Does USA Health HCA Providence Hospital, LLC have an emergency room?

Yes. Medicare (CMS) data lists emergency services at USA Health HCA Providence Hospital, LLC. In a medical emergency, call 911.

Where is USA Health HCA Providence Hospital, LLC?

6801 Airport Boulevard, Mobile, AL 36608, in Mobile County, Alabama.

What is the phone number of USA Health HCA Providence Hospital, LLC?

(251) 633-1000, as listed by Medicare (CMS).

What is the Medicare star rating of USA Health HCA Providence Hospital, LLC?

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

USA Health HCA Providence Hospital, LLC

Quick answers

Does USA Health HCA Providence Hospital, LLC have an emergency room?: Yes. Medicare (CMS) data lists emergency services at USA Health HCA Providence Hospital, LLC. In a medical emergency, call 911.
Where is USA Health HCA Providence Hospital, LLC?: 6801 Airport Boulevard, Mobile, AL 36608, in Mobile County, Alabama.
What is the phone number of USA Health HCA Providence Hospital, LLC?: (251) 633-1000, as listed by Medicare (CMS).
What is the Medicare star rating of USA Health HCA Providence Hospital, LLC?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Emergency medicine
Pediatric emergency care
Breast care (Providence Breast Center)
Stroke care
Surgical services
Rehabilitation services
Wound care
Diabetes care
Imaging
Laboratory services

Conditions treated^[4]

Ischemic stroke
Severe heart or lung failure
Breast cancer
Hernia

Treatments^[4]

Clot-busting medication for stroke
Extracorporeal membrane oxygenation (ECMO)
Stroke rehabilitation

Procedures^[4]

Screening and diagnostic mammograms
Breast surgery
Colorectal surgery
Gynecologic surgery
Hernia surgery
Orthopaedic surgery
Plastic surgery
Spine surgery
Minimally invasive procedures

Programs and centers^[4]

ECMO Program
Providence Breast Center

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III

Visiting and practical information

Visiting	Visitors should not come if ill; no flowers, plants, balloons or fruit in ICU, CCU or 12 East rooms 1233-1248^[4]
Parking	Valet parking is offered at the hospital^[4]
Patient portal	https://www.usahealthsystem.com/patient-portals

Recognition^[4]

Level III Trauma Center
American Heart Association Get With The Guidelines Stroke Silver Plus (2025)
ACS Surgical Quality Partner
Blue Distinction Center (bariatric surgery)
NCDR Chest Pain-MI / Cath PCI registry participant

Doctors and clinicians (541)

541 doctors and other clinicians list USA Health HCA Providence Hospital, LLC as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 517 more: the button below opens the full list.

Other emergency rooms nearby

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

Baypointe Behavioral Health8.3 mi · Mobile, AL · Psychiatric Hospital
Springhill Medical Center9.8 mi · Mobile, AL · Acute Care Hospital
USA Health University Hospital12 mi · Mobile, AL · Acute Care Hospital
Mobile Infirmary Medical Center13 mi · Mobile, AL · Acute Care Hospital
USA Health Children's & Women's Hospital13 mi · Mobile, AL · Children's Hospital

Other hospitals nearby

Infirmary LTAC Hospital13 mi · Mobile, AL · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Mobile Nursing and Rehabilitation Center4.4 mi · Mobile, AL · 3 of 5 stars
Gulf Coast Health and Rehabilitation, LLC5.3 mi · Mobile, AL · 2 of 5 stars
Knollwood Healthcare8.5 mi · Mobile, AL

All nursing homes in the state →

Hospice providers

Alabama Hospice Care of Mobile0.0 mi · Mobile, AL
Saad Hospice Services8.3 mi · Mobile, AL · 4 of 5 stars
Springhill Home Health and Hospice8.3 mi · Mobile, AL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Saad Healthcare8.3 mi · Mobile, AL
Springhill Home Health and Hospice8.3 mi · Mobile, AL
Centerwell Home Health12 mi · Mobile, AL

All home health agencies in the state →

Dialysis facilities

FMC West Mobile3.7 mi · Mobile, AL · 3 of 5 stars
FMC Magnolia6.2 mi · Semmes, AL · 2 of 5 stars
FMC University South Alabama6.7 mi · Mobile, AL · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Dauphin West Surgery Center0.0 mi · Mobile, AL
Gulf Coast Surgical Partners, LLC0.0 mi · Mobile, AL
Mobile Surgery Center0.0 mi · Mobile, AL

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Accordia Health - ZOP5.4 mi · Mobile, AL · Community health center
Accordia Pediatrics and Pediatric Psychiatry5.7 mi · Mobile, AL · Community health center
The Charles White Family Health Center5.9 mi · Mobile, AL · Community health center

Clinics and urgent care

Elite Urgent Care LLC0.0 mi · Mobile, AL · Urgent care center
Carbon Health Medical Group of Florida PA3.7 mi · Mobile, AL · Urgent care center
Maxem Health Urgent Care Mobile3.7 mi · Mobile, AL · Urgent care center

Pharmacies

Alabama CVS Pharmacy, L.L.C.0.0 mi · Mobile, AL · Pharmacy
Docrx, Inc0.0 mi · Mobile, AL · Pharmacy
Ecm Home Health Services, Inc.0.0 mi · Mobile, AL · Pharmacy

Assisted living nearby

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

Sodalis Tampa8.6 mi · Tampa, FL

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	62%National average: 72%
Would definitely recommend the hospital	61%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	60%National average: 74%
Area around the room “always” quiet at night	55%National average: 60%
Completed surveys	1,408Response rate: 18%

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)	1.017No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.102Better than the national benchmark
Surgical site infections after colon surgery	0.323No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.876No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.203Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.9%
Deaths within 30 days: heart failure patients	12%
Deaths within 30 days: pneumonia patients	17.5%
Deaths within 30 days: COPD patients	10.9%
Deaths within 30 days: stroke patients	15.6%
Deaths within 30 days: coronary bypass surgery (CABG)	3.2%
Serious complications (patient safety indicator PSI-90)	1.09No different from the national rate
Complications after hip or knee replacement	4.3%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.2%
Readmitted within 30 days: heart failure	20.1%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	19.3%
Readmitted within 30 days: coronary bypass surgery	11.3%
Readmitted within 30 days: hip or knee replacement	6.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	212 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	6%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	82%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Mobile Best hospitals in Mobile

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as USA Health HCA Providence Hospital, LLC lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Level 3 New 99203	$350	$350	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT CLIN WND NEW LEVEL 3 99203	$350	$350	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT CLIN WND NEW LEVEL 3 99203 25	$350	$350	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Level 4 New 99204	$528	$528	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT CLIN WND NEW LEVEL 4 99204	$528	$528	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: VISIT CLIN WND NEW LEVEL 4 99204 25	$528	$528	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Level 5 New 99205	$697	$697	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT CLIN WND NEW LEVEL 5 99205	$697	$697	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: VISIT CLIN WND NEW LEVEL 5 99205 25	$697	$697	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Level 3 Est 99213	$287	$287	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT CLIN WND EST LEVEL 3 99213	$287	$287	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: VISIT CLIN WND EST LEVEL 3 99213 25	$287	$287	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Level 4 Est 99214	$405	$405	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT CLIN WND EST LEVEL 4 99214	$307	$307	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: VISIT CLIN WND EST LEVEL 4 99214 25	$307	$307	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office or other Outpatient Consult Low Severity 30 Min 99243	$385	$385	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office or Outpatient Consult Moderate Severity 40 Min 99244	$534	$534	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$246.46 – $295.75
Emergency room visit (moderate): rates for 2 insurance plans Aetna — Medicare Advantage: $246.46 Ambetter — All Plans: $295.75
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Department Visit EPF/EPF/Moderate Severity 99283	$180	$180	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 - Level 3	$912	$912	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$376.73 – $452.08
Emergency room visit (moderately high): rates for 2 insurance plans Aetna — Medicare Advantage: $376.73 Ambetter — All Plans: $452.08
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Department Visit D/D/Moderate Severity 99284	$341	$341	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 - Level 4	$996	$996	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$537.68 – $645.22
Emergency room visit (high): rates for 2 insurance plans Aetna — Medicare Advantage: $537.68 Ambetter — All Plans: $645.22
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Department Visit COMP/COMP/High Severity 99285	$501	$501	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 - Level 5	$1,802	$1,802	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$5.86 – $10.15
Basic metabolic panel (blood test): rates for 6 insurance plans Aetna — Medicare Advantage: $8.46 Ambetter — All Plans: $10.15 Cigna — All Plans: $7.15 United Healthcare — All Plans: $5.86 United Healthcare — Uhc Choice Plus: $5.86 United Healthcare — Umr- United Healthcare: $5.86
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel	$389.40	$389.40	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$7.31 – $12.67
Comprehensive metabolic panel (blood test): rates for 6 insurance plans Aetna — Medicare Advantage: $10.56 Ambetter — All Plans: $12.67 Cigna — All Plans: $8.92 United Healthcare — All Plans: $7.31 United Healthcare — Uhc Choice Plus: $7.31 United Healthcare — Umr- United Healthcare: $7.31
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$318.30	$318.30	Not listed in the file
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	$20.63 – $57.37
Obstetric blood test panel: rates for 6 insurance plans Aetna — Medicare Advantage: $47.81 Ambetter — All Plans: $57.37 Cigna — All Plans: $40.40 United Healthcare — All Plans: $20.63 United Healthcare — Uhc Choice Plus: $20.63 United Healthcare — Umr- United Healthcare: $20.63
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$7.86 – $16.07
Cholesterol panel (lipid panel): rates for 6 insurance plans Aetna — Medicare Advantage: $13.39 Ambetter — All Plans: $16.07 Cigna — All Plans: $11.31 United Healthcare — All Plans: $7.86 United Healthcare — Uhc Choice Plus: $7.86 United Healthcare — Umr- United Healthcare: $7.86
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipoprotein Frac, NMR with Lipid Panel-Q	$316.10	$316.10	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Profile w/ Reflex Direct LDL (PH only)	$316.10	$316.10	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$6 – $10.42
Kidney function panel: rates for 6 insurance plans Aetna — Medicare Advantage: $8.68 Ambetter — All Plans: $10.42 Cigna — All Plans: $7.33 United Healthcare — All Plans: $6 United Healthcare — Uhc Choice Plus: $6 United Healthcare — Umr- United Healthcare: $6
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel	$427.50	$427.50	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$5.65 – $9.80
Liver function panel: rates for 6 insurance plans Aetna — Medicare Advantage: $8.17 Ambetter — All Plans: $9.80 Cigna — All Plans: $6.90 United Healthcare — All Plans: $5.65 United Healthcare — Uhc Choice Plus: $5.65 United Healthcare — Umr- United Healthcare: $5.65
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel	$411.60	$411.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$2.68 – $3.99
Urine test (automated, with microscope): rates for 6 insurance plans Aetna — Medicare Advantage: $3.17 Ambetter — All Plans: $3.80 Cigna — All Plans: $2.68 United Healthcare — All Plans: $3.99 United Healthcare — Uhc Choice Plus: $3.99 United Healthcare — Umr- United Healthcare: $3.99
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis with Microscopic if Indicated	$106.10	$106.10	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.94 – $4.18
Urine test (manual, without microscope): rates for 6 insurance plans Aetna — Medicare Advantage: $3.48 Ambetter — All Plans: $4.18 Cigna — All Plans: $2.94 United Healthcare — All Plans: $3.21 United Healthcare — Uhc Choice Plus: $3.21 United Healthcare — Umr- United Healthcare: $3.21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.90 – $2.83
Urine test (automated, without microscope): rates for 6 insurance plans Aetna — Medicare Advantage: $2.25 Ambetter — All Plans: $2.70 Cigna — All Plans: $1.90 United Healthcare — All Plans: $2.83 United Healthcare — Uhc Choice Plus: $2.83 United Healthcare — Umr- United Healthcare: $2.83
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Macroscopic	$85.90	$85.90	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Specific Gravity	$85.90	$85.90	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$12.73 – $22.07
PSA (prostate specific antigen) blood test: rates for 6 insurance plans Aetna — Medicare Advantage: $18.39 Ambetter — All Plans: $22.07 Cigna — All Plans: $15.54 United Healthcare — All Plans: $12.73 United Healthcare — Uhc Choice Plus: $12.73 United Healthcare — Umr- United Healthcare: $12.73
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen Diagnostic	$342.70	$342.70	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen Screen	$342.70	$342.70	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$11.62 – $20.16
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans Aetna — Medicare Advantage: $16.80 Ambetter — All Plans: $20.16 Cigna — All Plans: $14.20 United Healthcare — All Plans: $11.62 United Healthcare — Uhc Choice Plus: $11.62 United Healthcare — Umr- United Healthcare: $11.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$229.40	$229.40	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$5.37 – $9.32
Complete blood count (CBC) with differential: rates for 6 insurance plans Aetna — Medicare Advantage: $7.77 Ambetter — All Plans: $9.32 Cigna — All Plans: $6.57 United Healthcare — All Plans: $5.37 United Healthcare — Uhc Choice Plus: $5.37 United Healthcare — Umr- United Healthcare: $5.37
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count w/Differential	$127.30	$127.30	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Red Cell Count (PH only)	$127.30	$127.30	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$3.20 – $7.76
Complete blood count (CBC), automated: rates for 6 insurance plans Aetna — Medicare Advantage: $6.47 Ambetter — All Plans: $7.76 Cigna — All Plans: $5.47 United Healthcare — All Plans: $3.20 United Healthcare — Uhc Choice Plus: $3.20 United Healthcare — Umr- United Healthcare: $3.20
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count w/ Indices	$109.30	$109.30	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$3.63 – $5.15
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans Aetna — Medicare Advantage: $4.29 Ambetter — All Plans: $5.15 Cigna — All Plans: $3.63 United Healthcare — All Plans: $4.94 United Healthcare — Uhc Choice Plus: $4.94 United Healthcare — Umr- United Healthcare: $4.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time	$106.10	$106.10	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Mixing Study-Q (PH only)	$33	$33	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$4.15 – $7.21
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans Aetna — Medicare Advantage: $6.01 Ambetter — All Plans: $7.21 Cigna — All Plans: $5.08 United Healthcare — All Plans: $4.15 United Healthcare — Uhc Choice Plus: $4.15 United Healthcare — Umr- United Healthcare: $4.15
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Mixing Study-Q (PH only) - 85730	$33	$33	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Partial Thromboplastin Time	$106.10	$106.10	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$94.39 – $113.27
CT scan of the head or brain, without contrast: rates for 2 insurance plans Aetna — Medicare Advantage: $94.39 Ambetter — All Plans: $113.27
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT BRAIN or HEAD WO CONTRAST	$2,462	$2,462	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD STROKE ALERT WO CONTRAST	$2,933	$2,933	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$314.98 – $377.98
MRI of the brain, before and after contrast: rates for 2 insurance plans Aetna — Medicare Advantage: $314.98 Ambetter — All Plans: $377.98
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN or HEAD W WO CONTRAST	$5,143	$5,143	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN IAC W WO CONTRAST	$5,143	$5,143	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$78.57 – $224.88
Chest X-ray, 2 views: rates for 3 insurance plans Aetna — Medicare Advantage: $78.57 Ambetter — All Plans: $94.29 Cigna — All Plans: $224.88
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$433	$433	Not listed in the file
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 l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$94.39 – $276.62
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Aetna — Medicare Advantage: $94.39 Ambetter — All Plans: $113.27 Cigna — All Plans: $276.62
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL w OBLIQUES	$794	$794	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL w BENDING VIEWS	$290	$290	Not listed in the file
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	Not listed in the file	Not listed in the file	$215.42 – $258.51
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Aetna — Medicare Advantage: $215.42 Ambetter — All Plans: $258.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTRAST	$3,821	$3,821	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$158.36 – $190.04
CT scan of the pelvis, with contrast: rates for 2 insurance plans Aetna — Medicare Advantage: $158.36 Ambetter — All Plans: $190.04
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,022	$3,022	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS CYSTOGRAM	$2,611	$2,611	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$215.42 – $258.51
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Aetna — Medicare Advantage: $215.42 Ambetter — All Plans: $258.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI ANKLE WO CONTRAST	$3,319	$3,319	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI HIP WO CONTRAST	$3,319	$3,319	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$314.98 – $377.98
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Aetna — Medicare Advantage: $314.98 Ambetter — All Plans: $377.98
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST	$6,215	$6,215	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ENTEROGRAPHY	$6,215	$6,215	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$94.39 – $276.62
Ultrasound of the abdomen, complete: rates for 3 insurance plans Aetna — Medicare Advantage: $94.39 Ambetter — All Plans: $113.27 Cigna — All Plans: $276.62
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$1,178	$1,178	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$94.39 – $276.62
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Aetna — Medicare Advantage: $94.39 Ambetter — All Plans: $113.27 Cigna — All Plans: $276.62
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB PREGNANCY 14 WEEKS or GREATER	$676	$676	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$94.39 – $276.62
Transvaginal ultrasound: rates for 3 insurance plans Aetna — Medicare Advantage: $94.39 Ambetter — All Plans: $113.27 Cigna — All Plans: $276.62
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB	$633	$633	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Non-Ob Transvaginal Bedside	$293	$293	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$238.60
Diagnostic mammogram, one breast: rates for 1 insurance plan Cigna — All Plans: $238.60
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG MAMMOGRAM 3D DIAG UNILATERAL LEFT	$398	$398	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG MAMMOGRAM 3D DIAG UNILATERAL RIGHT	$398	$398	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$304.20
Diagnostic mammogram, both breasts: rates for 1 insurance plan Cigna — All Plans: $304.20
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG PH MAMMOGRAM 3D DIAGNOSTIC BILATERAL	$535	$535	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG PH MAMMOGRAM DIGITAL DIAGNOSTIC BILAT	$535	$535	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$252.26
Screening mammogram, both breasts: rates for 1 insurance plan Cigna — All Plans: $252.26
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG MAMMOGRAM 2D IMPLANT SCREENING BILAT	$535	$535	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG MAMMOGRAM 3D IMPLANT SCREENING BILAT	$535	$535	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$2,927.01 – $3,512.42
Left heart catheterization (diagnostic): rates for 2 insurance plans Aetna — Medicare Advantage: $2,927.01 Ambetter — All Plans: $3,512.42
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: LV INJ ONLY	$5,781	$5,781	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: Left Heart Cath (LHC) Only Pro Fee 93452	$770	$770	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$6,885.04 – $8,450.41
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Aetna — Medicare Advantage: $7,042.01 Ambetter — All Plans: $8,450.41 Cigna — All Plans: $6,885.04
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	Not listed in the file	Not listed in the file	$23,598.85 – $28,318.62
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans Aetna — Medicare Advantage: $23,598.85 Ambetter — All Plans: $28,318.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$49,065	$49,065	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$775.32 – $955.52
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Aetna — Medicare Advantage: $775.32 Ambetter — All Plans: $930.39 Cigna — All Plans: $955.52
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Polysomnography Sleep Staging 4/Greater than Addl Param 95810	$1,691	$1,691	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: NPSG - CHRG Sleep Study	$2,926	$2,926	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$27.20 – $32.64
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Aetna — Medicare Advantage: $27.20 Ambetter — All Plans: $32.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT Therapeutic Exercise Units	$139	$139	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Therapeutic Exercise Units	$139	$139	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$91.96 – $110.35
Physical therapy evaluation (low complexity): rates for 2 insurance plans Aetna — Medicare Advantage: $91.96 Ambetter — All Plans: $110.35
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN - PT Eval/Re-Eval Charges	$370	$370	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$91.96 – $110.35
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Aetna — Medicare Advantage: $91.96 Ambetter — All Plans: $110.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN - PT Eval/Re-Eval Charges	$370	$370	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$91.96 – $110.35
Physical therapy evaluation (high complexity): rates for 2 insurance plans Aetna — Medicare Advantage: $91.96 Ambetter — All Plans: $110.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN - PT Eval/Re-Eval Charges	$370	$370	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$3,535.09 – $4,242.11
Removal of breast growth (open surgery): rates for 2 insurance plans Aetna — Medicare Advantage: $3,535.09 Ambetter — All Plans: $4,242.11
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Excise Breast Cyst/Fibroadenoma/Tumor, open, 1+ Lesions 19120	$1,388	$1,388	Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: EXCISION CYST/LESION BREAST	$7,659	$7,659	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$11,591.54 – $13,909.85
Total hip replacement: rates for 2 insurance plans Aetna — Medicare Advantage: $11,591.54 Ambetter — All Plans: $13,909.85
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthroplasty acetabular/proximal femoral prosthetic replacement (total hip arthroplasty) 27130	$4,318	$4,318	Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$11,591.54 – $13,909.85
Total knee replacement: rates for 2 insurance plans Aetna — Medicare Advantage: $11,591.54 Ambetter — All Plans: $13,909.85
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthroscopy shoulder decompression subacromial space w/partial acromioplasty 29826	$2,063	$2,063	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$2,954.16 – $3,544.99
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans Aetna — Medicare Advantage: $2,954.16 Ambetter — All Plans: $3,544.99
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; w meniscectomy (medial or lateral) 29881	$1,524	$1,524	Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$5,344.78 – $6,413.74
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans Aetna — Medicare Advantage: $5,344.78 Ambetter — All Plans: $6,413.74
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	$818.88 – $982.66
Upper GI endoscopy (diagnostic): rates for 2 insurance plans Aetna — Medicare Advantage: $818.88 Ambetter — All Plans: $982.66
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD, flexible transoral, dx (upper GI) 43235	$788	$788	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD W/WO BRSH/ASP-BCE	$776	$776	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$818.88 – $982.66
Upper GI endoscopy with biopsy: rates for 2 insurance plans Aetna — Medicare Advantage: $818.88 Ambetter — All Plans: $982.66
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD flex transoral w/biopsy, single or multiple 43239	$1,046	$1,046	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD W BIOPSY-BCE	$964	$964	Not listed in the file
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	$839.62 – $1,007.55
Colonoscopy (diagnostic): rates for 2 insurance plans Aetna — Medicare Advantage: $839.62 Ambetter — All Plans: $1,007.55
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy flexible diagnostic w/wo brushing/washing 45378	$903	$903	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W/WO BRSH/ASP-BCE	$965	$965	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,080.40 – $1,296.48
Colonoscopy with biopsy: rates for 2 insurance plans Aetna — Medicare Advantage: $1,080.40 Ambetter — All Plans: $1,296.48
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy flexible w/biopsy single/multiple 45380	$1,157	$1,157	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W BX-BCE	$1,153	$1,153	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,080.40 – $1,296.48
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans Aetna — Medicare Advantage: $1,080.40 Ambetter — All Plans: $1,296.48
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy, flexible w/lesion removal via snare 45385	$1,220	$1,220	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: LESION REM W/COLON SNARE-BCE	$1,280	$1,280	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,080.40 – $1,296.48
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans Aetna — Medicare Advantage: $1,080.40 Ambetter — All Plans: $1,296.48
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$839.62 – $1,007.55
Screening colonoscopy (not high risk): rates for 2 insurance plans Aetna — Medicare Advantage: $839.62 Ambetter — All Plans: $1,007.55
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colorectal cancer screening, colonoscopy, not mtg high risk criteria G0121	$903	$903	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON SCR-BCE	$806	$806	Not listed in the file
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	$5,458.27 – $6,549.92
Gallbladder removal by laparoscope: rates for 2 insurance plans Aetna — Medicare Advantage: $5,458.27 Ambetter — All Plans: $6,549.92
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparoscopic Cholecystectomy 47562	$1,854	$1,854	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,232.60 – $3,879.12
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans Aetna — Medicare Advantage: $3,232.60 Ambetter — All Plans: $3,879.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Repair initial inguinal hernia, 5+yo, reducible 49505	$1,465	$1,465	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA;5 OR OLDE	$9,070	$9,070	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$9,597.26 – $11,516.71
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans Aetna — Medicare Advantage: $9,597.26 Ambetter — All Plans: $11,516.71
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$2,922.67 – $3,507.21
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans Aetna — Medicare Advantage: $2,922.67 Ambetter — All Plans: $3,507.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$637.31 – $764.77
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans Aetna — Medicare Advantage: $637.31 Ambetter — All Plans: $764.77
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$798.56 – $958.27
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans Aetna — Medicare Advantage: $798.56 Ambetter — All Plans: $958.27
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,763.04 – $2,115.65
Carpal tunnel release: rates for 2 insurance plans Aetna — Medicare Advantage: $1,763.04 Ambetter — All Plans: $2,115.65
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,083.64 – $2,500.37
Cataract removal with lens implant: rates for 2 insurance plans Aetna — Medicare Advantage: $2,083.64 Ambetter — All Plans: $2,500.37
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: Extracapsular cataract removal w/intraocular lens; 1 stage 66984	$1,439	$1,439	Not listed in the file

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$6,511 – $90,314.81
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates Aetna — Medicare Advantage: $64,774.12 Ambetter — All Plans: $77,728.94 Bcbs Medicare Advantage — Anthem: $61,535.41 Bcbs Medicare Advantage — Bcbs C Plus: $61,535.41 Blue Cross Blue Shield — All Plans: $6,511 Blue Cross Blue Shield — Bcbs Medicare Advantage: $61,535.41 Blue Cross Blue Shield — Blue Cross Blue Shield Medicare Ad: $64,774.12 Cigna — All Plans: $90,314.81 Cigna — Cigna Healthspring Medicare Adva: $64,774.12 Cigna — Cigna Healthsprings: $64,774.12
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$10,851
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Blue Cross Blue Shield — All Plans: $10,851
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	$13,379.57 – $17,807.60
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates Aetna — Medicare Advantage: $14,083.76 Ambetter — All Plans: $16,900.51 Bcbs Medicare Advantage — Anthem: $13,379.57 Bcbs Medicare Advantage — Bcbs C Plus: $13,379.57 Blue Cross Blue Shield — Bcbs Medicare Advantage: $13,379.57 Blue Cross Blue Shield — Blue Cross Blue Shield Medicare Ad: $14,083.76 Cigna — All Plans: $17,807.60 Cigna — Cigna Healthspring Medicare Adva: $14,083.76 Cigna — Cigna Healthsprings: $14,083.76 Cigna — Healthsprings Seniors First: $14,083.76
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	$10,851 – $22,538.08
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates Aetna — Medicare Advantage: $17,390.88 Ambetter — All Plans: $20,869.06 Bcbs Medicare Advantage — Anthem: $16,521.34 Bcbs Medicare Advantage — Bcbs C Plus: $16,521.34 Blue Cross Blue Shield — All Plans: $10,851 Blue Cross Blue Shield — Bcbs Medicare Advantage: $16,521.34 Blue Cross Blue Shield — Blue Cross Blue Shield Medicare Ad: $17,390.88 Cigna — All Plans: $22,538.08 Cigna — Cigna Healthspring Medicare Adva: $17,390.88 Cigna — Cigna Healthsprings: $17,390.88
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	$6,511 – $11,570.41
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates Aetna — Medicare Advantage: $9,642.01 Ambetter — All Plans: $11,570.41 Bcbs Medicare Advantage — Anthem: $9,159.91 Bcbs Medicare Advantage — Bcbs C Plus: $9,159.91 Blue Cross Blue Shield — All Plans: $6,511 Blue Cross Blue Shield — Bcbs Medicare Advantage: $9,159.91 Blue Cross Blue Shield — Blue Cross Blue Shield Medicare Ad: $9,642.01 Cigna — All Plans: $11,454.14 Cigna — Cigna Healthspring Medicare Adva: $9,642.01 Cigna — Cigna Healthsprings: $9,642.01

Source: USA Health HCA Providence Hospital, LLC’s standard charges file (marketingassetstorage.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	6801 Airport Boulevard, Mobile, AL 36608
County	Mobile County
State	Alabama
Phone	(251) 633‑1000
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	010090
Name in Medicare records	USA HEALTH HCA PROVIDENCE HOSPITAL, LLC
Profile level	Medicare data + hospital website
Name on the hospital’s website	USA Health Providence Hospital
Official website	usahealthsystem.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Providence Hospital | USA Health — usahealthsystem.com