How many shoppable procedure prices are published for Grandview Medical Center?

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

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

Across scored shoppable procedures, Grandview Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Grandview Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 407 Beds · urban Updated: 2026-04-01

Grandview Medical Center

3690 Grandview Parkway, Birmingham, AL 35243 · 106 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.01×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 67% of the Time

File Completeness45

Price Logic95

Peer Alignment63

Clean Billing83

Real Cash Discount100

High-Markup Tier

3-Star CMS clinical quality rating paired with 1.01× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Grandview Medical Center prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#39 of 52 in AL · 73rd State Percentile#1,312 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.77× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (63/100 safety score) with 74% patient recommendation
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 3.0× markup over Medicare rates
Commercial insurance median sits at 0.87× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.01× 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.
Unnegotiated chargemaster list prices average 17.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 0.77× · Q50 0.87× · Q75 0.96×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

3.0× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.0× MedicareGood

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

67% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 63/100Elevated

Procedure Prices at Grandview 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`	—	$13,025	$19,432	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,920	$19,087	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$11,888	$17,936	0.7×
Total hip replacement CPT Code: `27130`	$35,267	$11,701	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$36,383	$11,701	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$21,248	$5,550	$6,109	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,473	$8,223	0.7×
Breast lump removal CPT Code: `19120`	$13,636	$3,581	$3,875	0.9×
Inguinal hernia repair CPT Code: `49505`	$21,143	$3,319	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$18,072	$3,033	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	$20,215	$3,033	$3,446	0.9×
Trauma team activation HCPCS Code: `G0390`	$1,455	$1,897	$1,453	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$5,749	$1,642	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,975	$1,276	$981	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$6,113	$1,244	$987	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$591	$1,039	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,501	$788	$1,021	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$218	$623	$86	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,190	$502	$583	0.9×
Blood transfusion CPT Code: `36430`	$511	$408	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,468	$325	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,961	$324	$511	0.6×
Rabies immune globulin HCPCS Code: `90375`	$412	$281	$322	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$111	$277	$35	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$129	$201	$201	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$709	$221	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,470	$223	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,111	$222	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,937	$223	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,763	$222	$369	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,796	$164	$258	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$3,473	$182	$242	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$540	$139	$151	0.9×
X-ray, chest (single view) CPT Code: `71045`	$322	$81	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$284	$96	$110	0.9×
X-ray, ankle CPT Code: `73610`	$337	$81	$93	0.9×
X-ray, shoulder CPT Code: `73030`	$342	$80	$92	0.9×
X-ray, foot CPT Code: `73630`	$354	$80	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$322	$80	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$288	$80	$93	0.9×
X-ray, hand CPT Code: `73130`	$354	$80	$93	0.9×
X-ray, hip CPT Code: `73502`	$277	$80	$93	0.9×
X-ray, lower back CPT Code: `72110`	$538	$96	$112	0.9×
Ultrasound, pelvis CPT Code: `76856`	$621	$109	$130	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$597	$97	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$544	$97	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$597	$97	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$269	$98	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$247	$80	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$2,235	$99	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,972	$98	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$2,367	$98	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$2,104	$98	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,367	$98	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,367	$98	$169	0.6×
Typhoid vaccine HCPCS Code: `90675`	$699	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$170	$285	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$95	$169	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$61	$117	$39	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$39	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$12	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$84	$30	$31	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$65	$43	$48	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$178	$54	$64	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$165	$72	$86	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$69	$43	$49	0.9×
Prosthetic fitting and training CPT Code: `97761`	$22	$38	$45	0.8×
Orthotic fitting and training CPT Code: `97760`	$68	$43	$51	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$33	$40	0.8×
Blood antibody screen CPT Code: `86850`	$38	$48	$46	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$52	$52	$140	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$60	$43	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$33	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$39	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$24	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$16	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$45	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$11	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$12	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$10	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$33	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$14	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$20	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$40	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$40	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$42	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$43	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$36	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$33	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$39	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$42	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$18	$8	$9	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$44	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$60	$32	$38	0.8×
Blood test, amylase CPT Code: `82150`	$15	$6	$7	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$95	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$84	$31	$38	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$89	$28	$35	0.8×
Blood test, hemoglobin CPT Code: `85018`	$6	$2	$3	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$64	$21	$37	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$23	$25	unverified
Physical therapy (gait training) CPT Code: `97116`	$66	$28	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$84	$26	$34	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 Grandview Medical Center (Zero PHI Required)

CMS CCN: 010104

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $13,025

1. Amount on Your Bill or Quote ($) Pre-filled with Grandview 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 Grandview 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 +$11,828 Above Fair BaseRate

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

Your bill ($31,260) is $11,828 above the denoised Fair BaseRate ($19,432) and 2.2× 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: 203391873

Public IRS & CMS ownership records classify Grandview 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 Overall3/5 Stars (3/5)

Safety Composite63/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait176 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate4.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

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

2026-04-14·warning_notice
Warning Notice
Recorded
2025-07-17·administrative_or_closure
Met Requirements
Recorded
2022-12-23·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (2,132 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

Above-Benchmark Price Tier

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

Price Index: 1.41× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-62.3%

Cigna

-53.3%

SelectHealth

-45.3%

Blue Cross Blue Shield

-40.4%

Healthchoice

+148.0%

Median Household Income$64,589U.S. Census ACS

Local Uninsured Share9.2%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 77/100 · Corroborated CMS CCN 010104 EIN 203391873

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 010104) ↗ Verify IRS Form 990 (EIN 203391873) ↗ CMS HCRIS Cost Reports ↗

Published MRF File203391873_grandview-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 159.73 MB

Validated Rate Rows9,401 (CMS v3.0.0)

File Integrity DigestVerified · CCN 010104

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