Emergency Department Visit with High Level of Medical Decision Making Cost in Alabama

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 49 Alabama hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $649 📉 Low $27.22 📈 High $5,205 🏥 49 hospitals 🏛️ 43 with insurance contracts 🇺🇸 Medicare $162

Hospital comparison — Alabama

Sorted by cash price (lowest first). Showing top 49 of 49 hospitals.

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HospitalCashAetnaHumanaUHCBCBSCignaCenteneDevotedMedicare
RED BAY HOSPITAL
RED BAY
$27.22 $7.08$6.81$8.65$27.22$6.81$27.22$27.49$27.22
WASHINGTON COUNTY HOSPITAL
CHATOM
$54.17 $1,172$1,406$891—————
NORTH MISSISSIPPI MEDICAL CENTER HAMILTON
HAMILTON
$94.80 $534———$998———
COOSA VALLEY MEDICAL CENTER
SYLACAUGA
$105 $201$437$595$437——$613—
ATHENS LIMESTONE HOSPITAL
ATHENS
$108 $86.40—$108$108$27.00$108$108—
MONROE COUNTY HOSPITAL
MONROEVILLE
$126 —$539$539$539$126——$158
RUSSELLVILLE HOSPITAL
RUSSELLVILLE
$174 ————————
TROY REGIONAL MEDICAL CENTER
TROY
$200 ————————
EVERGREEN MEDICAL CENTER
EVERGREEN
$202 —$310—————$539
GROVE HILL MEMORIAL HOSPITAL
GROVE HILL
$215 $550$350$250—$268———
LAKELAND COMMUNITY HOSPITAL
HALEYVILLE
$235 ————————
OCHSNER CHOCTAW GENERAL
BUTLER
$258 $170$133$160$172$160$160—$160
CRENSHAW COMMUNITY HOSPITAL
LUVERNE
$307 —$150—————$150
LAKE MARTIN COMMUNITY HOSPITAL
DADEVILLE
$319 —$350——————
JACKSON HOSPITAL
MONTGOMERY
$396 $30.00$60.00$50.00—$45.00———
MARSHALL MEDICAL CENTER SOUTH
BOAZ
$412 $322—$412$513$412$412$529—
MARSHALL MEDICAL CENTER NORTH
GUNTERSVILLE
$412 $322—$412$513$412$412$529—
TANNER MEDICAL CENTER - EAST ALABAMA
WEDOWEE
$430 $33.00—$300$33.00$33.00———
JACKSON MEDICAL CENTER
JACKSON
$466 ————————
MIZELL MEMORIAL HOSPITAL
OPP
$471 $158$503$158$158———$535
USA HEALTH PROVIDENCE HOSPITAL
MOBILE
$501 $538————$645——
USA HEALTH CHILDREN'S AND WOMEN'S HOSPITAL
MOBILE
$501 $171$171$171$168$625$171$171—
USA HEALTH UNIVERSITY HOSPITAL
MOBILE
$501 $171$171$171$168$171$171$171—
RIVERVIEW REGIONAL MEDICAL CENTER
GADSDEN
$531 —$505$532$532$532—$542$532
EAST ALABAMA MEDICAL CENTER
OPELIKA
$618 $160$160—$160$160———
CLAY COUNTY HOSPITAL
ASHLAND
$649 ————————
ELMORE COMMUNITY HOSPITAL
WETUMPKA
$658 —$100$100$750————
D. W. MCMILLAN MEMORIAL HOSPITAL
BREWTON
$689 $526$526$526$526————
ATMORE COMMUNITY HOSPITAL
ATMORE
$689 $526$526$526$526————
CULLMAN REGIONAL MEDICAL CENTER
CULLMAN
$738 ————————
SOUTHEAST HEALTH MEDICAL CENTER
DOTHAN
$773 $82.00$475$255$571$65.00$571——
CHILDREN'S OF ALABAMA BENJAMIN RUSSELL HOSPITAL
BIRMINGHAM
$789 ————————
CHILDREN'S OF ALABAMA CHILDREN'S SOUTH HOSPITAL
BIRMINGHAM
$789 ————————
HELEN KELLER HOSPITAL
SHEFFIELD
$814 $109$107$110$107$108$118$110$107
DALE MEDICAL CENTER
OZARK
$821 $503$503$503—————
BIBB MEDICAL CENTER
CENTREVILLE
$850 ————————
SPRINGHILL MEDICAL CENTER
MOBILE
$891 $100—$100$97.00—$100$100—
HUNTSVILLE HOSPITAL
MADISON
$1,479 $116$116$116$113$117$125$117$113
HUNTSVILLE HOSPITAL FOR WOMEN & CHILDREN
HUNTSVILLE
$1,479 $116$116$116$113$117$125$117$113
DECATUR MORGAN HOSPITAL WEST
DECATUR
$1,480 $554$543$557$543$559$597$559—
DECATUR MORGAN HOSPITAL
BELTLINE RD SW DECATUR
$1,480 $554$543$557$543$559$597$559—
ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER
CENTRE
$2,446 $605$605$605$586$544$617——
NORTH ALABAMA MEDICAL CENTER
VETRANS DRIVE FLORENCE
$3,931 $642$794$686$297$1,650$1,151——
NORTH ALABAMA SHOALS HOSPITAL
W AVALAON AVE MUSCLE SHOALS
$3,931 $642$794$686$297$1,650$1,151——
BAPTIST HEALTH BROOKWOOD HOSPITAL
BIRMINGHAM
$4,480 $545$539———$981——
BAPTIST HEALTH WALKER HOSPITAL
JASPER
$5,205 $526$521———$947——
BAPTIST HEALTH CITIZENS HOSPITAL
TALLADEGA
$5,205 $534$529———$961——
BAPTIST HEALTH SHELBY HOSPITAL
NORTH
$5,205 $545$539———$981——
BAPTIST HEALTH PRINCETON HOSPITAL
BIRMINGHAM
$5,205 $545$539———$981——
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $649 for this?

That is the median of what the 49 Alabama hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 99285 in Alabama, Medicare reimburses about $162 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Alabama range from $27.22 to $5,205 — that means hospital cash prices are typically 4.0x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does emergency department visit with high level of medical decision making cost in Alabama?
Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Alabama range from $27.22 to $5,205, with a median of $649. Prices vary widely by hospital.
Where can I find the cheapest emergency department visit with high level of medical decision making in Alabama?
The cheapest Alabama hospital published cash price for this procedure is $27.22. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?
These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?
Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?
Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Emergency department visit with high level of medical decision making in nearby states

Other procedures in Alabama

Methodology. Cash prices and insurance-negotiated rates published by each Alabama facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.