Does St Vincent's St Clair have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Vincent's St Clair. In a medical emergency, call 911.

Where is St Vincent's St Clair?

7063 Veterans Parkway, Pell City, AL 35125, in St. Clair County, Alabama.

What is the phone number of St Vincent's St Clair?

(205) 338-3301, as listed by Medicare (CMS).

What is the Medicare star rating of St Vincent's St Clair?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to St Vincent's St Clair for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to St Vincent's St Clair under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.9644; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

St Vincent's St Clair — Phone, Address & ER

Quick answers

Does St Vincent's St Clair have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Vincent's St Clair. In a medical emergency, call 911.
Where is St Vincent's St Clair?: 7063 Veterans Parkway, Pell City, AL 35125, in St. Clair County, Alabama.
What is the phone number of St Vincent's St Clair?: (205) 338-3301, as listed by Medicare (CMS).
What is the Medicare star rating of St Vincent's St Clair?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to St Vincent's St Clair for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to St Vincent's St Clair under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.9644; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Emergency care
Gynecology
Neurological services
Orthopaedics
Pain management
Physical therapy
Respiratory care
Sleep disorders center
Speech therapy
Sports medicine
Radiology (MRI, CT, mammography, bone density, ultrasound)
Nuclear medicine
Advanced wound care center
Laboratory
Neurology

Treatments^[5]

Hyperbaric oxygen therapy

Procedures^[4]

Minimally invasive surgery

Programs and centers^[4][5]

Advanced wound care center
Sleep disorders center

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (220)

220 doctors and other clinicians list St Vincent's St Clair as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 196 more: the button below opens the full list.

Other emergency rooms nearby

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

Citizens Baptist Medical Center17 mi · Talladega, AL · Acute Care Hospital
St. Vincent's East21 mi · Birmingham, AL · Acute Care Hospital
St Vincents Blount25 mi · Oneonta, AL · Critical Access Hospital
Northeast Alabama Regional Medical Center28 mi · Anniston, AL · Acute Care Hospital
Grandview Medical Center28 mi · Birmingham, AL · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Pell City

Hill Crest Behavioral Health Services25 mi · Birmingham, AL · Psychiatric Hospital
Noland Hospital Anniston II, LLC28 mi · Anniston, AL · Long-Term Acute Care Hospital

Hospitals in St. Clair County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Diversicare of Pell City0.9 mi · Pell City, AL · 2 of 5 stars
Meadowview Nursing Center1.5 mi · Pell City, AL · 4 of 5 stars
Village at Cook Springs Skilled Nursing Facility5.3 mi · Pell City, AL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Aveanna Hospice of Pell City4.3 mi · Pell City, AL
Compassus Southern Alabama4.3 mi · Pell City, AL · 3 of 5 stars
Lakeside Hospice Inc4.3 mi · Pell City, AL · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Centerwell Home Health2.0 mi · Pell City, AL · 4.5 of 5 stars
Compassus Home Health4.3 mi · Pell City, AL · 4.5 of 5 stars
Amedisys Home Health16 mi · Trussville, AL · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

DCI Pell City2.0 mi · Pell City, AL · 3 of 5 stars
FMC Pell City2.0 mi · Pell City, AL · 3 of 5 stars
DaVita Springs Dialysis16 mi · Trussville, AL · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Outpatient Services East Inc20 mi · Birmingham, AL
Physicians Endoscopy Center at 11925 mi · Hoover, AL
Smoothrock Surgery Center25 mi · Vestavia Hills, AL

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

Talladega Quality Health Care16 mi · Talladega, AL · Community health center
CHC - Chalkville21 mi · Center Point, AL · Community health center
CHC - Roebuck22 mi · Birmingham, AL · Community health center

Clinics and urgent care

Main Street Clinic, LLC2.0 mi · Pell City, AL · Rural health clinic
Baptist Health Medical Group11 mi · Lincoln, AL · Rural health clinic
Fast Pace Health11 mi · Lincoln, AL · Rural health clinic

Pharmacies

Alabama CVS Pharmacy, L.L.C.2.0 mi · Pell City, AL · Pharmacy
U Save Pharmacies LLC2.0 mi · Pell City, AL · Community/retail pharmacy
Wal-Mart Stores East LP2.0 mi · Pell City, AL · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What St Vincent's St Clair reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	74%National average: 72%
Would definitely recommend the hospital	76%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	80%National average: 80%
“Always” got help as soon as they wanted	66%National average: 64%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	72%National average: 73%
Completed surveys	389Response rate: 22%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections	0.49No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart failure patients	9.6%
Deaths within 30 days: pneumonia patients	14.3%
Deaths within 30 days: COPD patients	7.4%
Deaths within 30 days: stroke patients	12%
Serious complications (patient safety indicator PSI-90)	0.97No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	17.5%
Readmitted within 30 days: heart failure	23.4%
Readmitted within 30 days: pneumonia	17.2%
Readmitted within 30 days: COPD	21.3%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	163 minutesNational average: 162 minutes
Sepsis patients who got all the recommended early care (SEP-1)	61%National average: 66%
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for St Vincent's St Clair, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	0.9644Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	1.0602More readmissions than expected
Pneumonia	1.0352More readmissions than expected
COPD (chronic lung disease)	0.9690Fewer readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.92Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Alabama Best hospitals in Alabama

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as St Vincent's St Clair 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 →

Show the prices of 56 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMEDIATE VISIT NEW	$635	Not listed in the file	$67.57 – $546.93
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $311.15 Aetna — Medicare Advantage: $75.69 AlaMed — Workers' Compensation: $497.20 Centene — Medicare Advantage: $67.57 Construction Claims Management — Workers' Compensation: $469.58 CorVel — Workers' Compensation: $469.58 Humana — Commercial: $400.05 Multiplan — Complementary PPO: $508 PNOA — Health Benefit Plans: $508 Prime Health Services — Workers' Compensation: $546.93
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMEDIATE VISIT NEW	$635	Not listed in the file	$508
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Multiplan — Complementary PPO: $508
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: INTERMEDIATE VISIT NEW W PROC	$635	Not listed in the file	$75.69 – $546.93
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $311.15 Aetna — Medicare Advantage: $75.69 AlaMed — Workers' Compensation: $497.20 Construction Claims Management — Workers' Compensation: $469.58 CorVel — Workers' Compensation: $469.58 Humana — Commercial: $400.05 Multiplan — Complementary PPO: $508 PNOA — Health Benefit Plans: $508 Prime Health Services — Workers' Compensation: $546.93 United Healthcare — Commercial: $285.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED VISIT NEW	$567	Not listed in the file	$67.59 – $488.36
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $277.83 Aetna — Medicare Advantage: $67.59 AlaMed — Workers' Compensation: $443.96 Centene — Medicare Advantage: $110.67 Construction Claims Management — Workers' Compensation: $419.30 CorVel — Workers' Compensation: $419.30 Humana — Commercial: $357.21 Multiplan — Complementary PPO: $453.60 PNOA — Health Benefit Plans: $453.60 Prime Health Services — Workers' Compensation: $488.36
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED VISIT NEW	$567	Not listed in the file	$453.60
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Multiplan — Complementary PPO: $453.60
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EXTENDED VISIT NEW W PROC	$567	Not listed in the file	$67.59 – $488.36
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $277.83 Aetna — Medicare Advantage: $67.59 AlaMed — Workers' Compensation: $443.96 Construction Claims Management — Workers' Compensation: $419.30 CorVel — Workers' Compensation: $419.30 Humana — Commercial: $357.21 Multiplan — Complementary PPO: $453.60 PNOA — Health Benefit Plans: $453.60 Prime Health Services — Workers' Compensation: $488.36 United Healthcare — Commercial: $255.15
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE VIST NEW	$745	Not listed in the file	$88.80 – $641.67
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $365.05 Aetna — Medicare Advantage: $88.80 AlaMed — Workers' Compensation: $583.34 Centene — Medicare Advantage: $151.18 Construction Claims Management — Workers' Compensation: $550.93 CorVel — Workers' Compensation: $550.93 Humana — Commercial: $469.35 Multiplan — Complementary PPO: $596 PNOA — Health Benefit Plans: $596 Prime Health Services — Workers' Compensation: $641.67
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE VIST NEW	$745	Not listed in the file	$596
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Multiplan — Complementary PPO: $596
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: COMPREHENSIVE VIST NEW W PROC	$745	Not listed in the file	$88.80 – $641.67
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $365.05 Aetna — Medicare Advantage: $88.80 AlaMed — Workers' Compensation: $583.34 Construction Claims Management — Workers' Compensation: $550.93 CorVel — Workers' Compensation: $550.93 Humana — Commercial: $469.35 Multiplan — Complementary PPO: $596 PNOA — Health Benefit Plans: $596 Prime Health Services — Workers' Compensation: $641.67 United Healthcare — Commercial: $335.25
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMEDIATE VISIT ESTABLISHED PT	$425	Not listed in the file	$50.66 – $366.05
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $208.25 Aetna — Medicare Advantage: $50.66 AlaMed — Workers' Compensation: $332.77 Centene — Medicare Advantage: $54.77 Construction Claims Management — Workers' Compensation: $314.29 CorVel — Workers' Compensation: $314.29 Humana — Commercial: $267.75 Multiplan — Complementary PPO: $340 PNOA — Health Benefit Plans: $340 Prime Health Services — Workers' Compensation: $366.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMEDIATE VISIT ESTABLISHED PT	$425	Not listed in the file	$340
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Multiplan — Complementary PPO: $340
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: INTERMEDIATE VISIT EST W PROC	$425	Not listed in the file	$50.66 – $366.05
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $208.25 Aetna — Medicare Advantage: $50.66 AlaMed — Workers' Compensation: $332.77 Construction Claims Management — Workers' Compensation: $314.29 CorVel — Workers' Compensation: $314.29 Humana — Commercial: $267.75 Multiplan — Complementary PPO: $340 PNOA — Health Benefit Plans: $340 Prime Health Services — Workers' Compensation: $366.05 United Healthcare — Commercial: $191.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED VISIT ESTABLISHED PT	$653	Not listed in the file	$77.84 – $562.43
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $319.97 Aetna — Medicare Advantage: $77.84 AlaMed — Workers' Compensation: $511.30 Centene — Medicare Advantage: $80.51 Construction Claims Management — Workers' Compensation: $482.89 CorVel — Workers' Compensation: $482.89 Humana — Commercial: $411.39 Multiplan — Complementary PPO: $522.40 PNOA — Health Benefit Plans: $522.40 Prime Health Services — Workers' Compensation: $562.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED VISIT ESTABLISHED PT	$653	Not listed in the file	$522.40
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Multiplan — Complementary PPO: $522.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EXTENDED VISIT EST W PROC	$653	Not listed in the file	$77.84 – $562.43
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $319.97 Aetna — Medicare Advantage: $77.84 AlaMed — Workers' Compensation: $511.30 Construction Claims Management — Workers' Compensation: $482.89 CorVel — Workers' Compensation: $482.89 Humana — Commercial: $411.39 Multiplan — Complementary PPO: $522.40 PNOA — Health Benefit Plans: $522.40 Prime Health Services — Workers' Compensation: $562.43 United Healthcare — Commercial: $293.85
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 3	$1,414	Not listed in the file	$65.41 – $2,503.95
Emergency room visit (moderate): 10 of 24 insurance plan rates Aetna — Commercial: $835 Aetna — Medicare Advantage: $257.18 AlaMed — Workers' Compensation: $1,107.16 Ambetter — Commercial-Exchange: $343.32 Behavioral Health Systems — Commercial: $494.90 BlueCross BlueShield of Alabama — Medicare Advantage: $239.70 Centene — Medicare Advantage: $65.41 Cigna — Commercial: $571 Cigna — Medicare Advantage: $257.18 Construction Claims Management — Workers' Compensation: $1,045.65
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 3	$1,414	Not listed in the file	$1,131.20
Emergency room visit (moderate): rates for 1 insurance plan Multiplan — Complementary PPO: $1,131.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ED LEVEL 3 W/PROCEDURE	$1,414	Not listed in the file	$168.55 – $2,503.95
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — Commercial: $835 Aetna — Medicare Advantage: $168.55 AlaMed — Workers' Compensation: $1,107.16 Behavioral Health Systems — Commercial: $494.90 Cigna — Commercial: $571 Construction Claims Management — Workers' Compensation: $1,045.65 CorVel — Workers' Compensation: $1,045.65 Humana — Commercial: $2,503.95 Multiplan — Complementary PPO: $1,131.20 Multiplan — Primary PPO: $1,131.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 4	$2,158	Not listed in the file	$111.29 – $3,129.93
Emergency room visit (moderately high): 10 of 24 insurance plan rates Aetna — Commercial: $1,060 Aetna — Medicare Advantage: $393.12 AlaMed — Workers' Compensation: $1,689.71 Ambetter — Commercial-Exchange: $524.80 Behavioral Health Systems — Commercial: $755.30 BlueCross BlueShield of Alabama — Medicare Advantage: $366.40 Centene — Medicare Advantage: $111.29 Cigna — Commercial: $1,124 Cigna — Medicare Advantage: $393.12 Construction Claims Management — Workers' Compensation: $1,595.84
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 4	$2,158	Not listed in the file	$1,726.40
Emergency room visit (moderately high): rates for 1 insurance plan Multiplan — Complementary PPO: $1,726.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ED LEVEL 4 W/PROCEDURE	$2,158	Not listed in the file	$257.23 – $3,129.93
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — Commercial: $1,060 Aetna — Medicare Advantage: $257.23 AlaMed — Workers' Compensation: $1,689.71 Behavioral Health Systems — Commercial: $755.30 Cigna — Commercial: $1,124 Construction Claims Management — Workers' Compensation: $1,595.84 CorVel — Workers' Compensation: $1,595.84 Humana — Commercial: $3,129.93 Multiplan — Complementary PPO: $1,726.40 Multiplan — Primary PPO: $1,726.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 5	$2,486	Not listed in the file	$161.67 – $3,755.92
Emergency room visit (high): 10 of 24 insurance plan rates Aetna — Commercial: $1,225 Aetna — Medicare Advantage: $561.07 AlaMed — Workers' Compensation: $1,946.54 Ambetter — Commercial-Exchange: $749 Behavioral Health Systems — Commercial: $870.10 BlueCross BlueShield of Alabama — Medicare Advantage: $522.94 Centene — Medicare Advantage: $161.67 Cigna — Commercial: $1,124 Cigna — Medicare Advantage: $561.07 Construction Claims Management — Workers' Compensation: $1,838.40
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 5	$2,486	Not listed in the file	$1,988.80
Emergency room visit (high): rates for 1 insurance plan Multiplan — Complementary PPO: $1,988.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ED LEVEL 5 W/PROCEDURE	$2,486	Not listed in the file	$296.33 – $3,755.92
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — Commercial: $1,225 Aetna — Medicare Advantage: $296.33 AlaMed — Workers' Compensation: $1,946.54 Behavioral Health Systems — Commercial: $870.10 Cigna — Commercial: $1,124 Construction Claims Management — Workers' Compensation: $1,838.40 CorVel — Workers' Compensation: $1,838.40 Humana — Commercial: $3,755.92 Multiplan — Complementary PPO: $1,988.80 Multiplan — Primary PPO: $1,988.80

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$42	Not listed in the file	$7.15 – $36.17
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — Commercial: $10.15 Aetna — Medicare Advantage: $8.71 AlaMed — Workers' Compensation: $32.89 Ambetter — Commercial-Exchange: $11.63 BlueCross BlueShield of Alabama — Medicare Advantage: $8.12 Centene — Medicare Advantage: $8.46 Cigna — Commercial: $7.15 Cigna — Medicare Advantage: $8.71 Construction Claims Management — Workers' Compensation: $31.06 CorVel — Workers' Compensation: $31.06
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$42	Not listed in the file	$33.60
Basic metabolic panel (blood test): rates for 1 insurance plan Multiplan — Complementary PPO: $33.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$52	Not listed in the file	$8.92 – $44.79
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — Commercial: $12.67 Aetna — Medicare Advantage: $10.88 AlaMed — Workers' Compensation: $40.72 Ambetter — Commercial-Exchange: $14.52 BlueCross BlueShield of Alabama — Medicare Advantage: $10.14 Centene — Medicare Advantage: $10.56 Cigna — Commercial: $8.92 Cigna — Medicare Advantage: $10.88 Construction Claims Management — Workers' Compensation: $38.45 CorVel — Workers' Compensation: $38.45
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$52	Not listed in the file	$41.60
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Multiplan — Complementary PPO: $41.60
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEP B SURFACE AG PRENATAL PROFILE	$238	Not listed in the file	$40.40 – $204.99
Obstetric blood test panel: 10 of 22 insurance plan rates Aetna — Commercial: $57.37 Aetna — Medicare Advantage: $49.24 AlaMed — Workers' Compensation: $186.35 Ambetter — Commercial-Exchange: $65.74 BlueCross BlueShield of Alabama — Medicare Advantage: $45.90 Centene — Medicare Advantage: $47.81 Cigna — Commercial: $40.40 Cigna — Medicare Advantage: $49.24 Construction Claims Management — Workers' Compensation: $176 CorVel — Workers' Compensation: $176
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRENATAL PROFILE	$238	Not listed in the file	$40.40 – $204.99
Obstetric blood test panel: 10 of 22 insurance plan rates Aetna — Commercial: $57.37 Aetna — Medicare Advantage: $49.24 AlaMed — Workers' Compensation: $186.35 Ambetter — Commercial-Exchange: $65.74 BlueCross BlueShield of Alabama — Medicare Advantage: $45.90 Centene — Medicare Advantage: $47.81 Cigna — Commercial: $40.40 Cigna — Medicare Advantage: $49.24 Construction Claims Management — Workers' Compensation: $176 CorVel — Workers' Compensation: $176
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEP B SURFACE AG PRENATAL PROFILE	$238	Not listed in the file	$190.40
Obstetric blood test panel: rates for 1 insurance plan Multiplan — Complementary PPO: $190.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE REFLEX DIRECT LDL	$67	Not listed in the file	$11.31 – $57.71
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — Commercial: $16.07 Aetna — Medicare Advantage: $13.79 AlaMed — Workers' Compensation: $52.46 Ambetter — Commercial-Exchange: $18.41 BlueCross BlueShield of Alabama — Medicare Advantage: $12.85 Centene — Medicare Advantage: $13.39 Cigna — Commercial: $11.31 Cigna — Medicare Advantage: $13.79 Construction Claims Management — Workers' Compensation: $49.55 CorVel — Workers' Compensation: $49.55
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FEE LIPOPROFILE BY NMR	$67	Not listed in the file	$11.31 – $57.71
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — Commercial: $16.07 Aetna — Medicare Advantage: $13.79 AlaMed — Workers' Compensation: $52.46 Ambetter — Commercial-Exchange: $18.41 BlueCross BlueShield of Alabama — Medicare Advantage: $12.85 Centene — Medicare Advantage: $13.39 Cigna — Commercial: $11.31 Cigna — Medicare Advantage: $13.79 Construction Claims Management — Workers' Compensation: $49.55 CorVel — Workers' Compensation: $49.55
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	$67	Not listed in the file	$11.31 – $57.71
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — Commercial: $16.07 Aetna — Medicare Advantage: $13.79 AlaMed — Workers' Compensation: $52.46 Ambetter — Commercial-Exchange: $18.41 BlueCross BlueShield of Alabama — Medicare Advantage: $12.85 Centene — Medicare Advantage: $13.39 Cigna — Commercial: $11.31 Cigna — Medicare Advantage: $13.79 Construction Claims Management — Workers' Compensation: $49.55 CorVel — Workers' Compensation: $49.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$43	Not listed in the file	$7.33 – $37.04
Kidney function panel: 10 of 22 insurance plan rates Aetna — Commercial: $10.42 Aetna — Medicare Advantage: $8.94 AlaMed — Workers' Compensation: $33.67 Ambetter — Commercial-Exchange: $11.94 BlueCross BlueShield of Alabama — Medicare Advantage: $8.33 Centene — Medicare Advantage: $8.68 Cigna — Commercial: $7.33 Cigna — Medicare Advantage: $8.94 Construction Claims Management — Workers' Compensation: $31.80 CorVel — Workers' Compensation: $31.80
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$43	Not listed in the file	$34.40
Kidney function panel: rates for 1 insurance plan Multiplan — Complementary PPO: $34.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION PANEL	$41	Not listed in the file	$6.90 – $35.31
Liver function panel: 10 of 22 insurance plan rates Aetna — Commercial: $9.80 Aetna — Medicare Advantage: $8.42 AlaMed — Workers' Compensation: $32.10 Ambetter — Commercial-Exchange: $11.23 BlueCross BlueShield of Alabama — Medicare Advantage: $7.84 Centene — Medicare Advantage: $8.17 Cigna — Commercial: $6.90 Cigna — Medicare Advantage: $8.42 Construction Claims Management — Workers' Compensation: $30.32 CorVel — Workers' Compensation: $30.32
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC PROFILE	$41	Not listed in the file	$6.90 – $35.31
Liver function panel: 10 of 22 insurance plan rates Aetna — Commercial: $9.80 Aetna — Medicare Advantage: $8.42 AlaMed — Workers' Compensation: $32.10 Ambetter — Commercial-Exchange: $11.23 BlueCross BlueShield of Alabama — Medicare Advantage: $7.84 Centene — Medicare Advantage: $8.17 Cigna — Commercial: $6.90 Cigna — Medicare Advantage: $8.42 Construction Claims Management — Workers' Compensation: $30.32 CorVel — Workers' Compensation: $30.32
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIVER FUNCTION PANEL	$41	Not listed in the file	$32.80
Liver function panel: rates for 1 insurance plan Multiplan — Complementary PPO: $32.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC	$16	Not listed in the file	$2.68 – $13.78
Urine test (automated, with microscope): 10 of 22 insurance plan rates Aetna — Commercial: $3.80 Aetna — Medicare Advantage: $3.27 AlaMed — Workers' Compensation: $12.53 Ambetter — Commercial-Exchange: $4.36 BlueCross BlueShield of Alabama — Medicare Advantage: $3.04 Centene — Medicare Advantage: $3.17 Cigna — Commercial: $2.68 Cigna — Medicare Advantage: $3.27 Construction Claims Management — Workers' Compensation: $11.83 CorVel — Workers' Compensation: $11.83
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FEE URINALYSIS AUTO W/MICROSCOPIC	$16	Not listed in the file	$2.68 – $13.78
Urine test (automated, with microscope): 10 of 22 insurance plan rates Aetna — Commercial: $3.80 Aetna — Medicare Advantage: $3.27 AlaMed — Workers' Compensation: $12.53 Ambetter — Commercial-Exchange: $4.36 BlueCross BlueShield of Alabama — Medicare Advantage: $3.04 Centene — Medicare Advantage: $3.17 Cigna — Commercial: $2.68 Cigna — Medicare Advantage: $3.27 Construction Claims Management — Workers' Compensation: $11.83 CorVel — Workers' Compensation: $11.83
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC	$16	Not listed in the file	$12.80
Urine test (automated, with microscope): rates for 1 insurance plan Multiplan — Complementary PPO: $12.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD URINE	$17	Not listed in the file	$2.94 – $14.64
Urine test (manual, without microscope): 10 of 22 insurance plan rates Aetna — Commercial: $4.18 Aetna — Medicare Advantage: $3.58 AlaMed — Workers' Compensation: $13.31 Ambetter — Commercial-Exchange: $4.79 BlueCross BlueShield of Alabama — Medicare Advantage: $3.34 Centene — Medicare Advantage: $3.48 Cigna — Commercial: $2.94 Cigna — Medicare Advantage: $3.58 Construction Claims Management — Workers' Compensation: $12.57 CorVel — Workers' Compensation: $12.57
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KETONES URINE	$17	Not listed in the file	$2.94 – $14.64
Urine test (manual, without microscope): 10 of 22 insurance plan rates Aetna — Commercial: $4.18 Aetna — Medicare Advantage: $3.58 AlaMed — Workers' Compensation: $13.31 Ambetter — Commercial-Exchange: $4.79 BlueCross BlueShield of Alabama — Medicare Advantage: $3.34 Centene — Medicare Advantage: $3.48 Cigna — Commercial: $2.94 Cigna — Medicare Advantage: $3.58 Construction Claims Management — Workers' Compensation: $12.57 CorVel — Workers' Compensation: $12.57
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIPSTICK	$25	Not listed in the file	$2.94 – $21.53
Urine test (manual, without microscope): 10 of 22 insurance plan rates Aetna — Commercial: $4.18 Aetna — Medicare Advantage: $3.58 AlaMed — Workers' Compensation: $19.57 Ambetter — Commercial-Exchange: $4.79 BlueCross BlueShield of Alabama — Medicare Advantage: $3.34 Centene — Medicare Advantage: $3.48 Cigna — Commercial: $2.94 Cigna — Medicare Advantage: $3.58 Construction Claims Management — Workers' Compensation: $18.49 CorVel — Workers' Compensation: $18.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITHOUT MICROSCOPIC	$11	Not listed in the file	$1.90 – $9.47
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna — Commercial: $2.70 Aetna — Medicare Advantage: $2.32 AlaMed — Workers' Compensation: $8.61 Ambetter — Commercial-Exchange: $3.09 BlueCross BlueShield of Alabama — Medicare Advantage: $2.16 Centene — Medicare Advantage: $2.25 Cigna — Commercial: $1.90 Cigna — Medicare Advantage: $2.32 Construction Claims Management — Workers' Compensation: $8.13 CorVel — Workers' Compensation: $8.13
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS WITHOUT MICROSCOPIC	$11	Not listed in the file	$8.80
Urine test (automated, without microscope): rates for 1 insurance plan Multiplan — Complementary PPO: $8.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC	$91	Not listed in the file	$15.54 – $78.38
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna — Commercial: $22.07 Aetna — Medicare Advantage: $18.94 AlaMed — Workers' Compensation: $71.25 Ambetter — Commercial-Exchange: $25.29 BlueCross BlueShield of Alabama — Medicare Advantage: $17.65 Centene — Medicare Advantage: $18.39 Cigna — Commercial: $15.54 Cigna — Medicare Advantage: $18.94 Construction Claims Management — Workers' Compensation: $67.29 CorVel — Workers' Compensation: $67.29
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA FREE & TOTAL	$91	Not listed in the file	$15.54 – $78.38
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna — Commercial: $22.07 Aetna — Medicare Advantage: $18.94 AlaMed — Workers' Compensation: $71.25 Ambetter — Commercial-Exchange: $25.29 BlueCross BlueShield of Alabama — Medicare Advantage: $17.65 Centene — Medicare Advantage: $18.39 Cigna — Commercial: $15.54 Cigna — Medicare Advantage: $18.94 Construction Claims Management — Workers' Compensation: $67.29 CorVel — Workers' Compensation: $67.29
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC	$91	Not listed in the file	$72.80
PSA (prostate specific antigen) blood test: rates for 1 insurance plan Multiplan — Complementary PPO: $72.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FEE PKU TSH	$83	Not listed in the file	$14.20 – $71.49
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna — Commercial: $20.16 Aetna — Medicare Advantage: $17.30 AlaMed — Workers' Compensation: $64.99 Ambetter — Commercial-Exchange: $23.10 BlueCross BlueShield of Alabama — Medicare Advantage: $16.13 Centene — Medicare Advantage: $16.80 Cigna — Commercial: $14.20 Cigna — Medicare Advantage: $17.30 Construction Claims Management — Workers' Compensation: $61.38 CorVel — Workers' Compensation: $61.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$83	Not listed in the file	$14.20 – $71.49
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna — Commercial: $20.16 Aetna — Medicare Advantage: $17.30 AlaMed — Workers' Compensation: $64.99 Ambetter — Commercial-Exchange: $23.10 BlueCross BlueShield of Alabama — Medicare Advantage: $16.13 Centene — Medicare Advantage: $16.80 Cigna — Commercial: $14.20 Cigna — Medicare Advantage: $17.30 Construction Claims Management — Workers' Compensation: $61.38 CorVel — Workers' Compensation: $61.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FEE PKU TSH	$83	Not listed in the file	$66.40
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan Multiplan — Complementary PPO: $66.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC PROFILE TEST	$39	Not listed in the file	$6.57 – $33.59
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna — Commercial: $9.32 Aetna — Medicare Advantage: $8 AlaMed — Workers' Compensation: $30.54 Ambetter — Commercial-Exchange: $10.68 BlueCross BlueShield of Alabama — Medicare Advantage: $7.46 Centene — Medicare Advantage: $7.77 Cigna — Commercial: $6.57 Cigna — Medicare Advantage: $8 Construction Claims Management — Workers' Compensation: $28.84 CorVel — Workers' Compensation: $28.84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH DIFFERENTIAL	$39	Not listed in the file	$6.57 – $33.59
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna — Commercial: $9.32 Aetna — Medicare Advantage: $8 AlaMed — Workers' Compensation: $30.54 Ambetter — Commercial-Exchange: $10.68 BlueCross BlueShield of Alabama — Medicare Advantage: $7.46 Centene — Medicare Advantage: $7.77 Cigna — Commercial: $6.57 Cigna — Medicare Advantage: $8 Construction Claims Management — Workers' Compensation: $28.84 CorVel — Workers' Compensation: $28.84
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC PROFILE TEST	$39	Not listed in the file	$31.20
Complete blood count (CBC) with differential: rates for 1 insurance plan Multiplan — Complementary PPO: $31.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITHOUT DIFFERENTIAL	$32	Not listed in the file	$5.47 – $27.56
Complete blood count (CBC), automated: 10 of 22 insurance plan rates Aetna — Commercial: $7.76 Aetna — Medicare Advantage: $6.66 AlaMed — Workers' Compensation: $25.06 Ambetter — Commercial-Exchange: $8.90 BlueCross BlueShield of Alabama — Medicare Advantage: $6.21 Centene — Medicare Advantage: $6.47 Cigna — Commercial: $5.47 Cigna — Medicare Advantage: $6.66 Construction Claims Management — Workers' Compensation: $23.66 CorVel — Workers' Compensation: $23.66
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC WITHOUT DIFFERENTIAL	$32	Not listed in the file	$25.60
Complete blood count (CBC), automated: rates for 1 insurance plan Multiplan — Complementary PPO: $25.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ISTAT PROTHROMBIN TIME	$21	Not listed in the file	$3.63 – $18.09
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — Commercial: $5.15 Aetna — Medicare Advantage: $4.42 AlaMed — Workers' Compensation: $16.44 Ambetter — Commercial-Exchange: $5.90 BlueCross BlueShield of Alabama — Medicare Advantage: $4.12 Centene — Medicare Advantage: $4.29 Cigna — Commercial: $3.63 Cigna — Medicare Advantage: $4.42 Construction Claims Management — Workers' Compensation: $15.53 CorVel — Workers' Compensation: $15.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT ISTAT CAP	$26	Not listed in the file	$3.63 – $22.39
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — Commercial: $5.15 Aetna — Medicare Advantage: $4.42 AlaMed — Workers' Compensation: $20.36 Ambetter — Commercial-Exchange: $5.90 BlueCross BlueShield of Alabama — Medicare Advantage: $4.12 Centene — Medicare Advantage: $4.29 Cigna — Commercial: $3.63 Cigna — Medicare Advantage: $4.42 Construction Claims Management — Workers' Compensation: $19.23 CorVel — Workers' Compensation: $19.23
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT ISTAT VEN	$26	Not listed in the file	$3.63 – $22.39
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — Commercial: $5.15 Aetna — Medicare Advantage: $4.42 AlaMed — Workers' Compensation: $20.36 Ambetter — Commercial-Exchange: $5.90 BlueCross BlueShield of Alabama — Medicare Advantage: $4.12 Centene — Medicare Advantage: $4.29 Cigna — Commercial: $3.63 Cigna — Medicare Advantage: $4.42 Construction Claims Management — Workers' Compensation: $19.23 CorVel — Workers' Compensation: $19.23
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT HEPARIN	$30	Not listed in the file	$5.08 – $25.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna — Commercial: $7.21 Aetna — Medicare Advantage: $6.19 AlaMed — Workers' Compensation: $23.49 Ambetter — Commercial-Exchange: $8.26 BlueCross BlueShield of Alabama — Medicare Advantage: $5.77 Centene — Medicare Advantage: $6.01 Cigna — Commercial: $5.08 Cigna — Medicare Advantage: $6.19 Construction Claims Management — Workers' Compensation: $22.18 CorVel — Workers' Compensation: $22.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME (PTT)	$30	Not listed in the file	$5.08 – $25.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna — Commercial: $7.21 Aetna — Medicare Advantage: $6.19 AlaMed — Workers' Compensation: $23.49 Ambetter — Commercial-Exchange: $8.26 BlueCross BlueShield of Alabama — Medicare Advantage: $5.77 Centene — Medicare Advantage: $6.01 Cigna — Commercial: $5.08 Cigna — Medicare Advantage: $6.19 Construction Claims Management — Workers' Compensation: $22.18 CorVel — Workers' Compensation: $22.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT (PARTIAL THRO) SEC CHG	$30	Not listed in the file	$5.08 – $25.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna — Commercial: $7.21 Aetna — Medicare Advantage: $6.19 AlaMed — Workers' Compensation: $23.49 Ambetter — Commercial-Exchange: $8.26 BlueCross BlueShield of Alabama — Medicare Advantage: $5.77 Centene — Medicare Advantage: $6.01 Cigna — Commercial: $5.08 Cigna — Medicare Advantage: $6.19 Construction Claims Management — Workers' Compensation: $22.18 CorVel — Workers' Compensation: $22.18

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO 70450	$2,033	Not listed in the file	$91.80 – $1,751.02
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna — Commercial: $750 Aetna — Medicare Advantage: $98.50 AlaMed — Workers' Compensation: $1,591.84 Ambetter — Commercial-Exchange: $131.49 BlueCross BlueShield of Alabama — Medicare Advantage: $91.80 Centene — Medicare Advantage: $96.08 Cigna — Commercial: $206 Cigna — Medicare Advantage: $98.50 Construction Claims Management — Workers' Compensation: $1,503.40 CorVel — Workers' Compensation: $1,503.40
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO 70450	$2,033	Not listed in the file	$1,626.40
CT scan of the head or brain, without contrast: rates for 1 insurance plan Multiplan — Complementary PPO: $1,626.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR HEAD W/WO	$7,438	Not listed in the file	$285.01 – $6,406.35
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna — Commercial: $945 Aetna — Medicare Advantage: $328.68 AlaMed — Workers' Compensation: $5,823.95 Ambetter — Commercial-Exchange: $438.78 BlueCross BlueShield of Alabama — Medicare Advantage: $306.35 Centene — Medicare Advantage: $285.01 Cigna — Commercial: $335 Cigna — Medicare Advantage: $328.68 Construction Claims Management — Workers' Compensation: $5,500.40 CorVel — Workers' Compensation: $5,500.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR PITUITARY W/WO	$7,438	Not listed in the file	$285.01 – $6,406.35
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna — Commercial: $945 Aetna — Medicare Advantage: $328.68 AlaMed — Workers' Compensation: $5,823.95 Ambetter — Commercial-Exchange: $438.78 BlueCross BlueShield of Alabama — Medicare Advantage: $306.35 Centene — Medicare Advantage: $285.01 Cigna — Commercial: $335 Cigna — Medicare Advantage: $328.68 Construction Claims Management — Workers' Compensation: $5,500.40 CorVel — Workers' Compensation: $5,500.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR HEAD W/WO	$7,438	Not listed in the file	$5,950.40
MRI of the brain, before and after contrast: rates for 1 insurance plan Multiplan — Complementary PPO: $5,950.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$654	Not listed in the file	$29.60 – $563.29
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna — Commercial: $320.46 Aetna — Medicare Advantage: $81.99 AlaMed — Workers' Compensation: $512.08 Ambetter — Commercial-Exchange: $109.45 BlueCross BlueShield of Alabama — Medicare Advantage: $76.42 Centene — Medicare Advantage: $29.60 Cigna — Commercial: $130.41 Cigna — Medicare Advantage: $81.99 Construction Claims Management — Workers' Compensation: $483.63 CorVel — Workers' Compensation: $483.63
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$654	Not listed in the file	$523.20
Chest X-ray, 2 views: rates for 1 insurance plan Multiplan — Complementary PPO: $523.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$1,156	Not listed in the file	$47.50 – $995.66
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Aetna — Commercial: $566.44 Aetna — Medicare Advantage: $98.50 AlaMed — Workers' Compensation: $905.15 Ambetter — Commercial-Exchange: $131.49 BlueCross BlueShield of Alabama — Medicare Advantage: $91.80 Centene — Medicare Advantage: $47.50 Cigna — Commercial: $157.76 Cigna — Medicare Advantage: $98.50 Construction Claims Management — Workers' Compensation: $854.86 CorVel — Workers' Compensation: $854.86
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$1,156	Not listed in the file	$924.80
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Multiplan — Complementary PPO: $924.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR SP LUMBAR W/O	$4,444	Not listed in the file	$172.74 – $3,827.62
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Aetna — Commercial: $945 Aetna — Medicare Advantage: $224.80 AlaMed — Workers' Compensation: $3,479.65 Ambetter — Commercial-Exchange: $300.09 BlueCross BlueShield of Alabama — Medicare Advantage: $209.52 Centene — Medicare Advantage: $172.74 Cigna — Commercial: $335 Cigna — Medicare Advantage: $224.80 Construction Claims Management — Workers' Compensation: $3,286.34 CorVel — Workers' Compensation: $3,286.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR SP LUMBAR W/O	$4,444	Not listed in the file	$3,555.20
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Multiplan — Complementary PPO: $3,555.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W 72193	$3,645	Not listed in the file	$154.02 – $3,139.44
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna — Commercial: $750 Aetna — Medicare Advantage: $165.25 AlaMed — Workers' Compensation: $2,854.03 Ambetter — Commercial-Exchange: $220.60 BlueCross BlueShield of Alabama — Medicare Advantage: $154.02 Centene — Medicare Advantage: $201.36 Cigna — Commercial: $206 Cigna — Medicare Advantage: $165.25 Construction Claims Management — Workers' Compensation: $2,695.48 CorVel — Workers' Compensation: $2,695.48
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W 72193	$3,645	Not listed in the file	$2,916
CT scan of the pelvis, with contrast: rates for 1 insurance plan Multiplan — Complementary PPO: $2,916
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR JT LOW EXT WO 73721	$4,444	Not listed in the file	$183.44 – $3,827.62
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna — Commercial: $945 Aetna — Medicare Advantage: $224.80 AlaMed — Workers' Compensation: $3,479.65 Ambetter — Commercial-Exchange: $300.09 BlueCross BlueShield of Alabama — Medicare Advantage: $209.52 Centene — Medicare Advantage: $183.44 Cigna — Commercial: $335 Cigna — Medicare Advantage: $224.80 Construction Claims Management — Workers' Compensation: $3,286.34 CorVel — Workers' Compensation: $3,286.34
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR JT LOW EXT WO 73721	$4,444	Not listed in the file	$3,555.20
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Multiplan — Complementary PPO: $3,555.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PELVIS W CONTRAST 74177	$6,973	Not listed in the file	$206 – $6,005.84
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna — Commercial: $750 Aetna — Medicare Advantage: $328.68 AlaMed — Workers' Compensation: $5,459.86 Ambetter — Commercial-Exchange: $438.78 BlueCross BlueShield of Alabama — Medicare Advantage: $306.35 Centene — Medicare Advantage: $268.79 Cigna — Commercial: $206 Cigna — Medicare Advantage: $328.68 Construction Claims Management — Workers' Compensation: $5,156.53 CorVel — Workers' Compensation: $5,156.53
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD/PELVIS W CONTRAST 74177	$6,973	Not listed in the file	$5,578.40
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Multiplan — Complementary PPO: $5,578.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE 76700	$1,636	Not listed in the file	$91.80 – $1,409.09
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — Commercial: $801.64 Aetna — Medicare Advantage: $98.50 AlaMed — Workers' Compensation: $1,280.99 Ambetter — Commercial-Exchange: $131.49 BlueCross BlueShield of Alabama — Medicare Advantage: $91.80 Centene — Medicare Advantage: $102.63 Cigna — Commercial: $157.76 Cigna — Medicare Advantage: $98.50 Construction Claims Management — Workers' Compensation: $1,209.82 CorVel — Workers' Compensation: $1,209.82
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE 76700	$1,636	Not listed in the file	$1,308.80
Ultrasound of the abdomen, complete: rates for 1 insurance plan Multiplan — Complementary PPO: $1,308.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB MLT GEST>1ST TRI-TWINS	$1,421	Not listed in the file	$91.80 – $1,223.91
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna — Commercial: $696.29 Aetna — Medicare Advantage: $98.50 AlaMed — Workers' Compensation: $1,112.64 Ambetter — Commercial-Exchange: $131.49 BlueCross BlueShield of Alabama — Medicare Advantage: $91.80 Centene — Medicare Advantage: $122.28 Cigna — Commercial: $157.76 Cigna — Medicare Advantage: $98.50 Construction Claims Management — Workers' Compensation: $1,050.83 CorVel — Workers' Compensation: $1,050.83
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB SINGLE GEST REALTIME 76805	$1,421	Not listed in the file	$91.80 – $1,223.91
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna — Commercial: $696.29 Aetna — Medicare Advantage: $98.50 AlaMed — Workers' Compensation: $1,112.64 Ambetter — Commercial-Exchange: $131.49 BlueCross BlueShield of Alabama — Medicare Advantage: $91.80 Centene — Medicare Advantage: $122.28 Cigna — Commercial: $157.76 Cigna — Medicare Advantage: $98.50 Construction Claims Management — Workers' Compensation: $1,050.83 CorVel — Workers' Compensation: $1,050.83
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB MLT GEST>1ST TRI-TWINS	$1,421	Not listed in the file	$1,136.80
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Multiplan — Complementary PPO: $1,136.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB 76830	$1,082	Not listed in the file	$91.80 – $931.93
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — Commercial: $530.18 Aetna — Medicare Advantage: $98.50 AlaMed — Workers' Compensation: $847.21 Ambetter — Commercial-Exchange: $131.49 BlueCross BlueShield of Alabama — Medicare Advantage: $91.80 Centene — Medicare Advantage: $105.05 Cigna — Commercial: $157.76 Cigna — Medicare Advantage: $98.50 Construction Claims Management — Workers' Compensation: $800.14 CorVel — Workers' Compensation: $800.14
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB 76830	$1,082	Not listed in the file	$865.60
Transvaginal ultrasound: rates for 1 insurance plan Multiplan — Complementary PPO: $865.60
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIAGNOSTIC UNILAT W CAD	$656	Not listed in the file	$78.20 – $565.01
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Commercial: $321.44 Aetna — Medicare Advantage: $78.20 AlaMed — Workers' Compensation: $513.65 Centene — Medicare Advantage: $111.11 Cigna — Commercial: $132.46 Construction Claims Management — Workers' Compensation: $485.11 CorVel — Workers' Compensation: $485.11 Humana — Commercial: $235.55 Multiplan — Complementary PPO: $524.80 PNOA — Health Benefit Plans: $524.80
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIAGNOSTIC UNILAT W CAD	$656	Not listed in the file	$524.80
Diagnostic mammogram, one breast: rates for 1 insurance plan Multiplan — Complementary PPO: $524.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIAGNOSTIC BIL W CAD	$1,312	Not listed in the file	$140.63 – $1,130.03
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $642.88 Aetna — Medicare Advantage: $156.39 AlaMed — Workers' Compensation: $1,027.30 Centene — Medicare Advantage: $140.63 Cigna — Commercial: $169.75 Construction Claims Management — Workers' Compensation: $970.22 CorVel — Workers' Compensation: $970.22 Humana — Commercial: $298.14 Multiplan — Complementary PPO: $1,049.60 PNOA — Health Benefit Plans: $1,049.60
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIAGNOSTIC BIL W CAD	$1,312	Not listed in the file	$1,049.60
Diagnostic mammogram, both breasts: rates for 1 insurance plan Multiplan — Complementary PPO: $1,049.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM SCREENING BIL W CAD	$679	Not listed in the file	$80.94 – $584.82
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $332.71 Aetna — Medicare Advantage: $80.94 AlaMed — Workers' Compensation: $531.66 Centene — Medicare Advantage: $113.05 Cigna — Commercial: $140.05 Construction Claims Management — Workers' Compensation: $502.12 CorVel — Workers' Compensation: $502.12 Humana — Commercial: $239.67 Multiplan — Complementary PPO: $543.20 PNOA — Health Benefit Plans: $543.20
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG MAMMOGRAM SCREENING BIL W CAD	$679	Not listed in the file	$543.20
Screening mammogram, both breasts: rates for 1 insurance plan Multiplan — Complementary PPO: $543.20
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: MG MAMMOGRAM SCREENING UNILAT W CAD	$679	Not listed in the file	$80.94 – $584.82
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $332.71 Aetna — Medicare Advantage: $80.94 AlaMed — Workers' Compensation: $531.66 Cigna — Commercial: $140.05 Construction Claims Management — Workers' Compensation: $502.12 CorVel — Workers' Compensation: $502.12 Humana — Commercial: $239.67 Multiplan — Complementary PPO: $543.20 PNOA — Health Benefit Plans: $543.20 Prime Health Services — Workers' Compensation: $584.82

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY SLEEP	$4,800	Not listed in the file	$596.99 – $4,134.24
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna — Commercial: $2,352 Aetna — Medicare Advantage: $809.04 AlaMed — Workers' Compensation: $3,758.40 Ambetter — Commercial-Exchange: $1,080.04 BlueCross BlueShield of Alabama — Medicare Advantage: $754.06 Centene — Medicare Advantage: $596.99 Cigna — Commercial: $1,790.40 Cigna — Medicare Advantage: $809.04 Construction Claims Management — Workers' Compensation: $3,549.60 CorVel — Workers' Compensation: $3,549.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY SLEEP	$4,800	Not listed in the file	$3,840
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan Multiplan — Complementary PPO: $3,840

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THERAPEUTIC EXERCISE 15	$160	Not listed in the file	$19.07 – $223
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $78.40 Aetna — Medicare Advantage: $19.07 AlaMed — Workers' Compensation: $125.28 Cigna — Commercial: $62.72 Construction Claims Management — Workers' Compensation: $118.32 CorVel — Workers' Compensation: $118.32 Humana — Commercial: $100.80 Multiplan — Complementary PPO: $128 PNOA — Health Benefit Plans: $128 Prime Health Services — Workers' Compensation: $137.81
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ,GP In the file: PT THERAPEUTIC EXERCISE 15 PTA	$160	Not listed in the file	$19.07 – $223
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $78.40 Aetna — Medicare Advantage: $19.07 AlaMed — Workers' Compensation: $125.28 Cigna — Commercial: $62.72 Construction Claims Management — Workers' Compensation: $118.32 CorVel — Workers' Compensation: $118.32 Humana — Commercial: $100.80 Multiplan — Complementary PPO: $128 PNOA — Health Benefit Plans: $128 Prime Health Services — Workers' Compensation: $137.81
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THERAPEUTIC EXERCISE 15	$160	Not listed in the file	$19.07 – $223
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $78.40 Aetna — Medicare Advantage: $19.07 AlaMed — Workers' Compensation: $125.28 Cigna — Commercial: $62.72 Construction Claims Management — Workers' Compensation: $118.32 CorVel — Workers' Compensation: $118.32 Humana — Commercial: $100.80 Multiplan — Complementary PPO: $128 PNOA — Health Benefit Plans: $128 Prime Health Services — Workers' Compensation: $137.81
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN	$402	Not listed in the file	$47.92 – $346.24
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Aetna — Commercial: $196.98 Aetna — Medicare Advantage: $47.92 AlaMed — Workers' Compensation: $314.77 Cigna — Commercial: $157.58 Construction Claims Management — Workers' Compensation: $297.28 CorVel — Workers' Compensation: $297.28 Humana — Commercial: $253.26 Multiplan — Complementary PPO: $321.60 PNOA — Health Benefit Plans: $321.60 Prime Health Services — Workers' Compensation: $346.24
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN	$402	Not listed in the file	$321.60
Physical therapy evaluation (low complexity): rates for 1 insurance plan Multiplan — Complementary PPO: $321.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN	$402	Not listed in the file	$47.92 – $346.24
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Aetna — Commercial: $196.98 Aetna — Medicare Advantage: $47.92 AlaMed — Workers' Compensation: $314.77 Cigna — Commercial: $157.58 Construction Claims Management — Workers' Compensation: $297.28 CorVel — Workers' Compensation: $297.28 Humana — Commercial: $253.26 Multiplan — Complementary PPO: $321.60 PNOA — Health Benefit Plans: $321.60 Prime Health Services — Workers' Compensation: $346.24
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN	$402	Not listed in the file	$321.60
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Multiplan — Complementary PPO: $321.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN	$402	Not listed in the file	$47.92 – $346.24
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Aetna — Commercial: $196.98 Aetna — Medicare Advantage: $47.92 AlaMed — Workers' Compensation: $314.77 Cigna — Commercial: $157.58 Construction Claims Management — Workers' Compensation: $297.28 CorVel — Workers' Compensation: $297.28 Humana — Commercial: $253.26 Multiplan — Complementary PPO: $321.60 PNOA — Health Benefit Plans: $321.60 Prime Health Services — Workers' Compensation: $346.24
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN	$402	Not listed in the file	$321.60
Physical therapy evaluation (high complexity): rates for 1 insurance plan Multiplan — Complementary PPO: $321.60

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION CYST/LESION BREAST	$6,999	Not listed in the file	$365.97 – $6,267.47
Removal of breast growth (open surgery): 10 of 22 insurance plan rates Aetna — Commercial: $3,429.51 Aetna — Medicare Advantage: $3,688.85 AlaMed — Workers' Compensation: $5,480.22 Ambetter — Commercial-Exchange: $4,924.44 Behavioral Health Systems — Commercial: $2,449.65 BlueCross BlueShield of Alabama — Medicare Advantage: $3,438.15 Centene — Medicare Advantage: $365.97 Cigna — Medicare Advantage: $3,688.85 Construction Claims Management — Workers' Compensation: $5,175.76 CorVel — Workers' Compensation: $5,175.76
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXCISION CYST/LESION BREAST	$6,999	Not listed in the file	$5,599.20
Removal of breast growth (open surgery): rates for 1 insurance plan Multiplan — Complementary PPO: $5,599.20
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 360 In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT	Not listed in the file	Not listed in the file	$13,112
Total hip replacement: rates for 1 insurance plan Cigna — Commercial: $13,112
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 360 In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)	Not listed in the file	Not listed in the file	$10,926
Total knee replacement: rates for 1 insurance plan Cigna — Commercial: $10,926
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UP W/WO COLLECT	$2,030	Not listed in the file	$102.78 – $2,722
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates Aetna — Commercial: $994.70 Aetna — Medicare Advantage: $854.50 AlaMed — Workers' Compensation: $1,589.49 Ambetter — Commercial-Exchange: $1,140.71 BlueCross BlueShield of Alabama — Medicare Advantage: $796.43 Centene — Medicare Advantage: $102.78 Cigna — Commercial: $757.19 Cigna — Medicare Advantage: $854.50 Construction Claims Management — Workers' Compensation: $1,501.18 CorVel — Workers' Compensation: $1,501.18
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDOSCOPY UP W/WO COLLECT	$2,030	Not listed in the file	$1,624
Upper GI endoscopy (diagnostic): rates for 1 insurance plan Multiplan — Complementary PPO: $1,624
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UP W/BIOPSY	$2,339	Not listed in the file	$115.08 – $2,722
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates Aetna — Commercial: $1,146.11 Aetna — Medicare Advantage: $854.50 AlaMed — Workers' Compensation: $1,831.44 Ambetter — Commercial-Exchange: $1,140.71 BlueCross BlueShield of Alabama — Medicare Advantage: $796.43 Centene — Medicare Advantage: $115.08 Cigna — Commercial: $872.45 Cigna — Medicare Advantage: $854.50 Construction Claims Management — Workers' Compensation: $1,729.69 CorVel — Workers' Compensation: $1,729.69
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDOSCOPY UP W/BIOPSY	$2,339	Not listed in the file	$1,871.20
Upper GI endoscopy with biopsy: rates for 1 insurance plan Multiplan — Complementary PPO: $1,871.20
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONSCOPY W/WO BRUSH WASH	$2,407	Not listed in the file	$153.13 – $2,722
Colonoscopy (diagnostic): 10 of 22 insurance plan rates Aetna — Commercial: $1,179.43 Aetna — Medicare Advantage: $876.14 AlaMed — Workers' Compensation: $1,884.68 Ambetter — Commercial-Exchange: $1,169.60 BlueCross BlueShield of Alabama — Medicare Advantage: $816.60 Centene — Medicare Advantage: $153.13 Cigna — Commercial: $897.81 Cigna — Medicare Advantage: $876.14 Construction Claims Management — Workers' Compensation: $1,779.98 CorVel — Workers' Compensation: $1,779.98
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONSCOPY W/WO BRUSH WASH	$2,407	Not listed in the file	$1,925.60
Colonoscopy (diagnostic): rates for 1 insurance plan Multiplan — Complementary PPO: $1,925.60
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX SINGLE/MULTIP	$2,407	Not listed in the file	$165.63 – $2,722
Colonoscopy with biopsy: 10 of 22 insurance plan rates Aetna — Commercial: $1,179.43 Aetna — Medicare Advantage: $1,127.40 AlaMed — Workers' Compensation: $1,884.68 Ambetter — Commercial-Exchange: $1,505.02 BlueCross BlueShield of Alabama — Medicare Advantage: $1,050.78 Centene — Medicare Advantage: $165.63 Cigna — Commercial: $897.81 Cigna — Medicare Advantage: $1,127.40 Construction Claims Management — Workers' Compensation: $1,779.98 CorVel — Workers' Compensation: $1,779.98
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX SINGLE/MULTIP	$2,407	Not listed in the file	$1,925.60
Colonoscopy with biopsy: rates for 1 insurance plan Multiplan — Complementary PPO: $1,925.60
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/SNARE/TUMOR/POLY	$2,506	Not listed in the file	$208.88 – $2,722
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates Aetna — Commercial: $1,227.94 Aetna — Medicare Advantage: $1,127.40 AlaMed — Workers' Compensation: $1,962.20 Ambetter — Commercial-Exchange: $1,505.02 BlueCross BlueShield of Alabama — Medicare Advantage: $1,050.78 Centene — Medicare Advantage: $208.88 Cigna — Commercial: $934.74 Cigna — Medicare Advantage: $1,127.40 Construction Claims Management — Workers' Compensation: $1,853.19 CorVel — Workers' Compensation: $1,853.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/SNARE/TUMOR/POLY	$2,506	Not listed in the file	$2,004.80
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Multiplan — Complementary PPO: $2,004.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY SCREENING NOT HIGH RISK	$5,579	Not listed in the file	$153.32 – $4,805.19
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates Aetna — Commercial: $2,733.71 Aetna — Medicare Advantage: $876.14 AlaMed — Workers' Compensation: $4,368.36 Ambetter — Commercial-Exchange: $1,169.60 BlueCross BlueShield of Alabama — Medicare Advantage: $816.60 Centene — Medicare Advantage: $153.32 Cigna — Medicare Advantage: $876.14 Construction Claims Management — Workers' Compensation: $4,125.67 CorVel — Workers' Compensation: $4,125.67 Humana — Commercial: $3,347.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY SCREENING NOT HIGH RISK	$5,579	Not listed in the file	$4,463.20
Screening colonoscopy (not high risk): rates for 1 insurance plan Multiplan — Complementary PPO: $4,463.20
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US BIOPSY PROSTATE	$26,944	Not listed in the file	$3,211.72 – $23,206.87
Prostate biopsy: 10 of 11 insurance plan rates Aetna — Commercial: $13,202.56 Aetna — Medicare Advantage: $3,211.72 AlaMed — Workers' Compensation: $21,097.15 Construction Claims Management — Workers' Compensation: $19,925.09 CorVel — Workers' Compensation: $19,925.09 Humana — Commercial: $16,974.72 Multiplan — Complementary PPO: $21,555.20 PNOA — Health Benefit Plans: $21,555.20 Prime Health Services — Workers' Compensation: $23,206.87 United Healthcare — Commercial: $12,124.80
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US BIOPSY PROSTATE	$26,944	Not listed in the file	$21,555.20
Prostate biopsy: rates for 1 insurance plan Multiplan — Complementary PPO: $21,555.20

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$7,639 – $140,187.52
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates Aetna — Commercial: $75,816.70 Aetna — Medicare Advantage: $64,225.56 Ambetter — Commercial-Exchange: $85,738 BlueCross BlueShield of Alabama — Commercial: $7,639 BlueCross BlueShield of Alabama — Medicare Advantage: $59,860.71 Centene — Medicare Advantage: $62,354.91 Cigna — Commercial: $140,187.52 Cigna — Medicare Advantage: $64,225.56 Humana — Commercial: $139,974.94 Humana — Medicare Advantage: $62,978.46
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$11,802.89 – $27,641.14
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates Aetna — Commercial: $14,948.98 Aetna — Medicare Advantage: $12,663.52 Ambetter — Commercial-Exchange: $16,905.19 BlueCross BlueShield of Alabama — Commercial: $12,732 BlueCross BlueShield of Alabama — Medicare Advantage: $11,802.89 Centene — Medicare Advantage: $12,294.68 Cigna — Commercial: $27,641.14 Cigna — Medicare Advantage: $12,663.52 Humana — Commercial: $27,599.22 Humana — Medicare Advantage: $12,417.63
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$12,732 – $34,983.83
Neck (cervical) spinal fusion, without complications: 10 of 16 insurance plan rates Aetna — Commercial: $18,920.08 Aetna — Medicare Advantage: $16,027.50 Ambetter — Commercial-Exchange: $21,395.94 BlueCross BlueShield of Alabama — Commercial: $12,732 BlueCross BlueShield of Alabama — Medicare Advantage: $14,938.25 Centene — Medicare Advantage: $15,560.68 Cigna — Commercial: $34,983.83 Cigna — Medicare Advantage: $16,027.50 Humana — Commercial: $34,930.78 Humana — Medicare Advantage: $15,716.29
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,591.80 – $17,779.23
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates Aetna — Commercial: $9,615.42 Aetna — Medicare Advantage: $8,145.37 Ambetter — Commercial-Exchange: $10,873.68 BlueCross BlueShield of Alabama — Commercial: $7,639 BlueCross BlueShield of Alabama — Medicare Advantage: $7,591.80 Centene — Medicare Advantage: $7,908.13 Cigna — Commercial: $17,779.23 Cigna — Medicare Advantage: $8,145.37 Humana — Commercial: $17,752.27 Humana — Medicare Advantage: $7,987.21

Source: St Vincent's St Clair’s standard charges file (cdn.hs.uab.edu, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 20, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	7063 Veterans Parkway, Pell City, AL 35125
County	St. Clair County
State	Alabama
Phone	(205) 338‑3301
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	010130
Name in Medicare records	ST VINCENT'S ST CLAIR
Profile level	Medicare data + hospital website
Name on the hospital’s website	UAB St. Vincent's St. Clair
Official website	uabstvincents.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

UAB St. Vincent's St. Clair — uabstvincents.org
Wound Care — uabstvincents.org

St Vincent's St Clair

Summary

Profile from official sources

At a glance