Springhill Memorial Hospital
Springhill Memorial Hospital in Mobile, AL publishes cash prices for 363 common procedures listed here, from its own machine-readable price file updated Apr 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Alabama median for 239 of 360 procedures and below it for 109. By typical cash price it ranks #32 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
3719 Dauphin Street, Mobile, AL 36608 Collected Sep 22, 2026 Source price file Check a bill from this hospital (251) 460-5220
Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 010144 · CMS hospital register NPI 1003814971
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Springhill Memorial Hospital in Mobile, AL:
- Oct 31, 2024 Warning notice
- Feb 12, 2025 Corrective action plan requested
- Mar 31, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 ABD W/W/O CONT | $1,345.29 | $1,582.69 | $881.00 | 2% below | 15% |
| Abdominal X-ray, 2 views CPT 74019 ABD SERIES 2-VIEW | $213.29 | $250.93 | $31.96 | 6% above | 15% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS OR > RT | $207.37 | $243.97 | $35.28 | 1% below | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ALLENS TEST DOPPLER | $349.29 | $410.93 | — | 49% above | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT SHOULDER W/O CONTRAST | $212.04 | $249.46 | $791.09 | 78% below | 15% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW - ESOPH | $355.68 | $418.45 | $89.62 | 29% above | 15% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY | $1,517.41 | $1,785.19 | $299.18 | 38% above | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMP RT | $213.29 | $250.93 | $85.89 | 17% below | 15% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LTD LT | $173.71 | $204.36 | $65.56 | 32% below | 15% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD AND PELVIS | $1,378.91 | $1,622.25 | $1,037.69 | 46% below | 15% |
| CT angiography (CTA) of the head CPT 70496 ANGIO CIRCLE OF WILLIS | $1,329.49 | $1,564.11 | $881.02 | 14% below | 15% |
| CT angiography (CTA) of the neck CPT 70498 CAROTID ANGIOGRAM | $1,149.61 | $1,352.48 | $881.02 | 17% below | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST ANGIO W CONTRAST | $1,126.40 | $1,325.18 | $881.02 | 17% below | 15% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CARDIAC ANGIO W/CONT | $663.71 | $780.83 | $881.02 | 55% below | 15% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CARDIAC SCORING | $85.00 | $100.00 | $748.76 | 55% below | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONT | $2,839.52 | $3,340.61 | $791.09 | 41% above | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONT | $1,378.91 | $1,622.25 | $959.11 | 39% below | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS W/WO CONT | $3,067.83 | $3,609.21 | $998.38 | 19% above | 15% |
| CT scan of the abdomen with contrast CPT 74160 ABD W/ CONT | $1,902.92 | $2,238.73 | $880.98 | 38% above | 15% |
| CT scan of the abdomen without contrast CPT 74150 ABDOMEN | $1,509.96 | $1,776.42 | $762.73 | 36% above | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL WO CONTREST | $1,416.71 | $1,666.72 | $771.45 | 22% above | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONT | $1,329.54 | $1,564.17 | $741.78 | 22% above | 15% |
| CT scan of the head with contrast CPT 70460 HEAD W/ CONT | $1,352.38 | $1,591.04 | $782.36 | 19% above | 15% |
| CT scan of the head without and with contrast CPT 70470 HEAD W/W/WO CONT | $1,672.85 | $1,968.06 | $808.55 | at median | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO/ CONTRAST | $223.58 | $263.03 | $764.47 | 82% below | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 C SPINE W/O CONT | $1,298.55 | $1,527.71 | $765.35 | 1% below | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W/ CONT | $1,558.23 | $1,833.21 | $880.98 | 19% above | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX SCAN | $677.97 | $797.61 | — | 58% above | 15% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W WO CONTRAST | $349.39 | $411.05 | $842.16 | 78% below | 15% |
| Chest X-ray, 2 views CPT 71046 CHEST PA OR AP AND LAT | $207.37 | $243.97 | $28.64 | 9% above | 15% |
| Chest X-ray, single view one side CPT 71045 XR CHEST LATERAL DECUB UNILAT | $118.11 | $138.95 | $21.17 | 17% below | 15% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICAL RT | $207.37 | $243.97 | $29.89 | 30% above | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMP RENAL AND BLADDER URINARY PATHOLOGY | $212.04 | $249.46 | $92.53 | 46% below | 15% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENS AP UNI HIP | $365.87 | $430.43 | $34.03 | 30% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RES W/O CON | $1,298.55 | $1,527.71 | $764.04 | 11% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX W/CONT AORTA PROTO | $1,431.94 | $1,684.63 | $805.49 | 4% above | 15% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT W CAD | $528.16 | $621.37 | $138.58 | — | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG UILAT RT W CAD | $439.76 | $517.37 | $108.71 | 110% above | 15% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX SCAN | $677.97 | $797.61 | — | 132% above | 15% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX SCAN | $677.97 | $797.61 | — | 9% above | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W/COLOR FLOW&DOPPLER | $1,802.30 | $2,120.35 | — | 71% above | 15% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW TWO VIEWS LT | $207.37 | $243.97 | $26.15 | 41% above | 15% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW THREE VIEWS OR > RT | $207.37 | $243.97 | $29.89 | 28% above | 15% |
| Eye socket (orbit) CT scan without contrast CPT 70480 ORBIT W/O CONT | $1,418.12 | $1,668.38 | $786.73 | 40% above | 15% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL/NOSE/ZYGOMATIC | $245.31 | $288.60 | $43.58 | at median | 15% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT | $207.37 | $243.97 | $26.57 | 29% above | 15% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM PIPIDA HEPATOBILIARY | $670.13 | $788.39 | $339.43 | 31% below | 15% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND RT 2 VIEWS ONLY | $213.29 | $250.93 | $28.64 | 45% above | 15% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALSIS HEEL RT | $207.37 | $243.97 | $26.15 | 41% above | 15% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 NOCT. POLYSOM W/CPAP | $4,640.71 | $5,459.66 | — | 65% above | 15% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT | $207.37 | $243.97 | $39.43 | 17% above | 15% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE SERIES 4 VIEW RT | $224.50 | $264.12 | $43.99 | at median | 15% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 EXT LOWER W/O CONT | $212.04 | $249.46 | $764.47 | 76% below | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ER GALLBLADDER | $366.17 | $430.79 | $74.69 | 1% above | 15% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY LIMITED JOINT OR SOFT TISSUE | $213.29 | $250.93 | $41.09 | 7% above | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $214.40 | $252.24 | $770.15 | 1% below | 15% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG/TIBIA RT | $207.37 | $243.97 | $29.47 | 5% above | 15% |
| MR angiography (MRA) of the head without contrast CPT 70544 MR MRV HEAD VENOUS W/O CO | $1,291.69 | $1,519.63 | $952.92 | 18% below | 15% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE W/O CONT LT | $1,473.11 | $1,733.07 | $922.56 | 10% below | 15% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE W/W/O CONT RT | $1,585.35 | $1,865.12 | $1,150.54 | 23% below | 15% |
| MRI of the abdomen without contrast CPT 74181 ABD W/O CONT | $1,473.11 | $1,733.07 | $908.06 | 6% above | 15% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 ABD W/W/O CONT | $1,875.66 | $2,206.66 | $1,073.00 | 8% below | 15% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN W/O CONT | $1,473.11 | $1,733.07 | $905.74 | 14% below | 15% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN W/W/O CONT | $1,875.66 | $2,206.66 | $1,034.23 | 19% below | 15% |
| MRI of the lower back, no contrast dye CPT 72148 LUMBAR W/O CONT | $1,819.83 | $2,140.98 | $899.20 | 14% above | 15% |
| MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR W/W/O CONT | $2,090.27 | $2,459.14 | $1,035.60 | 14% below | 15% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC W/O CONT | $1,473.11 | $1,733.07 | $898.74 | 3% below | 15% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL W/W/O CONT | $2,090.27 | $2,459.14 | $1,037.00 | 6% below | 15% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL W/O CONT | $1,819.83 | $2,140.98 | $898.74 | 13% above | 15% |
| MRI of the pelvis without and with contrast CPT 72197 PELVIS W/W/O CONT | $2,090.27 | $2,459.14 | $1,071.60 | at median | 15% |
| MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O CONT | $1,473.11 | $1,733.07 | $959.46 | 2% below | 15% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER W/O CONT LT | $1,473.11 | $1,733.07 | $923.03 | at median | 15% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE | $300.40 | $353.41 | $49.80 | 6% above | 15% |
| Neck soft tissue CT scan with contrast CPT 70491 NECK/SOFT TISS W/CONT | $1,541.66 | $1,813.72 | $816.84 | 22% above | 15% |
| Neck soft tissue CT scan without contrast CPT 70490 NECK/SFT TISS W/O CONT | $1,312.99 | $1,544.69 | $775.38 | 35% above | 15% |
| Neck soft tissue X-ray CPT 70360 XR SFT TISS NECK 1-2V | $207.37 | $243.97 | $28.23 | 27% above | 15% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 THALLUIM IMAGING | $2,330.62 | $2,741.90 | $463.52 | 12% above | 15% |
| Pelvic CT scan without contrast CPT 72192 PELVIS W/O CONT | $1,329.54 | $1,564.17 | $764.04 | 23% above | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US ER PELVIS LTD NON OB | $304.95 | $358.76 | $30.30 | 55% above | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON-OB | $634.05 | $745.94 | $91.70 | 45% above | 15% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FETAL AGE/ OB PELVIS | $366.17 | $430.79 | $109.95 | 4% below | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 FETAL AGE/OB<14WKS SINGLE | $277.13 | $326.03 | $88.38 | 8% below | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US ER FETAL LTD | $235.63 | $277.21 | $63.07 | 4% below | 15% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT | $111.92 | $131.67 | $32.37 | 46% below | 15% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CHEST PA W/RIBS RIGHT | $179.15 | $210.77 | $36.52 | 22% below | 15% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT | $207.37 | $243.97 | $31.54 | 3% above | 15% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS | $340.92 | $401.08 | $34.03 | 59% above | 15% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS | $256.26 | $301.48 | $33.62 | 40% above | 15% |
| Sleep study in a lab (polysomnography) CPT 95810 NOCT. POLYSOMN W/O CPAP | $4,776.38 | $5,619.27 | — | 83% above | 15% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MODIFIED | $355.68 | $418.45 | $130.28 | 1% above | 15% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RT MIN 2V | $118.11 | $138.95 | $32.79 | 37% below | 15% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 T SPINE W/O CONT | $1,237.76 | $1,456.19 | $764.91 | 5% above | 15% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE 1ST RT | $207.37 | $243.97 | $28.23 | 50% above | 15% |
| Transvaginal pelvic ultrasound CPT 76830 US ER TRANSVAGINAL NON-OB | $634.05 | $745.94 | $109.12 | 88% above | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 US ER TRANSVAGINAL OB | $366.17 | $430.79 | $71.37 | 31% above | 15% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN | $501.36 | $589.84 | $99.17 | 5% above | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM | $487.69 | $573.75 | $88.38 | 32% above | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK | $634.05 | $745.94 | $106.22 | 94% above | 15% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI W SMALL BOWEL | $380.19 | $447.28 | $109.54 | 7% above | 15% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT | $207.37 | $243.97 | $29.89 | 14% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX LIMITED | $444.35 | $522.77 | — | 45% above | 15% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST TWO VIEWS LT | $207.37 | $243.97 | $31.96 | 60% above | 15% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT | $207.37 | $243.97 | $40.26 | 3% above | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT INCLUDES PELVIS 2 3 V | $118.11 | $138.95 | $44.82 | 35% below | 15% |
| X-ray of the abdomen, 1 view CPT 74018 ABD/KUB | $180.31 | $212.13 | $26.57 | 24% above | 15% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP & LAT ONLY LT | $173.21 | $203.78 | $30.30 | 25% above | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER THUMB LT | $173.21 | $203.78 | $38.18 | 19% above | 15% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT | $207.37 | $243.97 | $32.79 | 15% above | 15% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RT | $207.37 | $243.97 | $34.86 | 3% above | 15% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS LT | $180.31 | $212.13 | $32.37 | 23% above | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE AP & LAT | $349.98 | $411.74 | $36.11 | 74% above | 15% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBO SACRAL SPINE | $348.44 | $409.93 | $48.14 | 21% above | 15% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE DORSAL THORACIC 2 VIEWS | $212.04 | $249.46 | $28.64 | 8% above | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $207.37 | $243.97 | $36.94 | 19% above | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CSPINE FLEX AND EXT ONLY | $254.13 | $298.98 | $35.69 | 27% above | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP | $107.31 | $126.25 | $24.08 | 34% below | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX | $207.37 | $243.97 | $29.89 | 2% above | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 REF A C T H | $257.28 | $302.68 | $31.57 | 92% above | 15% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 CH SGPT | $21.85 | $25.70 | $4.33 | 20% below | 15% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 CH SGOT | $21.31 | $25.07 | $4.23 | 37% below | 15% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 REF ACUTE HEPATITIS PANEL | $311.79 | $366.81 | $38.93 | 41% above | 15% |
| Albumin blood test CPT 82040 CH ALBUMIN | $45.09 | $53.05 | $4.04 | 73% above | 15% |
| Aldosterone blood test CPT 82088 REF ALDOSTERONE SERUM | $306.78 | $360.92 | $33.31 | 135% above | 15% |
| Alkaline phosphatase (ALP) blood test CPT 84075 CH ALK PHOSPHATASE | $21.34 | $25.11 | $4.23 | 18% below | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF RAST X 1 | $20.25 | $23.82 | $4.27 | 33% above | 15% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 REF ALPHA FETOPROTEIN | $73.13 | $86.04 | $13.71 | at median | 15% |
| Ammonia blood test CPT 82140 CH AMMONIA BLOOD | $90.07 | $105.97 | $11.91 | 20% above | 15% |
| Amylase blood test CPT 82150 CH AMYLASE URINE | $61.91 | $72.83 | $5.30 | 41% above | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 REF CYCLIC CITRULLINE PEP | $49.91 | $58.72 | $10.58 | 5% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 REF ANTI NUCLEAR ANTIBODI | $41.55 | $48.88 | $9.88 | 3% below | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CH B NATRIURETIC PEPTID | $115.28 | $135.62 | $27.74 | 11% above | 15% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO CULT CATHETER TIP | $106.28 | $125.03 | $7.04 | 103% above | 15% |
| Basic metabolic panel (blood test) CPT 80048 CH BASIC METABOLIC PANEL | $44.63 | $52.50 | $6.91 | 25% below | 15% |
| Bilirubin blood test, total CPT 82247 CH TOTAL BILIRUBIN | $24.35 | $28.65 | $4.10 | at median | 15% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH L 4 GR/MC DX 2 | $152.32 | $179.20 | $28.65–$45.87 | 9% below | 15% |
| Blood culture for bacteria CPT 87040 MICRO CULT BLOOD | $106.28 | $125.03 | $8.44 | 30% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COL VENIPUNCTURE | $15.45 | $18.18 | $1.80 | 115% above | 15% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE WHOLE BLOOD | $28.08 | $33.03 | $3.21 | 8% above | 15% |
| Blood lead test CPT 83655 REF LEAD | $45.87 | $53.96 | $9.89 | 11% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CH HCG QUALITATIVE | $44.25 | $52.06 | $6.14 | 6% below | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD GROUP ABO | $201.87 | $237.49 | $2.44 | 209% above | 15% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN WHOLE BLOOD | $28.08 | $33.03 | $3.23 | at median | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 SERO C REACTIVE PROTEIN | $116.03 | $136.51 | $4.23 | 164% above | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 SERO C DIFF BY AMP PROBE | $133.88 | $157.50 | $28.68 | 37% above | 15% |
| CA 19-9 blood test (tumor marker) CPT 86301 REF CA 19-9 | $129.63 | $152.50 | $17.01 | 26% above | 15% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA-125 | $121.51 | $142.95 | $17.01 | 42% above | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 REF SARS COV2 PCR | $127.19 | $149.63 | $30.79 | 117% above | 15% |
| Calcium blood test, total CPT 82310 CH CALCIUM | $24.35 | $28.65 | $4.22 | 11% below | 15% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CH CEA | $130.84 | $153.93 | $15.50 | 66% above | 15% |
| Chickenpox (varicella) immunity blood test CPT 86787 REF VARICELLA ZOSTER AB | $78.68 | $92.57 | $10.53 | 32% above | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF CHLAMYDIA DNA PCR | $145.25 | $170.88 | $28.68 | 123% above | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CH CORONARY RISK PROF | $77.19 | $90.81 | $10.94 | 48% above | 15% |
| Complete blood count (CBC) with differential CPT 85025 HEMA CBC AUTO AND DIFF | $32.06 | $37.72 | $6.35 | 13% below | 15% |
| Complete blood count (CBC), no differential CPT 85027 HEMA CBC AUTOMATED | $27.14 | $31.93 | $5.29 | 20% below | 15% |
| Comprehensive metabolic panel (blood test) CPT 80053 CH COMPREHENSIVE PANEL | $89.25 | $105.00 | $8.63 | 17% above | 15% |
| Cortisol blood test, total CPT 82533 CH CORTISOL | $115.28 | $135.62 | $13.33 | 75% above | 15% |
| Creatine kinase (CK) blood test, total CPT 82550 CH CPK | $26.87 | $31.61 | $5.32 | 17% below | 15% |
| Creatinine blood test CPT 82565 CREATININE WHOLE BLOOD | $28.08 | $33.03 | $4.19 | 3% below | 15% |
| Cytomegalovirus (CMV) antibody test CPT 86644 REF CMV TITER | $144.02 | $169.43 | $11.77 | 112% above | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 COAG D-DIMER LIATEST | $157.21 | $184.95 | $8.32 | 158% above | 15% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 REF DHEA | $123.85 | $145.70 | $18.17 | 41% above | 15% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH DRUG SCREEN URINE | $178.08 | $209.51 | $47.89 | 122% above | 15% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 CH ELECTROLYTES | $61.76 | $72.66 | $5.73 | 26% above | 15% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 REF EBV VIRAL CAPSID | $230.56 | $271.25 | $14.83 | 348% above | 15% |
| Estradiol blood test CPT 82670 CH ESTRADIOL | $91.04 | $107.10 | $22.84 | 9% below | 15% |
| FSH (follicle-stimulating hormone) test CPT 83001 CH FOLLICLE STIM HORMONE | $100.22 | $117.90 | $15.19 | 16% above | 15% |
| Fecal calprotectin (stool inflammation test) CPT 83993 REF CALPROTECTIN FECAL | $239.64 | $281.93 | $16.04 | 23% above | 15% |
| Ferritin blood test (iron stores) CPT 82728 CH FERRITIN | $56.18 | $66.09 | $11.14 | at median | 15% |
| Fibrinogen blood test CPT 85384 COAG FIBRINOGEN QUANT | $123.92 | $145.79 | $6.94 | 169% above | 15% |
| Folate (folic acid) blood test CPT 82746 CH FOLATE | $56.64 | $66.63 | $12.02 | 8% below | 15% |
| Free T3 thyroid hormone test CPT 84481 REF FREE T3 | $211.75 | $249.12 | $13.84 | 208% above | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 CH FREE T4 | $61.91 | $72.83 | $7.37 | 2% above | 15% |
| Free testosterone test CPT 84402 REF TESTOSTERONE FREE | $91.89 | $108.10 | $20.81 | 24% above | 15% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 CH GGTP | $24.35 | $28.65 | $5.89 | 26% below | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CH GLUC POST DOSE | $24.35 | $28.65 | $3.88 | 40% below | 15% |
| Glucose tolerance test, 3 samples CPT 82951 CH GLUC 3 SPECIMEN GTT | $55.70 | $65.53 | $10.52 | 9% below | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF GC DNA PCR | $145.25 | $170.88 | $28.68 | 108% above | 15% |
| H. pylori antibody blood test CPT 86677 SERO H PYLORI SERUM AB | $112.53 | $132.39 | $11.86 | 179% above | 15% |
| H. pylori stool antigen test CPT 87338 REF H PHYLORI FECES AG | $70.69 | $83.16 | $11.75 | 3% above | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF HIV RNA BY PCR | $594.29 | $699.16 | $69.55 | 157% above | 15% |
| HIV-1 and HIV-2 antibody test CPT 86703 REF HIV 1 AND 2 SINGLE | $133.20 | $156.71 | $11.20 | 346% above | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 REF HIV COMBO ANTIGEN ANTIBODY BY CIA REFLEX PANEL | $66.34 | $78.05 | $19.68 | 10% above | 15% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK TYPES | $87.00 | $102.35 | $28.68 | 76% above | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CH GLYCOSYLATED HGB A1C | $99.77 | $117.38 | $7.93 | 233% above | 15% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $36.69 | $43.17 | $1.94 | 110% above | 15% |
| Hepatitis B core antibody test (total) CPT 86704 REF HEP B CORE IGG/IGM | $40.65 | $47.82 | $9.85 | 32% below | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 REF HEP B SURFACE AB QUAN | $32.94 | $38.75 | $8.78 | 37% below | 15% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 REF HBSAG | $42.59 | $50.11 | $8.44 | 14% above | 15% |
| Hepatitis C antibody blood test (screening) CPT 86803 REF HEPATITIS C QUANT | $117.99 | $138.81 | $11.66 | 64% above | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPATITIS C QUANT | $107.10 | $126.00 | $35.01 | 45% below | 15% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLX TYPE I | $57.65 | $67.82 | $10.78 | 2% below | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 REF HSV-2 IGG INHIBITION BY ELISA | $267.75 | $315.00 | $15.82 | 325% above | 15% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 REF CRP HIGHLY SENSITIVE | $53.40 | $62.82 | $10.58 | at median | 15% |
| Homocysteine blood test CPT 83090 REF HOMOCYST 24 HR URINE | $122.43 | $144.04 | $13.79 | 5% below | 15% |
| Insulin blood test CPT 83525 REF INSULIN/SPECIMEN | $33.56 | $39.48 | $9.34 | 52% below | 15% |
| Iron blood test (serum iron) CPT 83540 REF IRON IN LIVER TISSUE | $260.75 | $306.76 | $5.29 | 817% above | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 CH IRON BINDING CAPACITY | $55.55 | $65.35 | $7.15 | 32% above | 15% |
| Kidney function blood test panel CPT 80069 CH RENAL FUNCTION PANEL | $138.88 | $163.39 | $7.10 | 81% above | 15% |
| LH (luteinizing hormone) test CPT 83002 REF LEUTINIZING HORMONE | $146.57 | $172.43 | $15.13 | 56% above | 15% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE WHOLE BLOOD | $32.43 | $38.15 | $8.73 | 45% below | 15% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CH LDH PLEURAL/ASCITI | $75.48 | $88.80 | $4.93 | 201% above | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 CH LIPASE | $40.79 | $47.99 | $5.63 | 18% below | 15% |
| Liver function blood test panel CPT 80076 CH LIVER FUNCTION PL | $92.57 | $108.91 | $6.68 | 16% above | 15% |
| Lyme disease antibody test CPT 86618 REF BORRELIA SEROLOGY | $158.08 | $185.98 | $13.92 | 115% above | 15% |
| Magnesium blood test CPT 83735 REF MAGNESEIUM RBC | $24.79 | $29.17 | $5.47 | 10% above | 15% |
| Measles (rubeola) antibody test CPT 86765 REF ANTIBODY RUBEOLA | $87.97 | $103.49 | $10.53 | 100% above | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 REF HETEROPHILE ABS | $90.98 | $107.04 | $4.23 | 86% above | 15% |
| Mumps immunity blood test CPT 86735 REF MUMPS ANTIBODY | $87.97 | $103.49 | $10.66 | 100% above | 15% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $198.84 | $233.93 | $39.07 | 7% above | 15% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 REF PSA - FREE | $92.08 | $108.33 | $15.04 | 34% above | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CH PSA TOTAL | $92.38 | $108.68 | $15.04 | 13% above | 15% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PATH CYTOPATH GYN AUTO AT | $91.94 | $108.16 | $21.65 | 158% above | 15% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PATH CYTOPATH GYN | $61.58 | $72.45 | $16.56 | 50% above | 15% |
| Parathyroid hormone (PTH) blood test CPT 83970 REF PTH INTACT | $125.47 | $147.61 | $33.74 | 7% below | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAG PARTIAL THROMB PTT | $40.62 | $47.79 | $4.91 | 4% below | 15% |
| Phosphorus (phosphate) blood test CPT 84100 CH PHOSPHORUS SERUM | $24.35 | $28.65 | $3.88 | at median | 15% |
| Potassium blood test CPT 84132 CH POTASSIUM | $24.35 | $28.65 | $3.76 | 12% below | 15% |
| Progesterone blood test CPT 84144 REF 1 PROGESTERONE | $67.97 | $79.96 | $17.05 | 31% below | 15% |
| Prolactin blood test CPT 84146 REF PROLACTIN | $164.26 | $193.25 | $15.84 | 59% above | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR | $60.93 | $71.68 | $3.22 | 155% above | 15% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 MICRO STREP A RAPID TEST | $44.03 | $51.80 | $9.80 | 2% above | 15% |
| Renin blood test CPT 84244 REF RENIN ACTIVITY | $144.02 | $169.43 | $17.98 | 63% above | 15% |
| Rh blood typing CPT 86901 BB BLOOD RH | $60.89 | $71.64 | $2.44 | 146% above | 15% |
| Rheumatoid factor (RF) test CPT 86431 REF RHEUMATOID FACT QUANT | $20.49 | $24.10 | $4.64 | 54% below | 15% |
| Rubella antibody test (immunity check) CPT 86762 CH RUBELLA | $50.86 | $59.83 | $11.77 | 34% above | 15% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HEMA SEDIMENTATION AUTOMATED | $6.70 | $7.88 | $2.21 | 72% below | 15% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HEMA SEMEN ANALYSIS | $68.10 | $80.12 | $9.85 | 22% below | 15% |
| Sodium blood test CPT 84295 SODIUM WHOLE BLOOD | $36.69 | $43.17 | $3.94 | 55% above | 15% |
| Stool ova and parasites exam CPT 87177 MICRO OVA CYSTS PARASITE | $55.05 | $64.76 | $7.27 | 22% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 MICRO OCCULT BLD CONSEC | $12.39 | $14.58 | $2.66 | 18% below | 15% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 REF TEST FOR BLOOD FECAL BY IMMUNOASSAY | $51.41 | $60.48 | $13.00 | 7% below | 15% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 REF FTA/ABS | $93.12 | $109.55 | $10.82 | 145% above | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 REF VDRL CSF | $43.85 | $51.59 | $3.49 | 69% above | 15% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF QUANTIFERON TB GOLD | $195.88 | $230.45 | $50.66 | 71% above | 15% |
| Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE | $93.19 | $109.64 | $21.10 | 31% above | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 REF ANTI THYROID ANTI | $124.88 | $146.92 | $11.89 | 184% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CH TSH | $97.21 | $114.36 | $13.73 | 73% above | 15% |
| Total IgE blood test CPT 82785 REF IGE | $47.85 | $56.29 | $13.46 | 3% below | 15% |
| Total cholesterol blood test CPT 82465 CH CHOLESTEROL | $24.35 | $28.65 | $3.55 | 21% below | 15% |
| Total thyroxine (T4) blood test CPT 84436 CH T4 | $49.41 | $58.13 | $5.61 | 2% above | 15% |
| Total triiodothyronine (T3) blood test CPT 84480 REF T3 TOTAL BY RIA | $64.85 | $76.29 | $11.59 | 35% above | 15% |
| Transferrin blood test CPT 84466 REF TRANSFERRIN | $52.67 | $61.96 | $10.43 | 4% below | 15% |
| Trichomonas test (NAAT) CPT 87661 REF TRICHOMONAS VAGINALIS AMPLIF | $130.84 | $153.93 | $28.68 | 87% above | 15% |
| Triglycerides blood test CPT 84478 CH TRIGLYCERIDE | $18.74 | $22.05 | $4.70 | 40% below | 15% |
| Troponin test, quantitative CPT 84484 CH TROPONIN | $150.40 | $176.94 | $8.04 | 115% above | 15% |
| Uric acid blood test CPT 84550 CH URIC ACID | $24.35 | $28.65 | $3.70 | 18% below | 15% |
| Urinalysis with microscope exam, automated CPT 81001 HEMA URINALYSIS | $37.19 | $43.75 | $2.59 | 20% above | 15% |
| Urinalysis with microscope exam, manual CPT 81000 DIPSTICK | $39.56 | $46.54 | $2.59 | 65% above | 15% |
| Urinalysis without microscope exam, automated CPT 81003 HEMA URINALYSIS NO MICROS | $30.81 | $36.25 | $1.84 | 41% above | 15% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP | $41.21 | $48.48 | $2.09 | 250% above | 15% |
| Urine microalbumin (albumin) test CPT 82043 CH MICRO ALBUMIN URINE | $61.76 | $72.66 | $4.72 | 51% above | 15% |
| Urine pregnancy test, read by color change CPT 81025 UCG | $88.15 | $103.71 | $5.17 | 130% above | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CH B12 | $56.64 | $66.63 | $12.32 | 6% above | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CH VITAMIN D 25 HYDROXY | $94.61 | $111.30 | $24.20 | at median | 15% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 REF VITAMIN D 1 25 DIHYDROXY | $123.03 | $144.74 | $31.46 | 9% below | 15% |
| Zinc blood test CPT 84630 REF ZINC RBC | $80.33 | $94.50 | $9.31 | 74% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CH HCG - QUANTITATIVE | $41.86 | $49.25 | $12.31 | 27% below | 15% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 CERVICAL DISKECTOMY | $20,310.94 | $23,895.22 | — | 22% above | 15% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST BIOPSY WITH SCOUT | $2,811.91 | $3,308.13 | — | 30% above | 15% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC/CORONARIES | $12,978.45 | $15,268.77 | $4,654.00 | 103% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,012.72 | $1,191.44 | — | 30% above | 15% |
| Catheter ablation for atrial fibrillation CPT 93656 COMP EP TRANSEP & PVI | $21,654.17 | $25,475.49 | — | 14% below | 15% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 DORSAL SLIT CIRCUMCISION | $3,578.33 | $4,209.80 | — | 65% above | 15% |
| Colonoscopy with endoscopic ultrasound CPT 45391 EUS/COLON | $1,857.45 | $2,185.24 | — | at median | 15% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY POLYPECTOMY | $2,723.95 | $3,204.65 | — | 16% above | 15% |
| Colonoscopy with tissue sample CPT 45380 COLON W/BIOPSY | $2,723.95 | $3,204.65 | — | 24% above | 15% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC | $2,061.03 | $2,424.74 | — | 2% above | 15% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY | $5,548.63 | $6,527.80 | $4,765.00 | 35% above | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 URETHROSCOPY | $1,052.73 | $1,238.51 | — | 35% below | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED CERUMEN | $106.61 | $125.42 | — | 7% above | 15% |
| Earwax removal with instruments, one ear both sides CPT 69210 BILATERAL EAR CLEANING | $107.62 | $126.61 | — | — | 15% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SP FACET BLOCK 1ST LEVEL | $1,449.96 | $1,705.83 | — | 35% above | 15% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HERNIA REPAIR ABDOMINAL 3-10CM | $12,776.34 | $15,030.99 | — | 3% below | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCOPY | $2,061.03 | $2,424.74 | — | 79% above | 15% |
| Gallbladder removal, laparoscopic CPT 47562 CHOLYCYSTECTOMY LAPAROSCOPIC WITH SINGLE SITE | $8,712.63 | $10,250.15 | $4,765.00 | at median | 15% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 ROBOTIC LAPAROSCOPIC CHOLECYSTECTOMY W IOC | $8,712.63 | $10,250.15 | $4,765.00 | 20% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D | $430.68 | $506.68 | — | 54% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 US ASP/INJ MAJOR JNT BUR | $469.17 | $551.96 | — | 22% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP AND OR INJ INTER JT B | $469.17 | $551.96 | — | 40% above | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHOCENTESIS SMALL | $511.07 | $601.26 | — | 33% above | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 ROBOTIC APPENDECTOMY | $8,661.22 | $10,189.67 | — | 42% below | 15% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 ROBOTIC HIATAL HERNIA REPAIR WITH TOUPE | $17,430.57 | $20,506.55 | — | 9% above | 15% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 ROBOTIC HYSTERECTOMY W WO S&O | $14,676.27 | $17,266.20 | — | 2% below | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPIC S & O SINGLE | $8,712.63 | $10,250.15 | — | 26% below | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTER WOUNDS SCALP TRUNK 2.5 CM OR LESS | $425.54 | $500.63 | — | 10% above | 15% |
| Left heart catheterization, diagnostic CPT 93452 LV CATH LVG SI | $8,482.66 | $9,979.60 | $4,654.00 | 81% above | 15% |
| Lower-back epidural injection, with imaging guidance CPT 62323 SP Injection, lumbar, for cisternogram, with fluor | $1,228.28 | $1,445.03 | — | 9% below | 15% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 ROBOTIC LAMINECTOMY WITH FUSION | $11,702.10 | $13,767.18 | — | 22% below | 15% |
| Lumpectomy (partial mastectomy) CPT 19301 BREAST LUMPECTOMY SAVI SCOUT | $6,310.71 | $7,424.37 | — | 28% below | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 SCAR REVSION < 1 HR .5CM OR LESS | $1,098.29 | $1,292.11 | — | 24% above | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION LESION FACE EAR MUCOUS MEMB 0.5 CM OR LES | $1,440.66 | $1,694.89 | — | 54% above | 15% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SING | $334.51 | $393.54 | — | 49% above | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK INJECTION OCC | $422.15 | $496.65 | — | 11% below | 15% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT PPM W A+V LEADS | $8,089.62 | $9,517.20 | — | 36% below | 15% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS | $841.85 | $990.41 | — | 7% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 INGROWN/DEFORMED NAIL PERMANENT REMOVAL NAIL | $694.43 | $816.98 | — | 24% above | 15% |
| Prostate biopsy CPT 55700 ULTRASOUND PROSTATE BX | $3,298.14 | $3,880.17 | — | 19% above | 15% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 LUMBAR/SACRAL SINGLE LEV | $3,092.90 | $3,638.70 | — | 84% above | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 FB REM SUBQ SIMPLE | $389.73 | $458.50 | — | 25% below | 15% |
| Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY | $4,229.96 | $4,976.42 | — | 26% below | 15% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 ESWL LITHOTRIPTER BILATERAL | $14,579.68 | $17,152.56 | $5,615.00 | — | 15% |
| Short arm cast (elbow to hand) CPT 29075 CAST SHORT ARM CHILD | $385.36 | $453.36 | — | 52% above | 15% |
| Short leg cast (below the knee) CPT 29405 CAST SHORT LEG ADULT | $446.61 | $525.42 | — | 79% above | 15% |
| Short leg splint (calf to foot) CPT 29515 SPLINT LEG SHORT | $169.51 | $199.42 | — | at median | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP NECK 2.5CM OR LESS | $222.30 | $261.53 | — | at median | 15% |
| Skin biopsy, punch, one lesion CPT 11104 BIOPSY COLLECTION | $728.68 | $857.27 | — | 115% above | 15% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $360.79 | $424.46 | — | 22% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,390.61 | $1,636.01 | — | 106% above | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR WOUNDS SCALP NECK FACE TRUNK | $334.51 | $393.54 | — | 45% above | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE 2.5 CM OR LESS | $222.30 | $261.53 | — | at median | 15% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS S | $1,175.38 | $1,382.80 | — | 11% above | 15% |
| Total hip replacement CPT 27130 STRYKER MDM HIP PROCEDURE | $2,291.97 | $2,696.43 | — | 87% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER POINT 1/2 MUSCLE | $469.17 | $551.96 | — | 48% above | 15% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPIC SALPINGECTOMY | $9,455.88 | $11,124.57 | — | 22% above | 15% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US PERC BRST BX 1ST LESIO | $2,607.62 | $3,067.79 | — | 7% above | 15% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILITATION | $2,817.61 | $3,314.84 | — | 6% above | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $2,468.15 | $2,903.71 | — | 25% above | 15% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJECT | $2,468.15 | $2,903.71 | — | 52% below | 15% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/POLYP SNARE | $2,812.07 | $3,308.32 | — | 14% above | 15% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD DILATION OVER GUIDE | $2,468.15 | $2,903.71 | — | 4% below | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $2,350.62 | $2,765.44 | $1,443.00 | 32% above | 15% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EUS W STENT PLACEMENT | $5,354.94 | $6,299.93 | — | at median | 15% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF BENIGN LESIONS UP TO 14 | $406.84 | $478.64 | — | 18% above | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN &SUBQ TISSUE | $1,581.15 | $1,860.18 | — | 175% above | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $880.44 | $1,035.81 | — | 124% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT | $363.23 | $427.33 | — | 190% above | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEM ADM IV INFUS 1ST HR | $546.70 | $643.18 | — | 22% above | 15% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $385.30 | $453.29 | — | 39% below | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $128.48 | $151.15 | — | 16% above | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL I | $221.68 | $260.80 | — | 55% above | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT ROUTINE | $678.84 | $798.64 | — | 12% above | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRA INFUSION HYDRATION | $354.86 | $417.48 | — | 52% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 INITIAL THER INFUS 1ST HR | $347.36 | $408.66 | — | 19% above | 15% |
| IV push of a medicine, first drug CPT 96374 INITIAL THERA IV PUSH | $180.63 | $212.50 | — | 25% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ THER/ANTIB/DIAG INJ | $63.31 | $74.48 | — | 3% below | 15% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION 7-8 | $1,103.13 | $1,297.80 | — | 1% below | 15% |
| New patient office visit, about 30 minutes CPT 99203 NP-NEW OUTPAT CASE PER DAY 30 MIN | $163.98 | $192.92 | — | 15% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 NP-NEW OUTPAT CASE PER DAY 45 MIN | $280.52 | $330.02 | — | 10% above | 15% |
| New patient office visit, about 60 minutes CPT 99205 NP-NEW OUTPAT CASE PER DAY 60 MIN | $366.42 | $431.08 | — | 5% above | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NP-NEW OUTPAT CASE PER DAY 20 MIN | $109.36 | $128.66 | — | 15% below | 15% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL INTERV INDIV | $67.97 | $79.96 | — | 31% above | 15% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HIGH COMPLEXITY PT EVALUATION | $549.24 | $646.16 | — | 174% above | 15% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 LOW COMPLEXITY PT EVALUATION | $150.48 | $177.03 | — | 14% below | 15% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 MODERATE COMPLEXITY PT EVALUATION | $225.61 | $265.42 | — | 5% above | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSA 3 TO 10MIN | $45.56 | $53.60 | — | 26% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 NP-EST OUTPAT CASE PER DAY 40 MIN | $242.17 | $284.90 | — | 12% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 NP-EST OUTPAT CASE PER DAY 15 MIN | $111.30 | $130.94 | — | 24% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NP-EST OUTPAT CASE PER DAY 25 MIN | $171.43 | $201.68 | — | 11% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NP-EST OUTPAT CASE PER DAY 10 MIN | $55.83 | $65.68 | — | 42% below | 15% |
| Spirometry (breathing test) CPT 94010 PFT-SPIROMETRY | $257.74 | $303.22 | — | 49% above | 15% |
| Spirometry before and after a bronchodilator CPT 94060 PFT-SPIROMETRY BRONC | $478.32 | $562.73 | — | 52% above | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB PHLEBOTOMY THERAPY | $201.87 | $237.49 | — | 82% above | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACCINE MODERNA 2023 2024 | $383.35 | $451.00 | $154.68 | 199% above | 15% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS INJ 0.5ML | $52.14 | $61.34 | $13.76 | 3% below | 15% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vacc (Recombivax) - Pediatric 5 mcg | $92.70 | $109.06 | $32.62 | 23% above | 15% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B (HIB)VAC | $49.00 | $57.65 | — | 23% above | 15% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUB VACCINE | $232.85 | $273.94 | — | 46% above | 15% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE | $807.24 | $949.69 | $315.92 | 1% below | 15% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACC H INJ | $909.37 | $1,069.85 | $358.80 | 35% above | 15% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA INJ | $107.79 | $126.81 | — | 94% above | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINATION | $128.26 | $150.89 | — | 3% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE DRUG | $78.89 | $92.81 | — | 32% above | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADD'L | $54.22 | $63.79 | — | 9% above | 15% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.