How many shoppable procedure prices are published for Baptist Medical Center East?

Baptist Medical Center East in Montgomery, AL currently has 136 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baptist Medical Center East's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baptist Medical Center East's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Baptist Medical Center East's CMS Care Compare overall star rating?

CMS Care Compare assigns Baptist Medical Center East 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 Government - Hospital District or Authority 208 Beds · urban Updated: 12/30/2025

Baptist Medical Center East

400 Taylor Road, Montgomery, AL 36117 · 136 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.07×vs. Fair Market Price

Typical commercial prices here are +7% above the fair benchmark (1.07×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 64% of the Time

File Completeness56

Price Logic91

Peer Alignment67

Clean Billing82

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.07× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Baptist Medical Center East maintains elevated commercial insurance contracts (1.07× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 64% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#42 of 52 in AL · 78th State Percentile#1,567 of 3,385 in U.S. · 46th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 76% patient recommendation (66/100 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 1.5× markup over Medicare rates
Commercial insurance median sits at 1.03× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.21×) jump +17% above the median procedure ratio (Q50 1.03×)
Consolidated metro market (HHI 2,835) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+17% Upper Tail

Q25 0.92× · Q50 1.03× · Q75 1.21×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

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

1.5× MedicareGood

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

64% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Baptist Medical Center East

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 136 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$23,564	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,361	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,802	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,245	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$12,900	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,900	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,735	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,796	$6,109	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$3,859	$2,975	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$3,538	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,253	$3,372	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,213	$2,680	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,287	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,314	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,223	$1,256	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,207	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,174	$981	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,020	$1,021	1.0×
Behavioral health day program HCPCS Code: `H2012`	—	$775	$100	7.8×
Behavioral health day treatment HCPCS Code: `H0010`	—	$775	$343	2.3×
Behavioral health residential care HCPCS Code: `H0011`	—	$775	$364	2.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$694	$855	0.8×
Bunion correction surgery CPT Code: `28296`	$607	$607	$3,446	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$709	$550	$583	0.9×
Residential mental health treatment HCPCS Code: `H2036`	—	$451	$406	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,327	$460	$511	0.9×
Blood transfusion CPT Code: `36430`	—	$442	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,330	$460	$448	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$389	$140	2.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$389	$157	2.5×
Psychological testing by technician CPT Code: `96138`	—	$400	$395	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$293	$322	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,726	$311	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,711	$311	$369	0.8×
Breast lump removal CPT Code: `19120`	$325	$325	$3,875	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,559	$311	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,085	$311	$303	unverified
Neurobehavioral status check CPT Code: `96116`	—	$309	$231	unverified
Care planning with family CPT Code: `90887`	—	$218	$107	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$980	$229	$242	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$518	$242	$272	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,317	$229	$258	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$179	$34	5.3×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$179	$88	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$113	$183	$123	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$199	$201	1.0×
Review of medical records for care CPT Code: `90889`	—	$140	$114	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$163	$166	1.0×
Psychological testing evaluation CPT Code: `96136`	—	$129	$128	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$488	$134	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$144	$151	1.0×
Family therapy session CPT Code: `90847`	—	$163	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$163	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$163	$185	0.9×
Mental health services (therapy) HCPCS Code: `H0032`	—	$100	$65	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$83	$106	$86	1.2×
Group therapy session CPT Code: `90853`	—	$92	$100	0.9×
Ultrasound, pelvis CPT Code: `76856`	$438	$114	$130	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$980	$137	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$977	$137	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$1,072	$137	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,015	$137	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,183	$137	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$983	$137	$169	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$131	$131	$148	unverified
X-ray, hip CPT Code: `73502`	$205	$88	$93	0.9×
X-ray, chest (single view) CPT Code: `71045`	$146	$87	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$163	$103	$110	0.9×
X-ray, chest (two views) CPT Code: `71046`	$232	$87	$93	0.9×
X-ray, shoulder CPT Code: `73030`	$178	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$172	$86	$92	0.9×
X-ray, hand CPT Code: `73130`	$170	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$184	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	$330	$103	$112	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$180	$85	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$364	$108	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$461	$108	$132	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$71	$96	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$87	$80	$110	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,445	$332	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$206	$203	1.0×
Drug screening test HCPCS Code: `G0480`	—	$124	$116	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$93	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	—	$114	$140	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$59	$35	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$266	$40	$25	1.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$39	$25	1.6×
Prosthetic fitting and training CPT Code: `97761`	$51	$57	$45	1.3×
Orthotic fitting and training CPT Code: `97760`	$52	$64	$51	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	—	$45	$37	1.2×
Physical therapy (gait training) CPT Code: `97116`	$58	$40	$33	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$46	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$40	$48	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$45	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$56	$44	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$46	$40	$35	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$63	$56	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$29	$27	1.1×
Blood antibody screen CPT Code: `86850`	—	$49	$46	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$21	$20	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$237	$40	$39	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$54	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$54	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$104	$58	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$43	$64	$87	0.7×
Culture, bacterial CPT Code: `87070`	—	$11	$9	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$56	$17	$14	1.2×
Speech therapy (group session) CPT Code: `92508`	—	$32	$27	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$84	$38	$34	1.1×
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$19	$18	$14	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$20	$19	$16	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$8	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	—	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$11	$9	$8	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$13	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$14	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$18	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	—	$16	$15	1.1×
Blood test, vitamin D CPT Code: `82306`	$40	$33	$31	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$23	$19	$18	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$25	$20	$19	1.1×
Blood test, amylase CPT Code: `82150`	—	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$9	$7	$7	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$5	$5	1.0×
Culture, blood CPT Code: `87040`	—	$11	$11	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$11	$12	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$11	$12	$9	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$6	$4	unverified
Blood test, potassium CPT Code: `84132`	$7	$7	$5	unverified
Blood test, sodium CPT Code: `84295`	—	$7	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$6	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	—	$4	$3	unverified

Showing top 25 high-impact procedures of 136 total

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

Audit a Bill or Quote at Baptist Medical Center East (Zero PHI Required)

CMS CCN: 010149

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,564

1. Amount on Your Bill or Quote ($) Pre-filled with Baptist Medical Center East’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 Baptist Medical Center East'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 +$25,779 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($56,554) is $25,779 above the denoised Fair BaseRate ($30,775) and 2.4× the $23,504 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)

Public IRS & CMS ownership records classify Baptist Medical Center East 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 Composite66/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait238 min

Left ER Before Seen6%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baptist Medical Center East. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-10·administrative_or_closure
Met Requirements
Recorded
2024-09-20·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,141 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 Baptist Medical Center East.

Price Index: 0.94× regional baseline

Quality: 57/100 CMS composite

Median Household Income$58,153U.S. Census ACS

Local Uninsured Share10.6%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 79/100 · Corroborated CMS CCN 010149

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 010149) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage12/30/2025

Validated Rate Rows1,300 (CMS v3.0.0)

File Integrity DigestVerified · CCN 010149

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