How many shoppable procedure prices are published for Gadsden Regional Medical Center?

Gadsden Regional Medical Center in Gadsden, AL currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Gadsden Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Gadsden Regional Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Gadsden Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Gadsden Regional Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 175 Beds · urban Updated: 2026-04-01

Gadsden Regional Medical Center

1007 Goodyear Avenue, Gadsden, AL 35903 · 106 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.86×vs. Fair Market Price

Typical commercial prices here are 14% below the fair benchmark (0.86×) after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 47% of the Time

File Completeness90

Price Logic96

Peer Alignment76

Clean Billing82

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.86× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Gadsden Regional Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.84× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.94× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#11 of 52 in AL · 19th State Percentile#447 of 3,385 in U.S. · 13th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 14% below peer Fair BaseRate (0.86×)
Self-pay cash beats commercial insurance on 47% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 56% patient recommendation (55/100 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 3.1× markup over Medicare rates
Captive ER (1.6×) & laboratory (1.8×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 4,127) 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+12% Upper Tail

Q25 0.74× · Q50 0.84× · Q75 0.94×

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

3.1× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.3× MedicareGood

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

47% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 55/100Elevated

Procedure Prices at Gadsden Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 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`	—	$14,044	$19,432	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,936	$19,087	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,956	$17,936	0.7×
Total hip replacement CPT Code: `27130`	$25,932	$11,546	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$22,464	$11,546	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,435	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$12,495	$5,442	$6,109	unverified
Breast lump removal CPT Code: `19120`	$6,814	$3,525	$3,875	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$3,540	$3,540	$123	unverified
Inguinal hernia repair CPT Code: `49505`	$14,816	$3,243	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$11,315	$2,964	$3,372	0.9×
Trauma team activation HCPCS Code: `G0390`	$1,260	$1,260	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$5,574	$1,084	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,481	$842	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$5,600	$822	$987	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,051	$773	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$523	$635	$855	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,045	$492	$583	unverified
Blood transfusion CPT Code: `36430`	$593	$397	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,693	$314	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,669	$316	$511	0.6×
Rabies immune globulin HCPCS Code: `90375`	$438	$280	$322	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$72	$197	$201	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,726	$216	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,750	$216	$369	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,663	$216	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,488	$216	$303	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,191	$215	$272	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$164	$138	$151	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,302	$159	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,568	$159	$258	0.6×
X-ray, pelvis CPT Code: `72170`	$611	$94	$110	0.9×
X-ray, lower back CPT Code: `72110`	$583	$94	$112	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$815	$94	$126	0.7×
Ultrasound, pelvis CPT Code: `76856`	$640	$94	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$635	$94	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$635	$94	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$267	$97	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$159	$80	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,536	$95	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$2,055	$95	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,494	$95	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,377	$95	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,884	$95	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,157	$95	$169	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$117	$117	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$392	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$151	$151	$111	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$108	$51	$35	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$74	$74	$56	1.3×
X-ray, chest (single view) CPT Code: `71045`	$273	$78	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$658	$78	$92	0.8×
X-ray, foot CPT Code: `73630`	$567	$78	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$474	$78	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$512	$78	$93	0.8×
X-ray, hand CPT Code: `73130`	$580	$78	$93	0.8×
X-ray, hip CPT Code: `73502`	$229	$78	$93	0.8×
X-ray, ankle CPT Code: `73610`	$544	$78	$93	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$130	$72	$86	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$41	$41	$39	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$33	$42	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$33	$42	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$77	$42	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$471	$53	$64	0.8×
Orthotic fitting and training CPT Code: `97760`	$67	$42	$51	0.8×
Blood antibody screen CPT Code: `86850`	$164	$47	$46	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$171	$14	$14	1.0×
Prosthetic fitting and training CPT Code: `97761`	$61	$37	$45	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$455	$11	$11	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$36	$36	$140	unverified
Blood test, calcium CPT Code: `82310`	$110	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$89	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$150	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$76	$10	$10	1.0×
Blood test, vitamin D CPT Code: `82306`	$413	$30	$31	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$33	$40	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$192	$3	$3	1.0×
Blood test, lipase CPT Code: `83690`	$82	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$100	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$161	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$110	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$89	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$65	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$127	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$421	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$218	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$218	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$80	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$193	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$115	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$157	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$290	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$216	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$132	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$50	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$53	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$63	$31	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$111	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$70	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$117	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$72	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$67	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$32	$2	$3	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$15	$25	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$41	$16	$37	0.4×
Culture, blood CPT Code: `87040`	$341	$10	$11	unverified

Showing top 25 high-impact procedures of 106 total

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

Audit a Bill or Quote at Gadsden Regional Medical Center (Zero PHI Required)

CMS CCN: 010040

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $14,044

1. Amount on Your Bill or Quote ($) Pre-filled with Gadsden Regional Medical Center’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 Gadsden Regional Medical Center'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 +$14,274 Above Fair BaseRate

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

Your bill ($33,706) is $14,274 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: 631102774

Public IRS & CMS ownership records classify Gadsden Regional Medical Center 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 Overall2/5 Stars (2/5)

Safety Composite55/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)54%

Median ER Wait202 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.2%

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 Gadsden Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-10·administrative_or_closure
Met Requirements
Recorded
2022-12-22·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (502 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Gadsden Regional Medical Center.

Price Index: 1.33× regional baseline

Quality: 44/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-62.2%

Blue Cross Blue Shield

-59.4%

UnitedHealthcare

-44.4%

SelectHealth

-42.5%

Viva Healthcare

+86.5%

Median Household Income$53,070U.S. Census ACS

Local Uninsured Share12.2%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 89/100 · Verified CMS CCN 010040 EIN 631102774

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 010040) ↗ Verify IRS Form 990 (EIN 631102774) ↗ CMS HCRIS Cost Reports ↗

Published MRF File631102774_gadsden-regional-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 114.01 MB

Validated Rate Rows6,482 (CMS v3.0.0)

File Integrity Digest2deeea276770aec3d7bd…

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