How many shoppable procedure prices are published for Baldwin Health?

Baldwin Health in Foley, AL currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baldwin Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baldwin Health's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Baldwin Health's CMS Care Compare overall star rating?

CMS Care Compare assigns Baldwin Health an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 108 Beds · urban Updated: 2026-04-01

Baldwin Health

1613 North McKenzie Street, Foley, AL 36535 · 103 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 59% of the Time

File Completeness100

Price Logic96

Peer Alignment70

Clean Billing83

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Baldwin Health maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.90× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#24 of 52 in AL · 44th State Percentile#569 of 3,385 in U.S. · 16th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 68% patient recommendation (64/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
Captive ER (1.2×) & laboratory (1.1×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Even at low-cost facilities (0.89× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 4,327) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+6% Upper Tail

Q25 0.77× · Q50 0.90× · Q75 0.95×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.4× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

59% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 64/100Elevated

Procedure Prices at Baldwin Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,215	$19,432	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,029	$19,087	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,975	$17,936	0.7×
Total hip replacement CPT Code: `27130`	$24,799	$12,301	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$27,621	$12,301	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,193	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$37,927	$5,756	$6,109	unverified
Breast lump removal CPT Code: `19120`	$9,981	$3,728	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	$23,580	$3,431	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$13,519	$3,135	$3,372	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$5,324	$2,211	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	$1,701	$1,701	$1,453	unverified
Colonoscopy with biopsy CPT Code: `45380`	$4,716	$1,147	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,907	$891	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$4,419	$869	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,738	$823	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$2,398	$676	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,842	$524	$583	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,551	$491	$369	unverified
Blood transfusion CPT Code: `36430`	$924	$423	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,284	$335	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,987	$335	$511	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$51	$214	$86	2.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$160	$209	$201	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,089	$229	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,128	$229	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,471	$229	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,128	$229	$343	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,284	$169	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,648	$169	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$163	$138	$151	0.9×
X-ray, pelvis CPT Code: `72170`	$226	$100	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$424	$83	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$402	$83	$92	0.9×
X-ray, foot CPT Code: `73630`	$376	$83	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$585	$83	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$186	$83	$93	0.9×
X-ray, hand CPT Code: `73130`	$450	$83	$93	0.9×
X-ray, hip CPT Code: `73502`	$162	$83	$93	0.9×
X-ray, ankle CPT Code: `73610`	$1,110	$83	$93	0.9×
Ultrasound, pelvis CPT Code: `76856`	$972	$100	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$260	$100	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$477	$100	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$555	$97	$148	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,128	$101	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,128	$101	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,128	$101	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,128	$101	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,128	$101	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,447	$101	$169	0.6×
X-ray, lower back CPT Code: `72110`	$765	$100	$112	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$370	$100	$126	unverified
Typhoid vaccine HCPCS Code: `90675`	$462	$320	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$157	$131	$140	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$71	$51	$35	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$48	$45	$48	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$180	$56	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$185	$72	$86	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$555	$78	$123	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$156	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$438	$30	$31	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$48	$45	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$48	$45	$49	0.9×
Prosthetic fitting and training CPT Code: `97761`	$212	$38	$45	0.8×
Orthotic fitting and training CPT Code: `97760`	$206	$43	$51	0.8×
Blood antibody screen CPT Code: `86850`	$536	$50	$46	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$47	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$76	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$76	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$202	$14	$14	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$71	$37	$37	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$144	$10	$10	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$80	$12	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$88	$33	$40	0.8×
Blood test, lipase CPT Code: `83690`	$102	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$99	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$68	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$71	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$115	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$89	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$128	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$272	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$272	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$38	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$223	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$211	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$198	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$125	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$334	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$96	$6	$7	0.9×
Physical therapy (gait training) CPT Code: `97116`	$97	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$115	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$33	$30	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$113	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$86	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$10	$2	$3	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$13	$25	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$65	$19	$56	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$271	$19	$111	0.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$58	$4	$5	unverified
Culture, blood CPT Code: `87040`	$153	$10	$11	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Baldwin Health (Zero PHI Required)

CMS CCN: 010083

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $14,215

1. Amount on Your Bill or Quote ($) Pre-filled with Baldwin Health’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Baldwin Health's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$14,684 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($34,116) is $14,684 above the denoised Fair BaseRate ($19,432) and 2.4× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 621811413

Public IRS & CMS ownership records classify Baldwin Health as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait131 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (743 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baldwin Health.

Price Index: 1.00× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-59.0%

Blue Cross Blue Shield

-52.5%

First_Choice

-48.0%

UnitedHealthcare

-41.8%

Cigna

-40.5%

Aetna

+115.0%

Median Household Income$75,019U.S. Census ACS

Local Uninsured Share8.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 90/100 · Verified CMS CCN 010083 EIN 621811413

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 010083) ↗ Verify IRS Form 990 (EIN 621811413) ↗ CMS HCRIS Cost Reports ↗

Published MRF File621811413_south-baldwin-regional-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 86.52 MB

Validated Rate Rows6,589 (CMS v3.0.0)

File Integrity Digest3bcc1344affeeb05edd5…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy