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Children's Hospital

USA Health Children's & Women's Hospital

Mobile, Alabama · Mobile County · Emergency services listed

Summary

USA Health Children's & Women's Hospital is a children's hospital in Mobile, Alabama. Medicare data lists emergency services. Its official website lists 54 services, specialties and programs. Medicare lists 173 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a children's hospital?

A hospital that treats babies, children and teenagers, with doctors and equipment made for young patients. More about hospital types

Call(251) 415‑1000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
173Doctors and clinicians
54Services listed

Quick answers

Does USA Health Children's & Women's Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at USA Health Children's & Women's Hospital. In a medical emergency, call 911.
Where is USA Health Children's & Women's Hospital?
1700 Center Street, Mobile, AL 36604, in Mobile County, Alabama.
What is the phone number of USA Health Children's & Women's Hospital?
(251) 415-1000, as listed by Medicare (CMS).
What is the Medicare star rating of USA Health Children's & Women's 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[4]

Conditions treated[4]

Treatments[4]

  • Sickle cell care
  • Pediatric infusion therapy
  • Pediatric weight management
  • Lactation support
  • Nutrition care

Procedures[4]

  • Birthing services
  • Breast surgery
  • Gynecologic surgery
  • Mammography
  • Imaging for women

Programs and centers[4]

  • Level III Neonatal Intensive Care Unit (NICU)
  • Arlene Mitchell Pediatric Intensive Care Unit (PICU)
  • High-Risk OB Unit
  • Monte L. Moorer Mother Baby Unit
  • OB-GYN Evaluation Center
  • Pediatric Infusion Center
  • Child Life and Integrative Care
  • Bridge Program

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisitors pass through a metal detector and must show a photo ID to enter[4]
Patient portalhttps://www.usahealthsystem.com/patient-portals

Recognition[4]

  • Region's only Level III NICU

Doctors and clinicians (173)

173 doctors and other clinicians list USA Health Children's & Women's 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 (173)

And 149 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

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

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 USA Health Children's & Women's 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.

Not reported to Medicare

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 infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
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)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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 failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in MobileBest hospitals in Mobile

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as USA Health Children's & Women's 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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 New 99203 $171 $171 $67.85 – $158.72
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $94.05
  • Aetna — Medicare Advantage: $117.57
  • Ambetter — Commercial/Exchange: $141.09
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $115.22
  • Central Healthcare Services — Commercial: $85.50
  • Cigna — Commercial: $81.40
  • Cigna Healthspring — Medicare Advantage: $111.15
  • Devoted Health — Medicare Advantage: $117.57
  • Humana — Medicare Advantage/HMO: $117.57
  • Humana — Medicare Advantage/PPO: $117.57
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Visit Level 3 New 99203 $171 $171 $85.50 – $153.90
New patient office visit (about 30–44 minutes): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $85.50
  • Devoted Health — Medicare Advantage: $119.70
  • MultiPlan — Commercial: $119.70
  • NovaNet — Commercial: $153.90
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: Office Visit Level 3 New 99203 $350 $350 $175
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $175
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 4 New 99204 $171 $171 $81.40 – $239.43
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $94.05
  • Aetna — Medicare Advantage: $177.36
  • Ambetter — Commercial/Exchange: $212.83
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $173.81
  • Central Healthcare Services — Commercial: $85.50
  • Cigna — Commercial: $81.40
  • Cigna Healthspring — Medicare Advantage: $111.15
  • Devoted Health — Medicare Advantage: $177.36
  • Humana — Medicare Advantage/HMO: $177.36
  • Humana — Medicare Advantage/PPO: $177.36
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Visit Level 4 New 99204 $171 $171 $85.50 – $153.90
New patient office visit (about 45–59 minutes): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $85.50
  • Devoted Health — Medicare Advantage: $119.70
  • MultiPlan — Commercial: $119.70
  • NovaNet — Commercial: $153.90
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: Office Visit Level 4 New 99204 $528 $528 $264
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $264
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 5 New 99205 $171 $171 $81.40 – $319.70
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $94.05
  • Aetna — Medicare Advantage: $236.81
  • Ambetter — Commercial/Exchange: $284.17
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $232.08
  • Central Healthcare Services — Commercial: $85.50
  • Cigna — Commercial: $81.40
  • Cigna Healthspring — Medicare Advantage: $111.15
  • Devoted Health — Medicare Advantage: $236.81
  • Humana — Medicare Advantage/HMO: $236.81
  • Humana — Medicare Advantage/PPO: $236.81
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Visit Level 5 New 99205 $171 $171 $85.50 – $153.90
New patient office visit (about 60–74 minutes): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $85.50
  • Devoted Health — Medicare Advantage: $119.70
  • MultiPlan — Commercial: $119.70
  • NovaNet — Commercial: $153.90
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: Office Visit Level 5 New 99205 $697 $697 $348.50
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $348.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 Est 99213 $175 $175 $54.64 – $157.50
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $96.25
  • Aetna — Medicare Advantage: $95.19
  • Ambetter — Commercial/Exchange: $114.23
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $93.29
  • Central Healthcare Services — Commercial: $87.50
  • Cigna — Commercial: $83.30
  • Cigna Healthspring — Medicare Advantage: $113.75
  • Devoted Health — Medicare Advantage: $95.19
  • Humana — Medicare Advantage/HMO: $95.19
  • Humana — Medicare Advantage/PPO: $95.19
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Visit Level 3 Est 99213 $175 $175 $87.50 – $157.50
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $87.50
  • Devoted Health — Medicare Advantage: $122.50
  • MultiPlan — Commercial: $122.50
  • NovaNet — Commercial: $157.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: Office Visit Level 3 Est 99213 $287 $287 $143.50
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $143.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 4 Est 99214 $171 $171 $80.59 – $183.07
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $94.05
  • Aetna — Medicare Advantage: $135.61
  • Ambetter — Commercial/Exchange: $162.73
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $132.90
  • Central Healthcare Services — Commercial: $85.50
  • Cigna — Commercial: $81.40
  • Cigna Healthspring — Medicare Advantage: $111.15
  • Devoted Health — Medicare Advantage: $135.61
  • Humana — Medicare Advantage/HMO: $135.61
  • Humana — Medicare Advantage/PPO: $135.61
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Visit Level 4 Est 99214 $171 $171 $85.50 – $153.90
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $85.50
  • Devoted Health — Medicare Advantage: $119.70
  • MultiPlan — Commercial: $119.70
  • NovaNet — Commercial: $153.90
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: Office Visit Level 4 Est 99214 $405 $405 $202.50
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $202.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other Outpatient Consult Low Severity 30 Min 99243 $171 $171 $81.40 – $153.90
Office consultation with a specialist (moderate): 10 of 22 insurance plan rates
  • Aetna — Commercial: $94.05
  • Aetna — Medicare Advantage: $112.56
  • Ambetter — Commercial/Exchange: $135.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $110.31
  • Central Healthcare Services — Commercial: $85.50
  • Cigna — Commercial: $81.40
  • Cigna Healthspring — Medicare Advantage: $111.15
  • Devoted Health — Medicare Advantage: $112.56
  • Humana — Medicare Advantage/HMO: $112.56
  • Humana — Medicare Advantage/PPO: $112.56
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office or other Outpatient Consult Low Severity 30 Min 99243 $171 $171 $85.50 – $153.90
Office consultation with a specialist (moderate): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $85.50
  • Devoted Health — Medicare Advantage: $119.70
  • MultiPlan — Commercial: $119.70
  • NovaNet — Commercial: $153.90
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: Office or other Outpatient Consult Low Severity 30 Min 99243 $385 $385 $192.50
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $192.50
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or Outpatient Consult Moderate Severity 40 Min 99244 $171 $171 $81.40 – $217.34
Office consultation with a specialist (moderate to high): 10 of 22 insurance plan rates
  • Aetna — Commercial: $94.05
  • Aetna — Medicare Advantage: $160.99
  • Ambetter — Commercial/Exchange: $193.19
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $157.77
  • Central Healthcare Services — Commercial: $85.50
  • Cigna — Commercial: $81.40
  • Cigna Healthspring — Medicare Advantage: $111.15
  • Devoted Health — Medicare Advantage: $160.99
  • Humana — Medicare Advantage/HMO: $160.99
  • Humana — Medicare Advantage/PPO: $160.99
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office or Outpatient Consult Moderate Severity 40 Min 99244 $171 $171 $85.50 – $153.90
Office consultation with a specialist (moderate to high): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $85.50
  • Devoted Health — Medicare Advantage: $119.70
  • MultiPlan — Commercial: $119.70
  • NovaNet — Commercial: $153.90
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: Office or Outpatient Consult Moderate Severity 40 Min 99244 $534 $534 $267
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $267
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: Initial Comp Preventive Med 18 to 39 years New 99385 $439 $439 $219.50
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $219.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $131.91 – $181.72
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $134.61
  • Ambetter — Commercial/Exchange: $161.53
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $131.91
  • Devoted Health — Medicare Advantage: $134.61
  • Humana — Medicare Advantage/HMO: $134.61
  • Humana — Medicare Advantage/PPO: $134.61
  • Mississippi Physicians Care Network (MPCN) — Commercial: $181.72
  • Molina Marketplace — Medicare Advantage: $148.07
  • United Healthcare — Medicare Advantage: $134.61
  • United Healthcare — VACCN: $134.61
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: Initial Comp Preventive Med 40 to 64 years New 99386 $404 $404 $202
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $202
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $152.54 – $210.13
Preventive checkup, new patient, age 40–64: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $155.65
  • Ambetter — Commercial/Exchange: $186.78
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $152.54
  • Devoted Health — Medicare Advantage: $155.65
  • Humana — Medicare Advantage/HMO: $155.65
  • Humana — Medicare Advantage/PPO: $155.65
  • Mississippi Physicians Care Network (MPCN) — Commercial: $210.13
  • Molina Marketplace — Medicare Advantage: $171.21
  • United Healthcare — Medicare Advantage: $155.65
  • United Healthcare — VACCN: $155.65
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - Level 3 $612 $612 $68.08 – $625
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • Aetna — Commercial: $336.60
  • Aetna — Medicare Advantage: $69.47
  • Ambetter — Commercial/Exchange: $83.37
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $68.08
  • Central Healthcare Services — Commercial: $306
  • Cigna — Commercial: $625
  • Cigna Healthspring — Medicare Advantage: $397.80
  • Devoted Health — Medicare Advantage: $69.47
  • Humana — Medicare Advantage/HMO: $69.47
  • Humana — Medicare Advantage/PPO: $69.47
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBGYN EC Level 3 - OBGYN EC Visit Level $612 $612 $68.08 – $625
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • Aetna — Commercial: $336.60
  • Aetna — Medicare Advantage: $69.47
  • Ambetter — Commercial/Exchange: $83.37
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $68.08
  • Central Healthcare Services — Commercial: $306
  • Cigna — Commercial: $625
  • Cigna Healthspring — Medicare Advantage: $397.80
  • Devoted Health — Medicare Advantage: $69.47
  • Humana — Medicare Advantage/HMO: $69.47
  • Humana — Medicare Advantage/PPO: $69.47
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99283 - Level 3 $612 $612 $306 – $550.80
Emergency room visit (moderate): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $306
  • Devoted Health — Medicare Advantage: $428.40
  • MultiPlan — Commercial: $428.40
  • NovaNet — Commercial: $550.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - Level 4 $739 $739 $115.87 – $932
Emergency room visit (moderately high): 10 of 26 insurance plan rates
  • Aetna — Commercial: $406.45
  • Aetna — Medicare Advantage: $118.24
  • Ambetter — Commercial/Exchange: $141.89
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $115.87
  • Central Healthcare Services — Commercial: $369.50
  • Cigna — Commercial: $625
  • Cigna Healthspring — Medicare Advantage: $480.35
  • Devoted Health — Medicare Advantage: $118.24
  • Humana — Medicare Advantage/HMO: $118.24
  • Humana — Medicare Advantage/PPO: $118.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBGYN EC Level 4 - OBGYN EC Visit Level $739 $739 $115.87 – $932
Emergency room visit (moderately high): 10 of 26 insurance plan rates
  • Aetna — Commercial: $406.45
  • Aetna — Medicare Advantage: $118.24
  • Ambetter — Commercial/Exchange: $141.89
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $115.87
  • Central Healthcare Services — Commercial: $369.50
  • Cigna — Commercial: $625
  • Cigna Healthspring — Medicare Advantage: $480.35
  • Devoted Health — Medicare Advantage: $118.24
  • Humana — Medicare Advantage/HMO: $118.24
  • Humana — Medicare Advantage/PPO: $118.24
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99284 - Level 4 $739 $739 $369.50 – $665.10
Emergency room visit (moderately high): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $369.50
  • Devoted Health — Medicare Advantage: $517.30
  • MultiPlan — Commercial: $517.30
  • NovaNet — Commercial: $665.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - Level 5 $1,053 $1,053 $167.92 – $947.70
Emergency room visit (high): 10 of 26 insurance plan rates
  • Aetna — Commercial: $579.15
  • Aetna — Medicare Advantage: $171.35
  • Ambetter — Commercial/Exchange: $205.62
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $167.92
  • Central Healthcare Services — Commercial: $526.50
  • Cigna — Commercial: $625
  • Cigna Healthspring — Medicare Advantage: $684.45
  • Devoted Health — Medicare Advantage: $171.35
  • Humana — Medicare Advantage/HMO: $171.35
  • Humana — Medicare Advantage/PPO: $171.35
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBGYN EC Level 5 - OBGYN EC Visit Level $1,053 $1,053 $167.92 – $947.70
Emergency room visit (high): 10 of 26 insurance plan rates
  • Aetna — Commercial: $579.15
  • Aetna — Medicare Advantage: $171.35
  • Ambetter — Commercial/Exchange: $205.62
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $167.92
  • Central Healthcare Services — Commercial: $526.50
  • Cigna — Commercial: $625
  • Cigna Healthspring — Medicare Advantage: $684.45
  • Devoted Health — Medicare Advantage: $171.35
  • Humana — Medicare Advantage/HMO: $171.35
  • Humana — Medicare Advantage/PPO: $171.35
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99285 - Level 5 $1,053 $1,053 $526.50 – $947.70
Emergency room visit (high): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $526.50
  • Devoted Health — Medicare Advantage: $737.10
  • MultiPlan — Commercial: $737.10
  • NovaNet — Commercial: $947.70

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $186 $186 $4.97 – $167.40
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Ambetter — Commercial/Exchange: $10.15
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.29
  • Central Healthcare Services — Commercial: $93
  • Cigna — Commercial: $88.54
  • Devoted Health — Medicare Advantage: $8.46
  • Humana — Medicare Advantage/HMO: $8.46
  • Humana — Medicare Advantage/PPO: $8.46
  • Humana ChoiceCare — Commercial: $120.90
  • Magnolia Health — Managed Medicaid: $7.61
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel, Plasma-MCI $186 $186 $4.97 – $167.40
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Ambetter — Commercial/Exchange: $10.15
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.29
  • Central Healthcare Services — Commercial: $93
  • Cigna — Commercial: $88.54
  • Devoted Health — Medicare Advantage: $8.46
  • Humana — Medicare Advantage/HMO: $8.46
  • Humana — Medicare Advantage/PPO: $8.46
  • Humana ChoiceCare — Commercial: $120.90
  • Magnolia Health — Managed Medicaid: $7.61
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel-PAT $186 $186 $4.97 – $167.40
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Ambetter — Commercial/Exchange: $10.15
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.29
  • Central Healthcare Services — Commercial: $93
  • Cigna — Commercial: $88.54
  • Devoted Health — Medicare Advantage: $8.46
  • Humana — Medicare Advantage/HMO: $8.46
  • Humana — Medicare Advantage/PPO: $8.46
  • Humana ChoiceCare — Commercial: $120.90
  • Magnolia Health — Managed Medicaid: $7.61
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $270 $270 $6.20 – $243
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Ambetter — Commercial/Exchange: $12.67
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $10.35
  • Central Healthcare Services — Commercial: $135
  • Cigna — Commercial: $128.52
  • Devoted Health — Medicare Advantage: $10.56
  • Humana — Medicare Advantage/HMO: $10.56
  • Humana — Medicare Advantage/PPO: $10.56
  • Humana ChoiceCare — Commercial: $175.50
  • Magnolia Health — Managed Medicaid: $9.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel, Plasma-MCI $270 $270 $6.20 – $243
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Ambetter — Commercial/Exchange: $12.67
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $10.35
  • Central Healthcare Services — Commercial: $135
  • Cigna — Commercial: $128.52
  • Devoted Health — Medicare Advantage: $10.56
  • Humana — Medicare Advantage/HMO: $10.56
  • Humana — Medicare Advantage/PPO: $10.56
  • Humana ChoiceCare — Commercial: $175.50
  • Magnolia Health — Managed Medicaid: $9.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel-PAT $270 $270 $6.20 – $243
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Ambetter — Commercial/Exchange: $12.67
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $10.35
  • Central Healthcare Services — Commercial: $135
  • Cigna — Commercial: $128.52
  • Devoted Health — Medicare Advantage: $10.56
  • Humana — Medicare Advantage/HMO: $10.56
  • Humana — Medicare Advantage/PPO: $10.56
  • Humana ChoiceCare — Commercial: $175.50
  • Magnolia Health — Managed Medicaid: $9.50
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $43.03 – $64.54
Obstetric blood test panel: 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Ambetter — Commercial/Exchange: $57.37
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $46.85
  • Devoted Health — Medicare Advantage: $47.81
  • Humana — Medicare Advantage/HMO: $47.81
  • Humana — Medicare Advantage/PPO: $47.81
  • Magnolia Health — Managed Medicaid: $43.03
  • Mississippi Physicians Care Network (MPCN) — Commercial: $64.54
  • Molina CHIP — Managed Medicaid: $47.33
  • Molina Marketplace — Medicare Advantage: $52.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel $316.10 $316.10 $12.05 – $284.49
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Ambetter — Commercial/Exchange: $16.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $13.12
  • Central Healthcare Services — Commercial: $158.05
  • Cigna — Commercial: $150.46
  • Cigna Healthspring — Medicare Advantage: $205.47
  • Devoted Health — Medicare Advantage: $13.39
  • Humana — Medicare Advantage/HMO: $13.39
  • Humana — Medicare Advantage/PPO: $13.39
  • Humana ChoiceCare — Commercial: $205.47
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $168 $168 $12.05 – $151.20
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Ambetter — Commercial/Exchange: $16.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $13.12
  • Central Healthcare Services — Commercial: $84
  • Cigna — Commercial: $79.97
  • Devoted Health — Medicare Advantage: $13.39
  • Humana — Medicare Advantage/HMO: $13.39
  • Humana — Medicare Advantage/PPO: $13.39
  • Humana ChoiceCare — Commercial: $109.20
  • Magnolia Health — Managed Medicaid: $12.05
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel w LDL/HDL Ratio $168 $168 $12.05 – $151.20
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Ambetter — Commercial/Exchange: $16.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $13.12
  • Central Healthcare Services — Commercial: $84
  • Cigna — Commercial: $79.97
  • Devoted Health — Medicare Advantage: $13.39
  • Humana — Medicare Advantage/HMO: $13.39
  • Humana — Medicare Advantage/PPO: $13.39
  • Humana ChoiceCare — Commercial: $109.20
  • Magnolia Health — Managed Medicaid: $12.05
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel $427.50 $427.50 $7.81 – $384.75
Kidney function panel: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $8.68
  • Ambetter — Commercial/Exchange: $10.42
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.51
  • Central Healthcare Services — Commercial: $213.75
  • Cigna — Commercial: $203.49
  • Cigna Healthspring — Medicare Advantage: $277.88
  • Devoted Health — Medicare Advantage: $8.68
  • Humana — Medicare Advantage/HMO: $8.68
  • Humana — Medicare Advantage/PPO: $8.68
  • Humana ChoiceCare — Commercial: $277.88
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $222 $222 $5.09 – $199.80
Kidney function panel: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $8.68
  • Ambetter — Commercial/Exchange: $10.42
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.51
  • Central Healthcare Services — Commercial: $111
  • Cigna — Commercial: $105.67
  • Devoted Health — Medicare Advantage: $8.68
  • Humana — Medicare Advantage/HMO: $8.68
  • Humana — Medicare Advantage/PPO: $8.68
  • Humana ChoiceCare — Commercial: $144.30
  • Magnolia Health — Managed Medicaid: $7.81
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel $222 $222 $111 – $199.80
Kidney function panel: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $111
  • Devoted Health — Medicare Advantage: $155.40
  • MultiPlan — Commercial: $155.40
  • NovaNet — Commercial: $199.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel $411.60 $411.60 $7.35 – $370.44
Liver function panel: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $8.17
  • Ambetter — Commercial/Exchange: $9.80
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.01
  • Central Healthcare Services — Commercial: $205.80
  • Cigna — Commercial: $195.92
  • Cigna Healthspring — Medicare Advantage: $267.54
  • Devoted Health — Medicare Advantage: $8.17
  • Humana — Medicare Advantage/HMO: $8.17
  • Humana — Medicare Advantage/PPO: $8.17
  • Humana ChoiceCare — Commercial: $267.54
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $188 $188 $4.80 – $169.20
Liver function panel: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $8.17
  • Ambetter — Commercial/Exchange: $9.80
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.01
  • Central Healthcare Services — Commercial: $94
  • Cigna — Commercial: $89.49
  • Devoted Health — Medicare Advantage: $8.17
  • Humana — Medicare Advantage/HMO: $8.17
  • Humana — Medicare Advantage/PPO: $8.17
  • Humana ChoiceCare — Commercial: $122.20
  • Magnolia Health — Managed Medicaid: $7.35
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel-PAT $188 $188 $4.80 – $169.20
Liver function panel: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $8.17
  • Ambetter — Commercial/Exchange: $9.80
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $8.01
  • Central Healthcare Services — Commercial: $94
  • Cigna — Commercial: $89.49
  • Devoted Health — Medicare Advantage: $8.17
  • Humana — Medicare Advantage/HMO: $8.17
  • Humana — Medicare Advantage/PPO: $8.17
  • Humana ChoiceCare — Commercial: $122.20
  • Magnolia Health — Managed Medicaid: $7.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope $106.10 $106.10 $2.85 – $95.49
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $3.17
  • Ambetter — Commercial/Exchange: $3.80
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $3.11
  • Central Healthcare Services — Commercial: $53.05
  • Cigna — Commercial: $50.50
  • Cigna Healthspring — Medicare Advantage: $68.97
  • Devoted Health — Medicare Advantage: $3.17
  • Humana — Medicare Advantage/HMO: $3.17
  • Humana — Medicare Advantage/PPO: $3.17
  • Humana ChoiceCare — Commercial: $68.97
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic if Indicated $53 $53 $1.86 – $47.70
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $3.17
  • Ambetter — Commercial/Exchange: $3.80
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $3.11
  • Central Healthcare Services — Commercial: $26.50
  • Cigna — Commercial: $25.23
  • Devoted Health — Medicare Advantage: $3.17
  • Humana — Medicare Advantage/HMO: $3.17
  • Humana — Medicare Advantage/PPO: $3.17
  • Humana ChoiceCare — Commercial: $34.45
  • Magnolia Health — Managed Medicaid: $2.85
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic if Indicated-PAT $53 $53 $1.86 – $47.70
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $3.17
  • Ambetter — Commercial/Exchange: $3.80
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $3.11
  • Central Healthcare Services — Commercial: $26.50
  • Cigna — Commercial: $25.23
  • Devoted Health — Medicare Advantage: $3.17
  • Humana — Medicare Advantage/HMO: $3.17
  • Humana — Medicare Advantage/PPO: $3.17
  • Humana ChoiceCare — Commercial: $34.45
  • Magnolia Health — Managed Medicaid: $2.85
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Manual Entry - Urinalysis Dipstick Non-Automated POC 81002 $21 $21 $3.13 – $18.90
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $3.48
  • Ambetter — Commercial/Exchange: $4.18
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $3.41
  • Central Healthcare Services — Commercial: $10.50
  • Cigna — Commercial: $10
  • Cigna Healthspring — Medicare Advantage: $13.65
  • Devoted Health — Medicare Advantage: $3.48
  • Humana — Medicare Advantage/HMO: $3.48
  • Humana — Medicare Advantage/PPO: $3.48
  • Humana ChoiceCare — Commercial: $13.65
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Dipstick Manual-MCI $21 $21 $1.50 – $18.90
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $3.48
  • Ambetter — Commercial/Exchange: $4.18
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $3.41
  • Central Healthcare Services — Commercial: $10.50
  • Cigna — Commercial: $10
  • Devoted Health — Medicare Advantage: $3.48
  • Humana — Medicare Advantage/HMO: $3.48
  • Humana — Medicare Advantage/PPO: $3.48
  • Humana ChoiceCare — Commercial: $13.65
  • Magnolia Health — Managed Medicaid: $3.13
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urine Dipstick Manual-MCI $21 $21 $10.50 – $18.90
Urine test (manual, without microscope): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $10.50
  • Devoted Health — Medicare Advantage: $14.70
  • MultiPlan — Commercial: $14.70
  • NovaNet — Commercial: $18.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Manual Entry - Urinalysis Dipstick Automated POC 81003 $31 $31 $2.03 – $27.90
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Ambetter — Commercial/Exchange: $2.70
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $2.21
  • Central Healthcare Services — Commercial: $15.50
  • Cigna — Commercial: $14.76
  • Cigna Healthspring — Medicare Advantage: $20.15
  • Devoted Health — Medicare Advantage: $2.25
  • Humana — Medicare Advantage/HMO: $2.25
  • Humana — Medicare Advantage/PPO: $2.25
  • Humana ChoiceCare — Commercial: $20.15
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope $85.90 $85.90 $2.03 – $77.31
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Ambetter — Commercial/Exchange: $2.70
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $2.21
  • Central Healthcare Services — Commercial: $42.95
  • Cigna — Commercial: $40.89
  • Cigna Healthspring — Medicare Advantage: $55.84
  • Devoted Health — Medicare Advantage: $2.25
  • Humana — Medicare Advantage/HMO: $2.25
  • Humana — Medicare Advantage/PPO: $2.25
  • Humana ChoiceCare — Commercial: $55.84
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Macroscopic $31 $31 $1.32 – $27.90
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Ambetter — Commercial/Exchange: $2.70
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $2.21
  • Central Healthcare Services — Commercial: $15.50
  • Cigna — Commercial: $14.76
  • Devoted Health — Medicare Advantage: $2.25
  • Humana — Medicare Advantage/HMO: $2.25
  • Humana — Medicare Advantage/PPO: $2.25
  • Humana ChoiceCare — Commercial: $20.15
  • Magnolia Health — Managed Medicaid: $2.03
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of PSA total $342.70 $342.70 $16.55 – $308.43
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Ambetter — Commercial/Exchange: $22.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $18.02
  • Central Healthcare Services — Commercial: $171.35
  • Cigna — Commercial: $163.13
  • Cigna Healthspring — Medicare Advantage: $222.76
  • Devoted Health — Medicare Advantage: $18.39
  • Humana — Medicare Advantage/HMO: $18.39
  • Humana — Medicare Advantage/PPO: $18.39
  • Humana ChoiceCare — Commercial: $222.76
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen Diagnostic $140 $140 $10.79 – $126
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Ambetter — Commercial/Exchange: $22.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $18.02
  • Central Healthcare Services — Commercial: $70
  • Cigna — Commercial: $66.64
  • Devoted Health — Medicare Advantage: $18.39
  • Humana — Medicare Advantage/HMO: $18.39
  • Humana — Medicare Advantage/PPO: $18.39
  • Humana ChoiceCare — Commercial: $91
  • Magnolia Health — Managed Medicaid: $16.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen Screen $140 $140 $10.79 – $126
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Ambetter — Commercial/Exchange: $22.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $18.02
  • Central Healthcare Services — Commercial: $70
  • Cigna — Commercial: $66.64
  • Devoted Health — Medicare Advantage: $18.39
  • Humana — Medicare Advantage/HMO: $18.39
  • Humana — Medicare Advantage/PPO: $18.39
  • Humana ChoiceCare — Commercial: $91
  • Magnolia Health — Managed Medicaid: $17.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone $224.90 $224.90 $15.12 – $202.41
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Ambetter — Commercial/Exchange: $20.16
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $16.46
  • Central Healthcare Services — Commercial: $112.45
  • Cigna — Commercial: $107.05
  • Cigna Healthspring — Medicare Advantage: $146.19
  • Devoted Health — Medicare Advantage: $16.80
  • Humana — Medicare Advantage/HMO: $16.80
  • Humana — Medicare Advantage/PPO: $16.80
  • Humana ChoiceCare — Commercial: $146.19
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $209 $209 $9.86 – $188.10
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Ambetter — Commercial/Exchange: $20.16
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $16.46
  • Central Healthcare Services — Commercial: $104.50
  • Cigna — Commercial: $99.48
  • Devoted Health — Medicare Advantage: $16.80
  • Humana — Medicare Advantage/HMO: $16.80
  • Humana — Medicare Advantage/PPO: $16.80
  • Humana ChoiceCare — Commercial: $135.85
  • Magnolia Health — Managed Medicaid: $15.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone-PAT $209 $209 $9.86 – $188.10
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Ambetter — Commercial/Exchange: $20.16
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $16.46
  • Central Healthcare Services — Commercial: $104.50
  • Cigna — Commercial: $99.48
  • Devoted Health — Medicare Advantage: $16.80
  • Humana — Medicare Advantage/HMO: $16.80
  • Humana — Medicare Advantage/PPO: $16.80
  • Humana ChoiceCare — Commercial: $135.85
  • Magnolia Health — Managed Medicaid: $15.12
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete CBC w/auto diff WBC $127.30 $127.30 $6.99 – $114.57
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Ambetter — Commercial/Exchange: $9.32
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $7.61
  • Central Healthcare Services — Commercial: $63.65
  • Cigna — Commercial: $60.59
  • Cigna Healthspring — Medicare Advantage: $82.75
  • Devoted Health — Medicare Advantage: $7.77
  • Humana — Medicare Advantage/HMO: $7.77
  • Humana — Medicare Advantage/PPO: $7.77
  • Humana ChoiceCare — Commercial: $82.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/Differential $98 $98 $4.56 – $88.20
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Ambetter — Commercial/Exchange: $9.32
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $7.61
  • Central Healthcare Services — Commercial: $49
  • Cigna — Commercial: $46.65
  • Devoted Health — Medicare Advantage: $7.77
  • Humana — Medicare Advantage/HMO: $7.77
  • Humana — Medicare Advantage/PPO: $7.77
  • Humana ChoiceCare — Commercial: $63.70
  • Magnolia Health — Managed Medicaid: $6.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NICU CBC w/Diff $98 $98 $4.56 – $88.20
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Ambetter — Commercial/Exchange: $9.32
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $7.61
  • Central Healthcare Services — Commercial: $49
  • Cigna — Commercial: $46.65
  • Devoted Health — Medicare Advantage: $7.77
  • Humana — Medicare Advantage/HMO: $7.77
  • Humana — Medicare Advantage/PPO: $7.77
  • Humana ChoiceCare — Commercial: $63.70
  • Magnolia Health — Managed Medicaid: $6.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete CBC automated $109.30 $109.30 $5.82 – $98.37
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Ambetter — Commercial/Exchange: $7.76
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $6.34
  • Central Healthcare Services — Commercial: $54.65
  • Cigna — Commercial: $52.03
  • Cigna Healthspring — Medicare Advantage: $71.05
  • Devoted Health — Medicare Advantage: $6.47
  • Humana — Medicare Advantage/HMO: $6.47
  • Humana — Medicare Advantage/PPO: $6.47
  • Humana ChoiceCare — Commercial: $71.05
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/ Indices $58 $58 $3.80 – $52.20
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Ambetter — Commercial/Exchange: $7.76
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $6.34
  • Central Healthcare Services — Commercial: $29
  • Cigna — Commercial: $27.61
  • Devoted Health — Medicare Advantage: $6.47
  • Humana — Medicare Advantage/HMO: $6.47
  • Humana — Medicare Advantage/PPO: $6.47
  • Humana ChoiceCare — Commercial: $37.70
  • Magnolia Health — Managed Medicaid: $5.82
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NICU CBC $58 $58 $3.80 – $52.20
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Ambetter — Commercial/Exchange: $7.76
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $6.34
  • Central Healthcare Services — Commercial: $29
  • Cigna — Commercial: $27.61
  • Devoted Health — Medicare Advantage: $6.47
  • Humana — Medicare Advantage/HMO: $6.47
  • Humana — Medicare Advantage/PPO: $6.47
  • Humana ChoiceCare — Commercial: $37.70
  • Magnolia Health — Managed Medicaid: $5.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time $106.10 $106.10 $3.86 – $95.49
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Ambetter — Commercial/Exchange: $5.15
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $4.20
  • Central Healthcare Services — Commercial: $53.05
  • Cigna — Commercial: $50.50
  • Cigna Healthspring — Medicare Advantage: $68.97
  • Devoted Health — Medicare Advantage: $4.29
  • Humana — Medicare Advantage/HMO: $4.29
  • Humana — Medicare Advantage/PPO: $4.29
  • Humana ChoiceCare — Commercial: $68.97
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time and INR $78 $78 $2.31 – $70.20
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Ambetter — Commercial/Exchange: $5.15
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $4.20
  • Central Healthcare Services — Commercial: $39
  • Cigna — Commercial: $37.13
  • Devoted Health — Medicare Advantage: $4.29
  • Humana — Medicare Advantage/HMO: $4.29
  • Humana — Medicare Advantage/PPO: $4.29
  • Humana ChoiceCare — Commercial: $50.70
  • Magnolia Health — Managed Medicaid: $3.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time and INR-PAT $78 $78 $2.31 – $70.20
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Ambetter — Commercial/Exchange: $5.15
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $4.20
  • Central Healthcare Services — Commercial: $39
  • Cigna — Commercial: $37.13
  • Devoted Health — Medicare Advantage: $4.29
  • Humana — Medicare Advantage/HMO: $4.29
  • Humana — Medicare Advantage/PPO: $4.29
  • Humana ChoiceCare — Commercial: $50.70
  • Magnolia Health — Managed Medicaid: $3.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial $106.10 $106.10 $5.41 – $95.49
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Ambetter — Commercial/Exchange: $7.21
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $5.89
  • Central Healthcare Services — Commercial: $53.05
  • Cigna — Commercial: $50.50
  • Cigna Healthspring — Medicare Advantage: $68.97
  • Devoted Health — Medicare Advantage: $6.01
  • Humana — Medicare Advantage/HMO: $6.01
  • Humana — Medicare Advantage/PPO: $6.01
  • Humana ChoiceCare — Commercial: $68.97
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time $98 $98 $3.52 – $88.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Ambetter — Commercial/Exchange: $7.21
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $5.89
  • Central Healthcare Services — Commercial: $49
  • Cigna — Commercial: $46.65
  • Devoted Health — Medicare Advantage: $6.01
  • Humana — Medicare Advantage/HMO: $6.01
  • Humana — Medicare Advantage/PPO: $6.01
  • Humana ChoiceCare — Commercial: $63.70
  • Magnolia Health — Managed Medicaid: $5.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastic Time-PAT $98 $98 $3.52 – $88.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Ambetter — Commercial/Exchange: $7.21
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $5.89
  • Central Healthcare Services — Commercial: $49
  • Cigna — Commercial: $46.65
  • Devoted Health — Medicare Advantage: $6.01
  • Humana — Medicare Advantage/HMO: $6.01
  • Humana — Medicare Advantage/PPO: $6.01
  • Humana ChoiceCare — Commercial: $63.70
  • Magnolia Health — Managed Medicaid: $5.41

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

ServiceHospital chargeCash priceInsurance 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 BRAIN or HEAD WO CONTRAST $966 $966 $81.46 – $869.40
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $106.55
  • Ambetter — Commercial/Exchange: $127.86
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $104.42
  • Central Healthcare Services — Commercial: $483
  • Cigna — Commercial: $450
  • Cigna Healthspring — Medicare Advantage: $627.90
  • Devoted Health — Medicare Advantage: $106.55
  • Humana — Medicare Advantage/HMO: $106.55
  • Humana — Medicare Advantage/PPO: $106.55
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye $2,462 $2,462 $81.46 – $2,215.80
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $106.55
  • Ambetter — Commercial/Exchange: $127.86
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $104.42
  • Central Healthcare Services — Commercial: $1,231
  • Cigna — Commercial: $1,171.91
  • Cigna Healthspring — Medicare Advantage: $1,600.30
  • Devoted Health — Medicare Advantage: $106.55
  • Humana — Medicare Advantage/HMO: $106.55
  • Humana — Medicare Advantage/PPO: $106.55
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN or HEAD WO CONTRAST $966 $966 $483 – $869.40
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $483
  • Devoted Health — Medicare Advantage: $676.20
  • MultiPlan — Commercial: $676.20
  • NovaNet — Commercial: $869.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN IAC W WO CONTRAST $2,894 $2,894 $284.93 – $2,604.60
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $316.97
  • Ambetter — Commercial/Exchange: $380.37
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $310.64
  • Central Healthcare Services — Commercial: $1,447
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $1,881.10
  • Devoted Health — Medicare Advantage: $316.97
  • Humana — Medicare Advantage/HMO: $316.97
  • Humana — Medicare Advantage/PPO: $316.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN OPTIC NERVE W WO CONTRAST $2,894 $2,894 $284.93 – $2,604.60
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $316.97
  • Ambetter — Commercial/Exchange: $380.37
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $310.64
  • Central Healthcare Services — Commercial: $1,447
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $1,881.10
  • Devoted Health — Medicare Advantage: $316.97
  • Humana — Medicare Advantage/HMO: $316.97
  • Humana — Medicare Advantage/PPO: $316.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN PITUITARY W WO CONTRAST $2,894 $2,894 $284.93 – $2,604.60
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $316.97
  • Ambetter — Commercial/Exchange: $380.37
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $310.64
  • Central Healthcare Services — Commercial: $1,447
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $1,881.10
  • Devoted Health — Medicare Advantage: $316.97
  • Humana — Medicare Advantage/HMO: $316.97
  • Humana — Medicare Advantage/PPO: $316.97
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $259 $259 $32.41 – $233.10
Chest X-ray, 2 views: 10 of 26 insurance plan rates
  • Aetna — Commercial: $142.45
  • Aetna — Medicare Advantage: $33.07
  • Ambetter — Commercial/Exchange: $39.68
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $32.41
  • Central Healthcare Services — Commercial: $129.50
  • Cigna — Commercial: $123.28
  • Cigna Healthspring — Medicare Advantage: $168.35
  • Devoted Health — Medicare Advantage: $33.07
  • Humana — Medicare Advantage/HMO: $33.07
  • Humana — Medicare Advantage/PPO: $33.07
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS w FLUOROSCOPY $166.50 $166.50 $32.41 – $149.85
Chest X-ray, 2 views: 10 of 26 insurance plan rates
  • Aetna — Commercial: $91.58
  • Aetna — Medicare Advantage: $33.07
  • Ambetter — Commercial/Exchange: $39.68
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $32.41
  • Central Healthcare Services — Commercial: $83.25
  • Cigna — Commercial: $79.25
  • Cigna Healthspring — Medicare Advantage: $108.23
  • Devoted Health — Medicare Advantage: $33.07
  • Humana — Medicare Advantage/HMO: $33.07
  • Humana — Medicare Advantage/PPO: $33.07
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR ENT CHEST 2 VIEWS $259 $259 $32.41 – $233.10
Chest X-ray, 2 views: 10 of 26 insurance plan rates
  • Aetna — Commercial: $142.45
  • Aetna — Medicare Advantage: $33.07
  • Ambetter — Commercial/Exchange: $39.68
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $32.41
  • Central Healthcare Services — Commercial: $129.50
  • Cigna — Commercial: $123.28
  • Cigna Healthspring — Medicare Advantage: $168.35
  • Devoted Health — Medicare Advantage: $33.07
  • Humana — Medicare Advantage/HMO: $33.07
  • Humana — Medicare Advantage/PPO: $33.07
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 w OBLIQUES $290 $290 $52.37 – $261
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • Aetna — Commercial: $159.50
  • Aetna — Medicare Advantage: $53.44
  • Ambetter — Commercial/Exchange: $64.13
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $52.37
  • Central Healthcare Services — Commercial: $145
  • Cigna — Commercial: $138.04
  • Cigna Healthspring — Medicare Advantage: $188.50
  • Devoted Health — Medicare Advantage: $53.44
  • Humana — Medicare Advantage/HMO: $53.44
  • Humana — Medicare Advantage/PPO: $53.44
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam lower spine minimum 4 views 72110 Global $213 $213 $52.37 – $191.70
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • Aetna — Commercial: $117.15
  • Aetna — Medicare Advantage: $53.44
  • Ambetter — Commercial/Exchange: $64.13
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $52.37
  • Central Healthcare Services — Commercial: $106.50
  • Cigna — Commercial: $101.39
  • Cigna Healthspring — Medicare Advantage: $138.45
  • Devoted Health — Medicare Advantage: $53.44
  • Humana — Medicare Advantage/HMO: $53.44
  • Humana — Medicare Advantage/PPO: $53.44
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 w BENDING VIEWS $290 $290 $52.37 – $261
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • Aetna — Commercial: $159.50
  • Aetna — Medicare Advantage: $53.44
  • Ambetter — Commercial/Exchange: $64.13
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $52.37
  • Central Healthcare Services — Commercial: $145
  • Cigna — Commercial: $138.04
  • Cigna Healthspring — Medicare Advantage: $188.50
  • Devoted Health — Medicare Advantage: $53.44
  • Humana — Medicare Advantage/HMO: $53.44
  • Humana — Medicare Advantage/PPO: $53.44
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTRAST $1,697 $1,697 $181.55 – $1,527.30
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $191.72
  • Ambetter — Commercial/Exchange: $230.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $187.89
  • Central Healthcare Services — Commercial: $848.50
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $1,103.05
  • Devoted Health — Medicare Advantage: $191.72
  • Humana — Medicare Advantage/HMO: $191.72
  • Humana — Medicare Advantage/PPO: $191.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE COMPLETE WO CONTRAST (M) ADD ON 2 $1,697 $1,697 $181.55 – $1,527.30
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $191.72
  • Ambetter — Commercial/Exchange: $230.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $187.89
  • Central Healthcare Services — Commercial: $848.50
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $1,103.05
  • Devoted Health — Medicare Advantage: $191.72
  • Humana — Medicare Advantage/HMO: $191.72
  • Humana — Medicare Advantage/PPO: $191.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI lumbar spine w/o dye $3,821 $3,821 $181.55 – $3,438.90
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $2,101.55
  • Aetna — Medicare Advantage: $191.72
  • Ambetter — Commercial/Exchange: $230.07
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $187.89
  • Central Healthcare Services — Commercial: $1,910.50
  • Cigna — Commercial: $1,818.80
  • Cigna Healthspring — Medicare Advantage: $2,483.65
  • Devoted Health — Medicare Advantage: $191.72
  • Humana — Medicare Advantage/HMO: $191.72
  • Humana — Medicare Advantage/PPO: $191.72
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST $1,084 $1,084 $136.13 – $975.60
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $225.79
  • Ambetter — Commercial/Exchange: $270.95
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $221.27
  • Central Healthcare Services — Commercial: $542
  • Cigna — Commercial: $450
  • Cigna Healthspring — Medicare Advantage: $704.60
  • Devoted Health — Medicare Advantage: $225.79
  • Humana — Medicare Advantage/HMO: $225.79
  • Humana — Medicare Advantage/PPO: $225.79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS CYSTOGRAM $832 $832 $136.13 – $748.80
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $225.79
  • Ambetter — Commercial/Exchange: $270.95
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $221.27
  • Central Healthcare Services — Commercial: $416
  • Cigna — Commercial: $450
  • Cigna Healthspring — Medicare Advantage: $540.80
  • Devoted Health — Medicare Advantage: $225.79
  • Humana — Medicare Advantage/HMO: $225.79
  • Humana — Medicare Advantage/PPO: $225.79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye $3,022 $3,022 $136.13 – $2,719.80
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $225.79
  • Ambetter — Commercial/Exchange: $270.95
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $221.27
  • Central Healthcare Services — Commercial: $1,511
  • Cigna — Commercial: $1,438.47
  • Cigna Healthspring — Medicare Advantage: $1,964.30
  • Devoted Health — Medicare Advantage: $225.79
  • Humana — Medicare Advantage/HMO: $225.79
  • Humana — Medicare Advantage/PPO: $225.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE WO CONTRAST $1,697 $1,697 $181.55 – $1,527.30
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $204.41
  • Ambetter — Commercial/Exchange: $245.30
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $200.33
  • Central Healthcare Services — Commercial: $848.50
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $1,103.05
  • Devoted Health — Medicare Advantage: $204.41
  • Humana — Medicare Advantage/HMO: $204.41
  • Humana — Medicare Advantage/PPO: $204.41
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HIP BILATERAL WO CONTRAST $3,393 $3,393 $181.55 – $3,053.70
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $204.41
  • Ambetter — Commercial/Exchange: $245.30
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $200.33
  • Central Healthcare Services — Commercial: $1,696.50
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $2,205.45
  • Devoted Health — Medicare Advantage: $204.41
  • Humana — Medicare Advantage/HMO: $204.41
  • Humana — Medicare Advantage/PPO: $204.41
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HIP WO CONTRAST $1,697 $1,697 $181.55 – $1,527.30
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $800
  • Aetna — Medicare Advantage: $204.41
  • Ambetter — Commercial/Exchange: $245.30
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $200.33
  • Central Healthcare Services — Commercial: $848.50
  • Cigna — Commercial: $615
  • Cigna Healthspring — Medicare Advantage: $1,103.05
  • Devoted Health — Medicare Advantage: $204.41
  • Humana — Medicare Advantage/HMO: $204.41
  • Humana — Medicare Advantage/PPO: $204.41
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST $2,169 $2,169 $284.93 – $1,952.10
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $300.27
  • Ambetter — Commercial/Exchange: $360.33
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $294.27
  • Central Healthcare Services — Commercial: $1,084.50
  • Cigna — Commercial: $450
  • Cigna Healthspring — Medicare Advantage: $1,409.85
  • Devoted Health — Medicare Advantage: $300.27
  • Humana — Medicare Advantage/HMO: $300.27
  • Humana — Medicare Advantage/PPO: $300.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT NECK THROUGH PELVIS W CONTRAST (M) ADD ON 2 $2,169 $2,169 $284.93 – $1,952.10
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $300.27
  • Ambetter — Commercial/Exchange: $360.33
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $294.27
  • Central Healthcare Services — Commercial: $1,084.50
  • Cigna — Commercial: $450
  • Cigna Healthspring — Medicare Advantage: $1,409.85
  • Devoted Health — Medicare Advantage: $300.27
  • Humana — Medicare Advantage/HMO: $300.27
  • Humana — Medicare Advantage/PPO: $300.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ENTEROGRAPHY $2,169 $2,169 $284.93 – $1,952.10
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare Advantage: $300.27
  • Ambetter — Commercial/Exchange: $360.33
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $294.27
  • Central Healthcare Services — Commercial: $1,084.50
  • Cigna — Commercial: $450
  • Cigna Healthspring — Medicare Advantage: $1,409.85
  • Devoted Health — Medicare Advantage: $300.27
  • Humana — Medicare Advantage/HMO: $300.27
  • Humana — Medicare Advantage/PPO: $300.27
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $470 $470 $81.46 – $423
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates
  • Aetna — Commercial: $258.50
  • Aetna — Medicare Advantage: $114.23
  • Ambetter — Commercial/Exchange: $137.08
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $111.95
  • Central Healthcare Services — Commercial: $235
  • Cigna — Commercial: $223.72
  • Cigna Healthspring — Medicare Advantage: $305.50
  • Devoted Health — Medicare Advantage: $114.23
  • Humana — Medicare Advantage/HMO: $114.23
  • Humana — Medicare Advantage/PPO: $114.23
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $470 $470 $235 – $423
Ultrasound of the abdomen, complete: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $235
  • Devoted Health — Medicare Advantage: $329
  • MultiPlan — Commercial: $329
  • NovaNet — Commercial: $423
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: Ultrasound abdomen B-scan/real time compl 76700 Profee $119 $119 $59.50
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $59.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB PREGNANCY 14 WEEKS or GREATER $509 $509 $81.46 – $458.10
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates
  • Aetna — Commercial: $279.95
  • Aetna — Medicare Advantage: $135.94
  • Ambetter — Commercial/Exchange: $163.13
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $133.22
  • Central Healthcare Services — Commercial: $254.50
  • Cigna — Commercial: $242.28
  • Cigna Healthspring — Medicare Advantage: $330.85
  • Devoted Health — Medicare Advantage: $135.94
  • Humana — Medicare Advantage/HMO: $135.94
  • Humana — Medicare Advantage/PPO: $135.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Ob Sngl/1st Gest 2-3 Trmstr Bedside $509 $509 $81.46 – $458.10
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates
  • Aetna — Commercial: $279.95
  • Aetna — Medicare Advantage: $135.94
  • Ambetter — Commercial/Exchange: $163.13
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $133.22
  • Central Healthcare Services — Commercial: $254.50
  • Cigna — Commercial: $242.28
  • Cigna Healthspring — Medicare Advantage: $330.85
  • Devoted Health — Medicare Advantage: $135.94
  • Humana — Medicare Advantage/HMO: $135.94
  • Humana — Medicare Advantage/PPO: $135.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound OB >14 Wk Single Fetus 76805 $509 $509 $81.46 – $458.10
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates
  • Aetna — Commercial: $279.95
  • Aetna — Medicare Advantage: $135.94
  • Ambetter — Commercial/Exchange: $163.13
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $133.22
  • Central Healthcare Services — Commercial: $254.50
  • Cigna — Commercial: $242.28
  • Cigna Healthspring — Medicare Advantage: $330.85
  • Devoted Health — Medicare Advantage: $135.94
  • Humana — Medicare Advantage/HMO: $135.94
  • Humana — Medicare Advantage/PPO: $135.94
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB $293 $293 $81.46 – $263.70
Transvaginal ultrasound: 10 of 26 insurance plan rates
  • Aetna — Commercial: $161.15
  • Aetna — Medicare Advantage: $117.57
  • Ambetter — Commercial/Exchange: $141.09
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $115.22
  • Central Healthcare Services — Commercial: $146.50
  • Cigna — Commercial: $139.47
  • Cigna Healthspring — Medicare Advantage: $190.45
  • Devoted Health — Medicare Advantage: $117.57
  • Humana — Medicare Advantage/HMO: $117.57
  • Humana — Medicare Advantage/PPO: $117.57
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Non-Ob Transvaginal Bedside $293 $293 $81.46 – $263.70
Transvaginal ultrasound: 10 of 26 insurance plan rates
  • Aetna — Commercial: $161.15
  • Aetna — Medicare Advantage: $117.57
  • Ambetter — Commercial/Exchange: $141.09
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $115.22
  • Central Healthcare Services — Commercial: $146.50
  • Cigna — Commercial: $139.47
  • Cigna Healthspring — Medicare Advantage: $190.45
  • Devoted Health — Medicare Advantage: $117.57
  • Humana — Medicare Advantage/HMO: $117.57
  • Humana — Medicare Advantage/PPO: $117.57
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-EC US Non OB Transvaginal $293 $293 $81.46 – $263.70
Transvaginal ultrasound: 10 of 26 insurance plan rates
  • Aetna — Commercial: $161.15
  • Aetna — Medicare Advantage: $117.57
  • Ambetter — Commercial/Exchange: $141.09
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $115.22
  • Central Healthcare Services — Commercial: $146.50
  • Cigna — Commercial: $139.47
  • Cigna Healthspring — Medicare Advantage: $190.45
  • Devoted Health — Medicare Advantage: $117.57
  • Humana — Medicare Advantage/HMO: $117.57
  • Humana — Medicare Advantage/PPO: $117.57
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIGITAL DIAGNOSTIC UNILAT $462 $462 $65.76 – $415.80
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $254.10
  • Aetna — Medicare Advantage: $123.92
  • Ambetter — Commercial/Exchange: $148.70
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $121.44
  • Central Healthcare Services — Commercial: $231
  • Cigna — Commercial: $219.91
  • Cigna Healthspring — Medicare Advantage: $300.30
  • Devoted Health — Medicare Advantage: $123.92
  • Humana — Medicare Advantage/HMO: $123.92
  • Humana — Medicare Advantage/PPO: $123.92
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM 3D DIAGNOSTIC UNILATERAL $251 $251 $39.61 – $225.90
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $138.05
  • Aetna — Medicare Advantage: $123.92
  • Ambetter — Commercial/Exchange: $148.70
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $121.44
  • Central Healthcare Services — Commercial: $125.50
  • Cigna — Commercial: $119.48
  • Cigna Healthspring — Medicare Advantage: $163.15
  • Devoted Health — Medicare Advantage: $123.92
  • Humana — Medicare Advantage/HMO: $123.92
  • Humana — Medicare Advantage/PPO: $123.92
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIGITAL DIAGNOSTIC UNIL BO $462 $462 $65.76 – $415.80
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $254.10
  • Aetna — Medicare Advantage: $123.92
  • Ambetter — Commercial/Exchange: $148.70
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $121.44
  • Central Healthcare Services — Commercial: $231
  • Cigna — Commercial: $219.91
  • Cigna Healthspring — Medicare Advantage: $300.30
  • Devoted Health — Medicare Advantage: $123.92
  • Humana — Medicare Advantage/HMO: $123.92
  • Humana — Medicare Advantage/PPO: $123.92
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIGITAL DIAGNOSTIC BILAT $493 $493 $84.31 – $443.70
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • Aetna — Commercial: $271.15
  • Aetna — Medicare Advantage: $156.98
  • Ambetter — Commercial/Exchange: $188.38
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $153.84
  • Central Healthcare Services — Commercial: $246.50
  • Cigna — Commercial: $234.67
  • Cigna Healthspring — Medicare Advantage: $320.45
  • Devoted Health — Medicare Advantage: $156.98
  • Humana — Medicare Advantage/HMO: $156.98
  • Humana — Medicare Advantage/PPO: $156.98
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM SCREENING to DIAGNOSTIC $493 $493 $84.31 – $443.70
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • Aetna — Commercial: $271.15
  • Aetna — Medicare Advantage: $156.98
  • Ambetter — Commercial/Exchange: $188.38
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $153.84
  • Central Healthcare Services — Commercial: $246.50
  • Cigna — Commercial: $234.67
  • Cigna Healthspring — Medicare Advantage: $320.45
  • Devoted Health — Medicare Advantage: $156.98
  • Humana — Medicare Advantage/HMO: $156.98
  • Humana — Medicare Advantage/PPO: $156.98
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM 3D DIAGNOSTIC BILATERAL $251 $251 $39.61 – $225.90
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • Aetna — Commercial: $138.05
  • Aetna — Medicare Advantage: $156.98
  • Ambetter — Commercial/Exchange: $188.38
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $153.84
  • Central Healthcare Services — Commercial: $125.50
  • Cigna — Commercial: $119.48
  • Cigna Healthspring — Medicare Advantage: $163.15
  • Devoted Health — Medicare Advantage: $156.98
  • Humana — Medicare Advantage/HMO: $156.98
  • Humana — Medicare Advantage/PPO: $156.98
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM DIGITAL SCREENING BILATERAL $431 $431 $69.53 – $387.90
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • Aetna — Commercial: $237.05
  • Aetna — Medicare Advantage: $126.26
  • Ambetter — Commercial/Exchange: $151.51
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $123.73
  • Central Healthcare Services — Commercial: $215.50
  • Cigna — Commercial: $205.16
  • Cigna Healthspring — Medicare Advantage: $280.15
  • Devoted Health — Medicare Advantage: $126.26
  • Humana — Medicare Advantage/HMO: $126.26
  • Humana — Medicare Advantage/PPO: $126.26
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM 2D IMPLANT SCREENING BILAT $431 $431 $69.53 – $387.90
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • Aetna — Commercial: $237.05
  • Aetna — Medicare Advantage: $126.26
  • Ambetter — Commercial/Exchange: $151.51
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $123.73
  • Central Healthcare Services — Commercial: $215.50
  • Cigna — Commercial: $205.16
  • Cigna Healthspring — Medicare Advantage: $280.15
  • Devoted Health — Medicare Advantage: $126.26
  • Humana — Medicare Advantage/HMO: $126.26
  • Humana — Medicare Advantage/PPO: $126.26
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG MAMMOGRAM 3D IMPLANT SCREENING BILAT $431 $431 $69.53 – $387.90
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • Aetna — Commercial: $237.05
  • Aetna — Medicare Advantage: $126.26
  • Ambetter — Commercial/Exchange: $151.51
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $123.73
  • Central Healthcare Services — Commercial: $215.50
  • Cigna — Commercial: $205.16
  • Cigna Healthspring — Medicare Advantage: $280.15
  • Devoted Health — Medicare Advantage: $126.26
  • Humana — Medicare Advantage/HMO: $126.26
  • Humana — Medicare Advantage/PPO: $126.26

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: Electrocardiogram (ECG), Routine 12-Lead, Tracing and I&R (Global) 93000 $65 $65 $32.50
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $32.50
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $11.48 – $20.74
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $15.36
  • Ambetter — Commercial/Exchange: $18.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $15.06
  • Devoted Health — Medicare Advantage: $15.36
  • Humana — Medicare Advantage/HMO: $15.36
  • Humana — Medicare Advantage/PPO: $15.36
  • Magnolia Health — Managed Medicaid: $11.48
  • Mississippi Physicians Care Network (MPCN) — Commercial: $20.74
  • Molina CHIP — Managed Medicaid: $12.63
  • Molina Marketplace — Medicare Advantage: $16.90
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LHC ONLY $4,544 $4,544 $858.58 – $4,089.60
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates
  • Aetna — Commercial: $2,499.20
  • Aetna — Medicare Advantage: $876.11
  • Ambetter — Commercial/Exchange: $1,051.33
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $858.58
  • Central Healthcare Services — Commercial: $2,272
  • Cigna — Commercial: $2,162.94
  • Cigna Healthspring — Medicare Advantage: $2,953.60
  • Devoted Health — Medicare Advantage: $876.11
  • Humana — Medicare Advantage/HMO: $876.11
  • Humana — Medicare Advantage/PPO: $876.11
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LHC ONLY $4,544 $4,544 $2,272 – $4,089.60
Left heart catheterization (diagnostic): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $2,272
  • Devoted Health — Medicare Advantage: $3,180.80
  • MultiPlan — Commercial: $3,180.80
  • NovaNet — Commercial: $4,089.60
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: Left Heart Cath (LHC) Only Pro Fee 93452 $770 $770 $385
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $385
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EPS WO INDUCT $13,124 $13,124 $3,018.52 – $11,811.60
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates
  • Aetna — Commercial: $7,218.20
  • Aetna — Medicare Advantage: $3,018.52
  • Central Healthcare Services — Commercial: $6,562
  • Cigna — Commercial: $6,247.02
  • Cigna Healthspring — Medicare Advantage: $8,530.60
  • Devoted Health — Medicare Advantage: $9,186.80
  • Humana ChoiceCare — Commercial: $8,530.60
  • Magnolia Health — Managed Medicaid: $5,533.25
  • Mississippi Physicians Care Network (MPCN) — Commercial: $6,562
  • Molina CHIP — Managed Medicaid: $6,086.58
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EPS WO INDUCT $13,124 $13,124 $6,562 – $11,811.60
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $6,562
  • Devoted Health — Medicare Advantage: $9,186.80
  • MultiPlan — Commercial: $9,186.80
  • NovaNet — Commercial: $11,811.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $2,986 – $3,284
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans
  • United Healthcare — All Payor/Commercial: $2,986
  • United Healthcare — PPO/Commercial: $3,284
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol $32,186 $32,186 $790.50 – $28,967.40
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates
  • Aetna — Commercial: $17,702.30
  • Aetna — Medicare Advantage: $806.63
  • Ambetter — Commercial/Exchange: $967.96
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $790.50
  • Central Healthcare Services — Commercial: $16,093
  • Cigna — Commercial: $15,320.54
  • Cigna Healthspring — Medicare Advantage: $20,920.90
  • Devoted Health — Medicare Advantage: $806.63
  • Humana — Medicare Advantage/HMO: $806.63
  • Humana — Medicare Advantage/PPO: $806.63
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $49,065 $49,065 $790.50 – $44,158.50
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates
  • Aetna — Commercial: $26,985.75
  • Aetna — Medicare Advantage: $806.63
  • Ambetter — Commercial/Exchange: $967.96
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $790.50
  • Central Healthcare Services — Commercial: $24,532.50
  • Cigna — Commercial: $23,354.94
  • Cigna Healthspring — Medicare Advantage: $31,892.25
  • Devoted Health — Medicare Advantage: $806.63
  • Humana — Medicare Advantage/HMO: $806.63
  • Humana — Medicare Advantage/PPO: $806.63
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol $32,186 $32,186 $16,093 – $28,967.40
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $16,093
  • Devoted Health — Medicare Advantage: $22,530.20
  • MultiPlan — Commercial: $22,530.20
  • NovaNet — Commercial: $28,967.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography Sleep Staging 4/Greater than Addl Param 95810 $3,899 $3,899 $660.22 – $3,509.10
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates
  • Aetna — Commercial: $2,144.45
  • Aetna — Medicare Advantage: $673.70
  • Ambetter — Commercial/Exchange: $808.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $660.22
  • Central Healthcare Services — Commercial: $1,949.50
  • Cigna — Commercial: $1,855.92
  • Cigna Healthspring — Medicare Advantage: $2,534.35
  • Devoted Health — Medicare Advantage: $673.70
  • Humana — Medicare Advantage/HMO: $673.70
  • Humana — Medicare Advantage/PPO: $673.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param $3,049 $3,049 $660.22 – $2,744.10
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates
  • Aetna — Commercial: $1,676.95
  • Aetna — Medicare Advantage: $673.70
  • Ambetter — Commercial/Exchange: $808.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $660.22
  • Central Healthcare Services — Commercial: $1,524.50
  • Cigna — Commercial: $1,451.32
  • Cigna Healthspring — Medicare Advantage: $1,981.85
  • Devoted Health — Medicare Advantage: $673.70
  • Humana — Medicare Advantage/HMO: $673.70
  • Humana — Medicare Advantage/PPO: $673.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NPSG - CHRG Sleep Study $2,926 $2,926 $660.22 – $2,633.40
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates
  • Aetna — Commercial: $1,609.30
  • Aetna — Medicare Advantage: $673.70
  • Ambetter — Commercial/Exchange: $808.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $660.22
  • Central Healthcare Services — Commercial: $1,463
  • Cigna — Commercial: $1,392.78
  • Cigna Healthspring — Medicare Advantage: $1,901.90
  • Devoted Health — Medicare Advantage: $673.70
  • Humana — Medicare Advantage/HMO: $673.70
  • Humana — Medicare Advantage/PPO: $673.70

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Charges $103 $103 $24.03 – $150
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $56.65
  • Aetna — Medicare Advantage: $29.06
  • Ambetter — Commercial/Exchange: $34.87
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $28.48
  • Central Healthcare Services — Commercial: $51.50
  • Cigna — Commercial: $150
  • Cigna Healthspring — Medicare Advantage: $66.95
  • Devoted Health — Medicare Advantage: $29.06
  • Humana — Medicare Advantage/HMO: $29.06
  • Humana — Medicare Advantage/PPO: $29.06
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Units $103 $103 $24.03 – $150
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $56.65
  • Aetna — Medicare Advantage: $29.06
  • Ambetter — Commercial/Exchange: $34.87
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $28.48
  • Central Healthcare Services — Commercial: $51.50
  • Cigna — Commercial: $150
  • Cigna Healthspring — Medicare Advantage: $66.95
  • Devoted Health — Medicare Advantage: $29.06
  • Humana — Medicare Advantage/HMO: $29.06
  • Humana — Medicare Advantage/PPO: $29.06
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Therapeutic Exercise Units $103 $103 $24.03 – $150
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $56.65
  • Aetna — Medicare Advantage: $29.06
  • Ambetter — Commercial/Exchange: $34.87
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $28.48
  • Central Healthcare Services — Commercial: $51.50
  • Cigna — Commercial: $150
  • Cigna Healthspring — Medicare Advantage: $66.95
  • Devoted Health — Medicare Advantage: $29.06
  • Humana — Medicare Advantage/HMO: $29.06
  • Humana — Medicare Advantage/PPO: $29.06
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN - PT Eval/Re-Eval Charges $218 $218 $82.20 – $196.20
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $119.90
  • Aetna — Medicare Advantage: $97.86
  • Ambetter — Commercial/Exchange: $117.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $95.91
  • Central Healthcare Services — Commercial: $109
  • Cigna — Commercial: $150
  • Cigna Healthspring — Medicare Advantage: $141.70
  • Devoted Health — Medicare Advantage: $97.86
  • Humana — Medicare Advantage/HMO: $97.86
  • Humana — Medicare Advantage/PPO: $97.86
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min $370 $370 $82.20 – $333
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $203.50
  • Aetna — Medicare Advantage: $97.86
  • Ambetter — Commercial/Exchange: $117.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $95.91
  • Central Healthcare Services — Commercial: $185
  • Cigna — Commercial: $176.12
  • Cigna Healthspring — Medicare Advantage: $240.50
  • Devoted Health — Medicare Advantage: $97.86
  • Humana — Medicare Advantage/HMO: $97.86
  • Humana — Medicare Advantage/PPO: $97.86
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN - PT Eval/Re-Eval Charges $218 $218 $109 – $196.20
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $109
  • Devoted Health — Medicare Advantage: $152.60
  • MultiPlan — Commercial: $152.60
  • NovaNet — Commercial: $196.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN - PT Eval/Re-Eval Charges $287 $287 $82.20 – $258.30
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $157.85
  • Aetna — Medicare Advantage: $97.86
  • Ambetter — Commercial/Exchange: $117.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $95.91
  • Central Healthcare Services — Commercial: $143.50
  • Cigna — Commercial: $150
  • Cigna Healthspring — Medicare Advantage: $186.55
  • Devoted Health — Medicare Advantage: $97.86
  • Humana — Medicare Advantage/HMO: $97.86
  • Humana — Medicare Advantage/PPO: $97.86
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min $370 $370 $82.20 – $333
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $203.50
  • Aetna — Medicare Advantage: $97.86
  • Ambetter — Commercial/Exchange: $117.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $95.91
  • Central Healthcare Services — Commercial: $185
  • Cigna — Commercial: $176.12
  • Cigna Healthspring — Medicare Advantage: $240.50
  • Devoted Health — Medicare Advantage: $97.86
  • Humana — Medicare Advantage/HMO: $97.86
  • Humana — Medicare Advantage/PPO: $97.86
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN - PT Eval/Re-Eval Charges $287 $287 $143.50 – $258.30
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $143.50
  • Devoted Health — Medicare Advantage: $200.90
  • MultiPlan — Commercial: $200.90
  • NovaNet — Commercial: $258.30
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN - PT Eval/Re-Eval Charges $313 $313 $82.20 – $281.70
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $172.15
  • Aetna — Medicare Advantage: $97.86
  • Ambetter — Commercial/Exchange: $117.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $95.91
  • Central Healthcare Services — Commercial: $156.50
  • Cigna — Commercial: $150
  • Cigna Healthspring — Medicare Advantage: $203.45
  • Devoted Health — Medicare Advantage: $97.86
  • Humana — Medicare Advantage/HMO: $97.86
  • Humana — Medicare Advantage/PPO: $97.86
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min $370 $370 $82.20 – $333
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $203.50
  • Aetna — Medicare Advantage: $97.86
  • Ambetter — Commercial/Exchange: $117.44
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $95.91
  • Central Healthcare Services — Commercial: $185
  • Cigna — Commercial: $176.12
  • Cigna Healthspring — Medicare Advantage: $240.50
  • Devoted Health — Medicare Advantage: $97.86
  • Humana — Medicare Advantage/HMO: $97.86
  • Humana — Medicare Advantage/PPO: $97.86
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN - PT Eval/Re-Eval Charges $313 $313 $156.50 – $281.70
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $156.50
  • Devoted Health — Medicare Advantage: $219.10
  • MultiPlan — Commercial: $219.10
  • NovaNet — Commercial: $281.70
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy Patient +/ Family 30 minutes 90832 $118 $118 $59
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $59
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $84.12 – $129.94
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $85.84
  • Ambetter — Commercial/Exchange: $103.01
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $84.12
  • Devoted Health — Medicare Advantage: $85.84
  • Humana — Medicare Advantage/HMO: $85.84
  • Humana — Medicare Advantage/PPO: $85.84
  • Magnolia Health — Managed Medicaid: $118.13
  • Mississippi Physicians Care Network (MPCN) — Commercial: $115.88
  • Molina CHIP — Managed Medicaid: $129.94
  • Molina Marketplace — Medicare Advantage: $94.42
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy Patient +/ Family 45 minutes 90834 $167 $167 $83.50
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $83.50
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $111.62 – $153.76
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $113.90
  • Ambetter — Commercial/Exchange: $136.68
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $111.62
  • Devoted Health — Medicare Advantage: $113.90
  • Humana — Medicare Advantage/HMO: $113.90
  • Humana — Medicare Advantage/PPO: $113.90
  • Magnolia Health — Managed Medicaid: $118.13
  • Mississippi Physicians Care Network (MPCN) — Commercial: $153.76
  • Molina CHIP — Managed Medicaid: $129.94
  • Molina Marketplace — Medicare Advantage: $125.29
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy Patient +/ Family 60 minutes 90837 $250 $250 $125
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $125
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $118.13 – $225.46
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $167
  • Ambetter — Commercial/Exchange: $200.41
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $163.66
  • Devoted Health — Medicare Advantage: $167
  • Humana — Medicare Advantage/HMO: $167
  • Humana — Medicare Advantage/PPO: $167
  • Magnolia Health — Managed Medicaid: $118.13
  • Mississippi Physicians Care Network (MPCN) — Commercial: $225.46
  • Molina CHIP — Managed Medicaid: $129.94
  • Molina Marketplace — Medicare Advantage: $183.70
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $103.76 – $142.94
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $105.88
  • Ambetter — Commercial/Exchange: $127.06
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $103.76
  • Devoted Health — Medicare Advantage: $105.88
  • Humana — Medicare Advantage/HMO: $105.88
  • Humana — Medicare Advantage/PPO: $105.88
  • Magnolia Health — Managed Medicaid: $118.13
  • Mississippi Physicians Care Network (MPCN) — Commercial: $142.94
  • Molina CHIP — Managed Medicaid: $129.94
  • Molina Marketplace — Medicare Advantage: $116.47
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $107.36 – $147.90
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $109.55
  • Ambetter — Commercial/Exchange: $131.47
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $107.36
  • Devoted Health — Medicare Advantage: $109.55
  • Humana — Medicare Advantage/HMO: $109.55
  • Humana — Medicare Advantage/PPO: $109.55
  • Magnolia Health — Managed Medicaid: $118.13
  • Mississippi Physicians Care Network (MPCN) — Commercial: $147.90
  • Molina CHIP — Managed Medicaid: $129.94
  • Molina Marketplace — Medicare Advantage: $120.51
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $29.79 – $72.64
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $30.39
  • Ambetter — Commercial/Exchange: $36.47
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $29.79
  • Devoted Health — Medicare Advantage: $30.39
  • Humana — Medicare Advantage/HMO: $30.39
  • Humana — Medicare Advantage/PPO: $30.39
  • Magnolia Health — Managed Medicaid: $66.04
  • Mississippi Physicians Care Network (MPCN) — Commercial: $41.03
  • Molina CHIP — Managed Medicaid: $72.64
  • Molina Marketplace — Medicare Advantage: $33.43

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: Excise Breast Cyst/Fibroadenoma/Tumor, open, 1+ Lesions 19120 $1,388 $1,388 $694
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $694
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $561.70 – $3,106.57
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $573.16
  • Ambetter — Commercial/Exchange: $687.79
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $561.70
  • Devoted Health — Medicare Advantage: $573.16
  • Humana — Medicare Advantage/HMO: $573.16
  • Humana — Medicare Advantage/PPO: $573.16
  • Magnolia Health — Managed Medicaid: $2,824.15
  • Mississippi Physicians Care Network (MPCN) — Commercial: $773.77
  • Molina CHIP — Managed Medicaid: $3,106.57
  • Molina Marketplace — Medicare Advantage: $630.48
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthroplasty acetabular/proximal femoral prosthetic replacement (total hip arthroplasty) 27130 $4,318 $4,318 $2,159
Total hip replacement: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $2,159
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $1,138.78 – $10,726.34
Total hip replacement: 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $1,162.02
  • Ambetter — Commercial/Exchange: $1,394.42
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $1,138.78
  • Devoted Health — Medicare Advantage: $1,162.02
  • Humana — Medicare Advantage/HMO: $1,162.02
  • Humana — Medicare Advantage/PPO: $1,162.02
  • Magnolia Health — Managed Medicaid: $9,751.22
  • Mississippi Physicians Care Network (MPCN) — Commercial: $1,568.72
  • Molina CHIP — Managed Medicaid: $10,726.34
  • Molina Marketplace — Medicare Advantage: $1,278.22
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthroplasty knee condyle/plateau medial AND lateral compartment 27447 $3,833 $3,833 $1,916.50
Total knee replacement: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $1,916.50
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $1,136.16 – $10,726.34
Total knee replacement: 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $1,159.35
  • Ambetter — Commercial/Exchange: $1,391.21
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $1,136.16
  • Devoted Health — Medicare Advantage: $1,159.35
  • Humana — Medicare Advantage/HMO: $1,159.35
  • Humana — Medicare Advantage/PPO: $1,159.35
  • Magnolia Health — Managed Medicaid: $9,751.22
  • Mississippi Physicians Care Network (MPCN) — Commercial: $1,565.12
  • Molina CHIP — Managed Medicaid: $10,726.34
  • Molina Marketplace — Medicare Advantage: $1,275.28
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthroscopy shoulder decompression subacromial space w/partial acromioplasty 29826 $2,063 $2,063 $1,031.50
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $1,031.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $144.68 – $199.30
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates
  • Aetna — Medicare Advantage: $147.63
  • Ambetter — Commercial/Exchange: $177.16
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $144.68
  • Devoted Health — Medicare Advantage: $147.63
  • Humana — Medicare Advantage/HMO: $147.63
  • Humana — Medicare Advantage/PPO: $147.63
  • Mississippi Physicians Care Network (MPCN) — Commercial: $199.30
  • Molina Marketplace — Medicare Advantage: $162.40
  • United Healthcare — All Payor/Commercial: $241
  • United Healthcare — Medicare Advantage: $147.63
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthroscopy, knee, surgical; w meniscectomy (medial or lateral) 29881 $1,524 $1,524 $762
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $762
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $505.40 – $2,638.03
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $515.71
  • Ambetter — Commercial/Exchange: $618.85
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $505.40
  • Devoted Health — Medicare Advantage: $515.71
  • Humana — Medicare Advantage/HMO: $515.71
  • Humana — Medicare Advantage/PPO: $515.71
  • Magnolia Health — Managed Medicaid: $2,398.21
  • Mississippi Physicians Care Network (MPCN) — Commercial: $696.21
  • Molina CHIP — Managed Medicaid: $2,638.03
  • Molina Marketplace — Medicare Advantage: $567.28
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 42820 $824 $824 $412
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $412
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $255.64 – $4,772.78
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $260.86
  • Ambetter — Commercial/Exchange: $313.03
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $255.64
  • Devoted Health — Medicare Advantage: $260.86
  • Humana — Medicare Advantage/HMO: $260.86
  • Humana — Medicare Advantage/PPO: $260.86
  • Magnolia Health — Managed Medicaid: $4,338.89
  • Mississippi Physicians Care Network (MPCN) — Commercial: $352.16
  • Molina CHIP — Managed Medicaid: $4,772.78
  • Molina Marketplace — Medicare Advantage: $286.95
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD, flexible transoral, dx (upper GI) 43235 $788 $788 $394
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $394
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: EM EGD, flexible transoral, dx (upper GI) 43235 $788 $788 $394
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $394
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $316.20 – $738.78
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $322.65
  • Ambetter — Commercial/Exchange: $387.18
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $316.20
  • Devoted Health — Medicare Advantage: $322.65
  • Humana — Medicare Advantage/HMO: $322.65
  • Humana — Medicare Advantage/PPO: $322.65
  • Magnolia Health — Managed Medicaid: $671.62
  • Mississippi Physicians Care Network (MPCN) — Commercial: $435.58
  • Molina CHIP — Managed Medicaid: $738.78
  • Molina Marketplace — Medicare Advantage: $354.92
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD biopsy single/multiple $964 $964 $410.47 – $867.60
Upper GI endoscopy with biopsy: 10 of 26 insurance plan rates
  • Aetna — Commercial: $530.20
  • Aetna — Medicare Advantage: $418.85
  • Ambetter — Commercial/Exchange: $502.62
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $410.47
  • Central Healthcare Services — Commercial: $482
  • Cigna — Commercial: $458.86
  • Cigna Healthspring — Medicare Advantage: $626.60
  • Devoted Health — Medicare Advantage: $418.85
  • Humana — Medicare Advantage/HMO: $418.85
  • Humana — Medicare Advantage/PPO: $418.85
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $1,876 $1,876 $410.47 – $1,688.40
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Commercial: $1,031.80
  • Aetna — Medicare Advantage: $418.85
  • Ambetter — Commercial/Exchange: $502.62
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $410.47
  • Central Healthcare Services — Commercial: $938
  • Cigna — Commercial: $892.98
  • Cigna Healthspring — Medicare Advantage: $1,219.40
  • Devoted Health — Medicare Advantage: $418.85
  • Humana — Medicare Advantage/HMO: $418.85
  • Humana — Medicare Advantage/PPO: $418.85
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD biopsy single/multiple $964 $964 $482 – $867.60
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $482
  • Devoted Health — Medicare Advantage: $674.80
  • MultiPlan — Commercial: $674.80
  • NovaNet — Commercial: $867.60
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy flexible diagnostic w/wo brushing/washing 45378 $903 $903 $451.50
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $451.50
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: EM Colonoscopy flexible diagnostic w/wo brushing/washing 45378 $903 $903 $451.50
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $451.50
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $370.54 – $744.88
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $378.10
  • Ambetter — Commercial/Exchange: $453.72
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $370.54
  • Devoted Health — Medicare Advantage: $378.10
  • Humana — Medicare Advantage/HMO: $378.10
  • Humana — Medicare Advantage/PPO: $378.10
  • Magnolia Health — Managed Medicaid: $677.16
  • Mississippi Physicians Care Network (MPCN) — Commercial: $510.43
  • Molina CHIP — Managed Medicaid: $744.88
  • Molina Marketplace — Medicare Advantage: $415.91
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy $1,231 $1,231 $470.37 – $1,107.90
Colonoscopy with biopsy: 10 of 26 insurance plan rates
  • Aetna — Commercial: $677.05
  • Aetna — Medicare Advantage: $479.97
  • Ambetter — Commercial/Exchange: $575.97
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $470.37
  • Central Healthcare Services — Commercial: $615.50
  • Cigna — Commercial: $585.96
  • Cigna Healthspring — Medicare Advantage: $800.15
  • Devoted Health — Medicare Advantage: $479.97
  • Humana — Medicare Advantage/HMO: $479.97
  • Humana — Medicare Advantage/PPO: $479.97
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy $1,231 $1,231 $615.50 – $1,107.90
Colonoscopy with biopsy: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $615.50
  • Devoted Health — Medicare Advantage: $861.70
  • MultiPlan — Commercial: $861.70
  • NovaNet — Commercial: $1,107.90
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy flexible w/biopsy single/multiple 45380 $1,157 $1,157 $578.50
Colonoscopy with biopsy: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $578.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy, flexible w/lesion removal via snare 45385 $1,220 $1,220 $610
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $610
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: EM Colonoscopy, flexible w/lesion removal via snare 45385 $1,220 $1,220 $610
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $610
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $490.01 – $961.76
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $500.01
  • Ambetter — Commercial/Exchange: $600.01
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $490.01
  • Devoted Health — Medicare Advantage: $500.01
  • Humana — Medicare Advantage/HMO: $500.01
  • Humana — Medicare Advantage/PPO: $500.01
  • Magnolia Health — Managed Medicaid: $874.33
  • Mississippi Physicians Care Network (MPCN) — Commercial: $675.02
  • Molina CHIP — Managed Medicaid: $961.76
  • Molina Marketplace — Medicare Advantage: $550.01
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: EM Colonoscopy, flexible w/ndsc US XM Rectum et all Limited 45391 $800 $800 $400
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $400
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $221.60 – $961.76
Ultrasound of the lower bowel by endoscope: 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $226.12
  • Ambetter — Commercial/Exchange: $271.35
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $221.60
  • Devoted Health — Medicare Advantage: $226.12
  • Humana — Medicare Advantage/HMO: $226.12
  • Humana — Medicare Advantage/PPO: $226.12
  • Magnolia Health — Managed Medicaid: $874.33
  • Mississippi Physicians Care Network (MPCN) — Commercial: $305.27
  • Molina CHIP — Managed Medicaid: $961.76
  • Molina Marketplace — Medicare Advantage: $248.74
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind $806 $806 $370.86 – $744.88
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $378.43
  • Ambetter — Commercial/Exchange: $454.12
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $370.86
  • Central Healthcare Services — Commercial: $403
  • Cigna — Commercial: $383.66
  • Cigna Healthspring — Medicare Advantage: $523.90
  • Devoted Health — Medicare Advantage: $378.43
  • Humana — Medicare Advantage/HMO: $378.43
  • Humana — Medicare Advantage/PPO: $378.43
  • Humana ChoiceCare — Commercial: $523.90
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind $806 $806 $403 – $725.40
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $403
  • Devoted Health — Medicare Advantage: $564.20
  • MultiPlan — Commercial: $564.20
  • NovaNet — Commercial: $725.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: Colorectal cancer screening, colonoscopy, not mtg high risk criteria G0121 $903 $903 $451.50
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $451.50
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: Laparoscopic Cholecystectomy 47562 $1,854 $1,854 $927
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $927
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $619.31 – $4,702.53
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $631.95
  • Ambetter — Commercial/Exchange: $758.33
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $619.31
  • Devoted Health — Medicare Advantage: $631.95
  • Humana — Medicare Advantage/HMO: $631.95
  • Humana — Medicare Advantage/PPO: $631.95
  • Magnolia Health — Managed Medicaid: $4,275.03
  • Mississippi Physicians Care Network (MPCN) — Commercial: $853.13
  • Molina CHIP — Managed Medicaid: $4,702.53
  • Molina Marketplace — Medicare Advantage: $695.14
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: Repair initial inguinal hernia, 5+yo, reducible 49505 $1,465 $1,465 $732.50
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $732.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $497.87 – $2,819.63
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $508.03
  • Ambetter — Commercial/Exchange: $609.63
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $497.87
  • Devoted Health — Medicare Advantage: $508.03
  • Humana — Medicare Advantage/HMO: $508.03
  • Humana — Medicare Advantage/PPO: $508.03
  • Magnolia Health — Managed Medicaid: $2,563.30
  • Mississippi Physicians Care Network (MPCN) — Commercial: $685.84
  • Molina CHIP — Managed Medicaid: $2,819.63
  • Molina Marketplace — Medicare Advantage: $558.83
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services Not listed in the file Not listed in the file $1,509.09 – $1,660
Prostate biopsy: rates for 4 insurance plans
  • Magnolia Health — Managed Medicaid: $1,509.09
  • Molina CHIP — Managed Medicaid: $1,660
  • Truecare — Managed Medicaid: $1,509.09
  • United Healthcare of Mississippi — Managed Medicaid: $1,509.09
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ambulatory Surgery Not listed in the file Not listed in the file $477 – $525
Prostate biopsy: rates for 2 insurance plans
  • United Healthcare — All Payor/Commercial: $477
  • United Healthcare — PPO/Commercial: $525
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: Laparoscopy prostatectomy retropubic radical w/nerve sparing 55866 $4,158 $4,158 $2,079
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $2,079
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $1,060.22 – $8,389.38
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $1,081.86
  • Ambetter — Commercial/Exchange: $1,298.23
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $1,060.22
  • Devoted Health — Medicare Advantage: $1,081.86
  • Humana — Medicare Advantage/HMO: $1,081.86
  • Humana — Medicare Advantage/PPO: $1,081.86
  • Magnolia Health — Managed Medicaid: $7,626.71
  • Mississippi Physicians Care Network (MPCN) — Commercial: $1,460.50
  • Molina CHIP — Managed Medicaid: $8,389.38
  • Molina Marketplace — Medicare Advantage: $1,190.04
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy w/sampling of endometrium/polypectomy with or without D & C 58558 $3,561 $3,561 $1,244.50 – $3,204.90
Hysteroscopy with biopsy of the uterus lining: 10 of 26 insurance plan rates
  • Aetna — Commercial: $1,958.55
  • Aetna — Medicare Advantage: $1,269.90
  • Ambetter — Commercial/Exchange: $1,523.88
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $1,244.50
  • Central Healthcare Services — Commercial: $1,780.50
  • Cigna — Commercial: $1,695.04
  • Cigna Healthspring — Medicare Advantage: $2,314.65
  • Devoted Health — Medicare Advantage: $1,269.90
  • Humana — Medicare Advantage/HMO: $1,269.90
  • Humana — Medicare Advantage/PPO: $1,269.90
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hysteroscopy w/sampling of endometrium/polypectomy with or without D & C 58558 $3,561 $3,561 $1,780.50 – $3,204.90
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $1,780.50
  • Devoted Health — Medicare Advantage: $2,492.70
  • MultiPlan — Commercial: $2,492.70
  • NovaNet — Commercial: $3,204.90
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: Hysteroscopy w/sampling of endometrium/polypectomy with or without D & C 58558 $3,768 $3,768 $1,884
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $1,884
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR PM INJ EPIDURAL LUMBAR $1,271 $1,271 $267.75 – $1,143.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates
  • Aetna — Commercial: $699.05
  • Aetna — Medicare Advantage: $273.22
  • Ambetter — Commercial/Exchange: $327.86
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $267.75
  • Central Healthcare Services — Commercial: $635.50
  • Cigna — Commercial: $605
  • Cigna Healthspring — Medicare Advantage: $826.15
  • Devoted Health — Medicare Advantage: $273.22
  • Humana — Medicare Advantage/HMO: $273.22
  • Humana — Medicare Advantage/PPO: $273.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CISTERNOGRAM INJ LUMBAR $1,271 $1,271 $267.75 – $1,143.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates
  • Aetna — Commercial: $699.05
  • Aetna — Medicare Advantage: $273.22
  • Ambetter — Commercial/Exchange: $327.86
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $267.75
  • Central Healthcare Services — Commercial: $635.50
  • Cigna — Commercial: $605
  • Cigna Healthspring — Medicare Advantage: $826.15
  • Devoted Health — Medicare Advantage: $273.22
  • Humana — Medicare Advantage/HMO: $273.22
  • Humana — Medicare Advantage/PPO: $273.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR PM INJ EPIDURAL LUMBAR BO $1,271 $1,271 $267.75 – $1,143.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates
  • Aetna — Commercial: $699.05
  • Aetna — Medicare Advantage: $273.22
  • Ambetter — Commercial/Exchange: $327.86
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $267.75
  • Central Healthcare Services — Commercial: $635.50
  • Cigna — Commercial: $605
  • Cigna Healthspring — Medicare Advantage: $826.15
  • Devoted Health — Medicare Advantage: $273.22
  • Humana — Medicare Advantage/HMO: $273.22
  • Humana — Medicare Advantage/PPO: $273.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR PM INJ EPIDURAL LUMBAR TRANSFORAMINAL $989 $989 $259.57 – $890.10
Nerve root injection, lower back, with imaging guidance: 10 of 26 insurance plan rates
  • Aetna — Commercial: $543.95
  • Aetna — Medicare Advantage: $264.87
  • Ambetter — Commercial/Exchange: $317.84
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $259.57
  • Central Healthcare Services — Commercial: $494.50
  • Cigna — Commercial: $470.76
  • Cigna Healthspring — Medicare Advantage: $642.85
  • Devoted Health — Medicare Advantage: $264.87
  • Humana — Medicare Advantage/HMO: $264.87
  • Humana — Medicare Advantage/PPO: $264.87
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR PM INJ EPIDURAL LUMBAR TRANSFORAM BO $989 $989 $259.57 – $890.10
Nerve root injection, lower back, with imaging guidance: 10 of 26 insurance plan rates
  • Aetna — Commercial: $543.95
  • Aetna — Medicare Advantage: $264.87
  • Ambetter — Commercial/Exchange: $317.84
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $259.57
  • Central Healthcare Services — Commercial: $494.50
  • Cigna — Commercial: $470.76
  • Cigna Healthspring — Medicare Advantage: $642.85
  • Devoted Health — Medicare Advantage: $264.87
  • Humana — Medicare Advantage/HMO: $264.87
  • Humana — Medicare Advantage/PPO: $264.87
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR PM INJ EPIDURAL LUMBAR TRANSFORAMINAL $989 $989 $494.50 – $890.10
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • Central Healthcare Services — Commercial: $494.50
  • Devoted Health — Medicare Advantage: $692.30
  • MultiPlan — Commercial: $692.30
  • NovaNet — Commercial: $890.10
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel 64721 $1,215 $1,215 $607.50
Carpal tunnel release: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $607.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $472.99 – $1,573.58
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $482.64
  • Ambetter — Commercial/Exchange: $579.17
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $472.99
  • Devoted Health — Medicare Advantage: $482.64
  • Humana — Medicare Advantage/HMO: $482.64
  • Humana — Medicare Advantage/PPO: $482.64
  • Magnolia Health — Managed Medicaid: $1,430.53
  • Mississippi Physicians Care Network (MPCN) — Commercial: $651.57
  • Molina CHIP — Managed Medicaid: $1,573.58
  • Molina Marketplace — Medicare Advantage: $530.91
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: Discission of Secondary Cataract, Laser 66821 $677 $677 $338.50
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $338.50
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $328.64 – $473.74
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $335.35
  • Ambetter — Commercial/Exchange: $402.41
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $328.64
  • Devoted Health — Medicare Advantage: $335.35
  • Humana — Medicare Advantage/HMO: $335.35
  • Humana — Medicare Advantage/PPO: $335.35
  • Magnolia Health — Managed Medicaid: $430.67
  • Mississippi Physicians Care Network (MPCN) — Commercial: $452.72
  • Molina CHIP — Managed Medicaid: $473.74
  • Molina Marketplace — Medicare Advantage: $368.88
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: Extracapsular cataract removal w/intraocular lens; 1 stage 66984 $1,439 $1,439 $719.50
Cataract removal with lens implant: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $719.50
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $453.35 – $1,899.25
Cataract removal with lens implant: 10 of 18 insurance plan rates
  • Aetna — Medicare Advantage: $462.60
  • Ambetter — Commercial/Exchange: $555.12
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $453.35
  • Devoted Health — Medicare Advantage: $462.60
  • Humana — Medicare Advantage/HMO: $462.60
  • Humana — Medicare Advantage/PPO: $462.60
  • Magnolia Health — Managed Medicaid: $1,726.59
  • Mississippi Physicians Care Network (MPCN) — Commercial: $624.51
  • Molina CHIP — Managed Medicaid: $1,899.25
  • Molina Marketplace — Medicare Advantage: $508.86

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: Routine obstetric care w/antepartum care, vaginal delivery and postpartum care 59400 $5,868 $5,868 $2,934
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $2,934
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,170.19 – $2,989.55
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $2,214.48
  • Ambetter — Commercial/Exchange: $2,657.38
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $2,170.19
  • Devoted Health — Medicare Advantage: $2,214.48
  • Humana — Medicare Advantage/HMO: $2,214.48
  • Humana — Medicare Advantage/PPO: $2,214.48
  • Mississippi Physicians Care Network (MPCN) — Commercial: $2,989.55
  • Molina Marketplace — Medicare Advantage: $2,435.93
  • United Healthcare — Medicare Advantage: $2,214.48
  • United Healthcare — VACCN: $2,214.48
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: Routine obstetric care w/antepartum care/cesarean delivery/postpartum care 59510 $7,097 $7,097 $3,548.50
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $3,548.50
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,423.87 – $3,339
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $2,473.34
  • Ambetter — Commercial/Exchange: $2,968
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $2,423.87
  • Devoted Health — Medicare Advantage: $2,473.34
  • Humana — Medicare Advantage/HMO: $2,473.34
  • Humana — Medicare Advantage/PPO: $2,473.34
  • Mississippi Physicians Care Network (MPCN) — Commercial: $3,339
  • Molina Marketplace — Medicare Advantage: $2,720.67
  • United Healthcare — Medicare Advantage: $2,473.34
  • United Healthcare — VACCN: $2,473.34
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: Routine OB care w/antepartum care/vaginal delivery/postpartum care, after previous C-Section 59610 $6,141 $6,141 $3,070.50
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Central Healthcare Services — Commercial: $3,070.50
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,284.10 – $3,146.46
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $2,330.71
  • Ambetter — Commercial/Exchange: $2,796.86
  • Blue Cross Blue Shield of Alabama — Medicare Advantage: $2,284.10
  • Devoted Health — Medicare Advantage: $2,330.71
  • Humana — Medicare Advantage/HMO: $2,330.71
  • Humana — Medicare Advantage/PPO: $2,330.71
  • Mississippi Physicians Care Network (MPCN) — Commercial: $3,146.46
  • Molina Marketplace — Medicare Advantage: $2,563.79
  • United Healthcare — Medicare Advantage: $2,330.71
  • United Healthcare — VACCN: $2,330.71

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) · 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 $14,799
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan
  • Blue Cross Blue Shield of Alabama — Commercial: $14,799
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inpatient MS-DRG Not listed in the file Not listed in the file $14,799
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Blue Cross Blue Shield of Alabama — Commercial: $14,799
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 $3,947
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • Blue Cross Blue Shield of Alabama — Commercial: $3,947
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 $2,970
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan
  • Blue Cross Blue Shield of Alabama — Commercial: $2,970
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 $2,970
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan
  • Blue Cross Blue Shield of Alabama — Commercial: $2,970

Source: USA Health Children's & Women's Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 30, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeChildren's Hospital
Address1700 Center Street, Mobile, AL 36604
CountyMobile County
StateAlabama
Phone(251) 415‑1000
Emergency servicesYes
OwnershipGovernment - State
Medicare overall ratingNot rated by CMS
CMS Certification Number013301
Name in Medicare recordsUSA HEALTH CHILDREN'S & WOMEN'S HOSPITAL
Profile levelMedicare data + hospital website
Official websiteusahealthsystem.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 2026-11-02.

  1. Children's & Women's Hospital | USA Health — usahealthsystem.com