,302.97
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,302.97
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Egd biopsy single/multiple $54,645.23 Not listed in the file $853.60 – $1,302.97
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,302.97
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,302.97
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,302.97
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,302.97
  • BCBS_Alabama — BCAL2_1: $1,302.97
  • BCBS_Alabama — BCAL_1: $1,302.97
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,302.97
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,302.97
  • BCBS_Catchall — BCCATCHA_1: $1,302.97
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,302.97
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple $13,497.93 Not listed in the file $853.60 – $1,302.97
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,302.97
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,302.97
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,302.97
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,302.97
  • BCBS_Alabama — BCAL2_1: $1,302.97
  • BCBS_Alabama — BCAL_1: $1,302.97
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,302.97
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,302.97
  • BCBS_Catchall — BCCATCHA_1: $1,302.97
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,302.97
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: Diagnostic colonoscopy $49,602 Not listed in the file $830.07 – $1,322.51
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy $11,482.46 Not listed in the file $830.07 – $1,322.51
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Colonoscopy and biopsy $54,896.12 Not listed in the file $1,073.49 – $1,322.51
Colonoscopy with biopsy: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy $13,668.59 Not listed in the file $1,073.49 – $1,322.51
Colonoscopy with biopsy: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Colonoscopy w/lesion removal $48,577.11 Not listed in the file $1,073.49 – $1,322.51
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal $13,213.33 Not listed in the file $1,073.49 – $1,322.51
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) In the file: Colonoscopy w/endoscope us $49,602 Not listed in the file $1,073.49 – $1,322.51
Ultrasound of the lower bowel by endoscope: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon ca scrn not hi rsk ind $10,571.53 Not listed in the file $830.07 – $1,322.51
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,322.51
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,322.51
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,322.51
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,322.51
  • BCBS_Alabama — BCAL2_1: $1,322.51
  • BCBS_Alabama — BCAL_1: $1,322.51
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,322.51
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,322.51
  • BCBS_Catchall — BCCATCHA_1: $1,322.51
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,322.51
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Laparoscopic cholecystectomy $65,322.86 Not listed in the file $4,698.29 – $5,311.89
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $4,698.29
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $4,698.29
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $4,698.29
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $4,698.29
  • BCBS_Alabama — BCAL2_1: $4,698.29
  • BCBS_Alabama — BCAL_1: $4,698.29
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $4,698.29
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $4,698.29
  • BCBS_Catchall — BCCATCHA_1: $4,698.29
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $4,698.29
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy $29,526.61 Not listed in the file $4,698.29 – $5,311.89
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $4,698.29
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $4,698.29
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $4,698.29
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $4,698.29
  • BCBS_Alabama — BCAL2_1: $4,698.29
  • BCBS_Alabama — BCAL_1: $4,698.29
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $4,698.29
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $4,698.29
  • BCBS_Catchall — BCCATCHA_1: $4,698.29
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $4,698.29
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: Prp i/hern init reduc >5 yr $73,314.37 Not listed in the file $3,213.03 – $4,771.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $4,771.31
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $4,771.31
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $4,771.31
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $4,771.31
  • BCBS_Alabama — BCAL2_1: $4,771.31
  • BCBS_Alabama — BCAL_1: $4,771.31
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $4,771.31
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $4,771.31
  • BCBS_Catchall — BCCATCHA_1: $4,771.31
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $4,771.31
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr $28,529.08 Not listed in the file $3,213.03 – $4,771.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $4,771.31
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $4,771.31
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $4,771.31
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $4,771.31
  • BCBS_Alabama — BCAL2_1: $4,771.31
  • BCBS_Alabama — BCAL_1: $4,771.31
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $4,771.31
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $4,771.31
  • BCBS_Catchall — BCCATCHA_1: $4,771.31
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $4,771.31
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier 50 In the file: Prp i/hern init reduc >5 yr $34,092.98 Not listed in the file $3,213.03 – $4,771.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $4,771.31
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $4,771.31
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $4,771.31
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $4,771.31
  • BCBS_Alabama — BCAL2_1: $4,771.31
  • BCBS_Alabama — BCAL_1: $4,771.31
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $4,771.31
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $4,771.31
  • BCBS_Catchall — BCCATCHA_1: $4,771.31
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $4,771.31
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) In the file: Laparo radical prostatectomy $62,725.95 Not listed in the file $5,848.05 – $9,478.90
Prostate removal by laparoscope (radical prostatectomy): 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $5,848.05
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $5,848.05
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $5,848.05
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $5,848.05
  • BCBS_Alabama — BCAL2_1: $5,848.05
  • BCBS_Alabama — BCAL_1: $5,848.05
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $5,848.05
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $5,848.05
  • BCBS_Catchall — BCCATCHA_1: $5,848.05
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $5,848.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Hysteroscopy biopsy $21,661.25 Not listed in the file $2,894.80 – $3,095.02
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,095.02
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,095.02
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,095.02
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,095.02
  • BCBS_Alabama — BCAL2_1: $3,095.02
  • BCBS_Alabama — BCAL_1: $3,095.02
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,095.02
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,095.02
  • BCBS_Catchall — BCCATCHA_1: $3,095.02
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,095.02
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: Njx interlaminar lmbr/sac $21,851.08 Not listed in the file $630.50 – $1,165.23
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,165.23
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,165.23
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,165.23
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,165.23
  • BCBS_Alabama — BCAL2_1: $1,165.23
  • BCBS_Alabama — BCAL_1: $1,165.23
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,165.23
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,165.23
  • BCBS_Catchall — BCCATCHA_1: $1,165.23
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,165.23
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac $8,904.16 Not listed in the file $630.50 – $1,165.23
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,165.23
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,165.23
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,165.23
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,165.23
  • BCBS_Alabama — BCAL2_1: $1,165.23
  • BCBS_Alabama — BCAL_1: $1,165.23
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,165.23
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,165.23
  • BCBS_Catchall — BCCATCHA_1: $1,165.23
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,165.23
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier 50 In the file: Njx interlaminar lmbr/sac $9,070.08 Not listed in the file $630.50 – $1,165.23
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,165.23
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,165.23
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,165.23
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,165.23
  • BCBS_Alabama — BCAL2_1: $1,165.23
  • BCBS_Alabama — BCAL_1: $1,165.23
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,165.23
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,165.23
  • BCBS_Catchall — BCCATCHA_1: $1,165.23
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,165.23
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: Inj foramen epidural l/s $21,851.08 Not listed in the file $810.56 – $1,165.23
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,165.23
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,165.23
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,165.23
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,165.23
  • BCBS_Alabama — BCAL2_1: $1,165.23
  • BCBS_Alabama — BCAL_1: $1,165.23
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,165.23
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,165.23
  • BCBS_Catchall — BCCATCHA_1: $1,165.23
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,165.23
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj foramen epidural l/s $10,045.84 Not listed in the file $810.56 – $1,165.23
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,165.23
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,165.23
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,165.23
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,165.23
  • BCBS_Alabama — BCAL2_1: $1,165.23
  • BCBS_Alabama — BCAL_1: $1,165.23
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,165.23
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,165.23
  • BCBS_Catchall — BCCATCHA_1: $1,165.23
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,165.23
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: Inj foramen epidural l/s $9,335.73 Not listed in the file $810.56 – $1,165.23
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,165.23
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,165.23
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,165.23
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,165.23
  • BCBS_Alabama — BCAL2_1: $1,165.23
  • BCBS_Alabama — BCAL_1: $1,165.23
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,165.23
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,165.23
  • BCBS_Catchall — BCCATCHA_1: $1,165.23
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,165.23
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: Carpal tunnel surgery $65,231.90 Not listed in the file $1,777.90 – $1,873.70
Carpal tunnel release: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,873.70
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,873.70
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,873.70
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,873.70
  • BCBS_Alabama — BCAL2_1: $1,873.70
  • BCBS_Alabama — BCAL_1: $1,873.70
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,873.70
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,873.70
  • BCBS_Catchall — BCCATCHA_1: $1,873.70
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,873.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery $24,341.49 Not listed in the file $1,777.90 – $1,873.70
Carpal tunnel release: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,873.70
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,873.70
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,873.70
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,873.70
  • BCBS_Alabama — BCAL2_1: $1,873.70
  • BCBS_Alabama — BCAL_1: $1,873.70
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,873.70
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,873.70
  • BCBS_Catchall — BCCATCHA_1: $1,873.70
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,873.70
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier 50 In the file: Carpal tunnel surgery $15,034.79 Not listed in the file $1,777.90 – $1,873.70
Carpal tunnel release: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $1,873.70
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $1,873.70
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $1,873.70
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $1,873.70
  • BCBS_Alabama — BCAL2_1: $1,873.70
  • BCBS_Alabama — BCAL_1: $1,873.70
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $1,873.70
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $1,873.70
  • BCBS_Catchall — BCCATCHA_1: $1,873.70
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $1,873.70
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: Xcapsl ctrc rmvl w/o ecp $10,494.40 Not listed in the file $2,076.49 – $2,348.37
Cataract removal with lens implant: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,348.37
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,348.37
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,348.37
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,348.37
  • BCBS_Alabama — BCAL2_1: $2,348.37
  • BCBS_Alabama — BCAL_1: $2,348.37
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,348.37
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,348.37
  • BCBS_Catchall — BCCATCHA_1: $2,348.37
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,348.37
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · modifier LT In the file: Xcapsl ctrc rmvl w/o ecp $10,717.29 Not listed in the file $2,076.49 – $2,348.37
Cataract removal with lens implant: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,348.37
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,348.37
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,348.37
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,348.37
  • BCBS_Alabama — BCAL2_1: $2,348.37
  • BCBS_Alabama — BCAL_1: $2,348.37
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,348.37
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,348.37
  • BCBS_Catchall — BCCATCHA_1: $2,348.37
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,348.37
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · modifier RT In the file: Xcapsl ctrc rmvl w/o ecp $10,824.52 Not listed in the file $2,076.49 – $2,348.37
Cataract removal with lens implant: 10 of 35 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,348.37
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,348.37
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,348.37
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,348.37
  • BCBS_Alabama — BCAL2_1: $2,348.37
  • BCBS_Alabama — BCAL_1: $2,348.37
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,348.37
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,348.37
  • BCBS_Catchall — BCCATCHA_1: $2,348.37
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,348.37

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: Obstetrical care $24,701.55 Not listed in the file $2,957.12
Vaginal delivery, with care before and after: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,957.12
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,957.12
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,957.12
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,957.12
  • BCBS_Alabama — BCAL2_1: $2,957.12
  • BCBS_Alabama — BCAL_1: $2,957.12
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,957.12
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,957.12
  • BCBS_Catchall — BCCATCHA_1: $2,957.12
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,957.12
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: Cesarean delivery $35,059.20 Not listed in the file $3,551.70
Cesarean delivery (C-section), with care before and after: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $3,551.70
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $3,551.70
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $3,551.70
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $3,551.70
  • BCBS_Alabama — BCAL2_1: $3,551.70
  • BCBS_Alabama — BCAL_1: $3,551.70
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $3,551.70
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $3,551.70
  • BCBS_Catchall — BCCATCHA_1: $3,551.70
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $3,551.70
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: Vbac delivery $24,702.88 Not listed in the file $2,957.12
Vaginal delivery after a previous C-section, with care before and after: 10 of 22 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB_1: $2,957.12
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP_1: $2,957.12
  • BCBS_AL_State_Prisoner — BCALSTPRIS_1: $2,957.12
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN_1: $2,957.12
  • BCBS_Alabama — BCAL2_1: $2,957.12
  • BCBS_Alabama — BCAL_1: $2,957.12
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM_1: $2,957.12
  • BCBS_Alabama_State_Employees — BCALALSTE_1: $2,957.12
  • BCBS_Catchall — BCCATCHA_1: $2,957.12
  • BCBS_Georgia_Electricians_Union — BCGAELECU_1: $2,957.12

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $268,365.54 Not listed in the file $10,450 – $178,986.11
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 16 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB: $10,450
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP: $10,450
  • BCBS_AL_State_Prisoner — BCALSTPRIS: $10,450
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN: $10,450
  • BCBS_Alabama — BCAL: $10,450
  • BCBS_Alabama — BCAL2: $10,450
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM: $10,450
  • BCBS_Alabama_State_Employees — BCALALSTE: $10,450
  • BCBS_Catchall — BCCATCHA: $10,450
  • BCBS_Georgia_Electricians_Union — BCGAELECU: $10,450
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 $82,187.42 Not listed in the file $1,900 – $35,291.15
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB: $1,900
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP: $1,900
  • BCBS_AL_State_Prisoner — BCALSTPRIS: $1,900
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN: $1,900
  • BCBS_Alabama — BCAL: $1,900
  • BCBS_Alabama — BCAL2: $1,900
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM: $1,900
  • BCBS_Alabama_State_Employees — BCALALSTE: $1,900
  • BCBS_Catchall — BCCATCHA: $1,900
  • BCBS_Georgia_Electricians_Union — BCGAELECU: $1,900
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical spinal fusion without cc/mcc $62,976.27 Not listed in the file $1,900 – $44,666.02
Neck (cervical) spinal fusion, without complications: 10 of 16 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB: $1,900
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP: $1,900
  • BCBS_AL_State_Prisoner — BCALSTPRIS: $1,900
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN: $1,900
  • BCBS_Alabama — BCAL: $1,900
  • BCBS_Alabama — BCAL2: $1,900
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM: $1,900
  • BCBS_Alabama_State_Employees — BCALALSTE: $1,900
  • BCBS_Catchall — BCCATCHA: $1,900
  • BCBS_Georgia_Electricians_Union — BCGAELECU: $1,900
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 $49,300.58 Not listed in the file $1,900 – $22,699.85
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates
  • BCBS_AL_Part_B — BCALPTB: $1,900
  • BCBS_AL_RegionalCare_Hospital — BCALRCHP: $1,900
  • BCBS_AL_State_Prisoner — BCALSTPRIS: $1,900
  • BCBS_AL_Tiffin_Motor_Home — BCALTIFFN: $1,900
  • BCBS_Alabama — BCAL: $1,900
  • BCBS_Alabama — BCAL2: $1,900
  • BCBS_Alabama_Ascend_Performance_Materials — BCALAPM: $1,900
  • BCBS_Alabama_State_Employees — BCALALSTE: $1,900
  • BCBS_Catchall — BCCATCHA: $1,900
  • BCBS_Georgia_Electricians_Union — BCGAELECU: $1,900

Source: North Alabama Shoals Hospital’s standard charges file (namcshoals.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address201 West Avalon Avenue, Muscle Shoals, AL 35661
CountyColbert County
StateAlabama
Phone(256) 386‑1601
Emergency servicesYes
OwnershipProprietary
Medicare overall ratingNot rated by CMS
CMS Certification Number010157
Name in Medicare recordsNORTH ALABAMA SHOALS HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(256) 386‑1600[4]
Official websitenamcshoals.com
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 2026-10-30.

  1. North Alabama Shoals Hospital — namcshoals.com
  2. Services — namcshoals.com
  3. Emergency Room — namcshoals.com
  4. Visiting Hours — namcshoals.com
  5. About — namcshoals.com
  6. Adult Inpatient Behavioral Health | Muscle Shoals, AL — namcshoals.com
  7. Geriatric Inpatient Behavioral Health | Muscle Shoals, AL — namcshoals.com
  8. Rehabilitation Center | Muscle Shoals, AL — namcshoals.com
  9. Chest Pain Awareness | Muscle Shoals, AL Emergency Services — namcshoals.com