How many shoppable procedure prices are published for Helen Keller Hospital?

Helen Keller Hospital in Sheffield, AL currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Helen Keller Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Helen Keller Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Helen Keller Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Helen Keller Hospital 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 Government - Hospital District or Authority 178 Beds · urban

Helen Keller Hospital

1300 South Montgomery Avenue, Sheffield, AL 35660 · 107 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

7/100 · Quarantined

7/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness30

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount0

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,714), Helen Keller Hospital commands a 1.12× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#46 of 52 in AL · 86th State Percentile#1,740 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 79% patient recommendation (68/100 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 1.9× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.41×) jump +41% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 5,714) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.67× Divergence

1.0× Medicare

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

Quantile Tail Spread+41% Upper Tail

Q25 0.86× · Q50 1.00× · Q75 1.41×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

1.7× MedicareGood

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 68/100Fair

Procedure Prices at Helen Keller Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,925	$19,087	0.7×
Total hip replacement CPT Code: `27130`	—	$11,432	$13,413	0.9×
Bunion correction surgery CPT Code: `28296`	—	$10,610	$3,446	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,504	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,808	$5,132	$6,109	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	—	$3,372	—
Inguinal hernia repair CPT Code: `49505`	—	$3,123	$3,629	0.9×
Breast lump removal CPT Code: `19120`	—	$2,680	$3,875	0.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,062	$2,540	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,630	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$1,066	$1,256	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,014	$987	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,630	$908	$1,021	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,685	$712	$583	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$3,937	$641	$242	2.6×
Blood transfusion CPT Code: `36430`	$679	$380	$498	0.8×
Rabies immune globulin HCPCS Code: `90375`	$5,700	$400	$322	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$3,937	$345	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$3,937	$345	$343	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,109	$345	$511	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,123	$307	$448	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	—	$312	$855	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,360	$308	$272	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$41,716	$247	$87	2.8×
New patient office visit (30-44 min) CPT Code: `99203`	$304	$228	$110	2.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$357	$247	$123	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,123	$210	$303	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$4,192	$206	$369	0.6×
Ultrasound, pelvis CPT Code: `76856`	$1,360	$180	$130	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$654	$157	$160	1.0×
CT scan, pelvis CPT Code: `72192`	$3,123	$157	$163	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$3,047	$157	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,690	$157	$168	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$327	$155	$166	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,113	$157	$169	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$436	$157	$181	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,284	$157	$258	0.6×
CT scan, sinuses CPT Code: `70486`	$2,318	$157	$166	unverified
Speech therapy (group session) CPT Code: `92508`	$785	$178	$27	unverified
X-ray, hip CPT Code: `73502`	$713	$114	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	$366	$112	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$572	$112	$92	1.2×
X-ray, foot CPT Code: `73630`	$572	$111	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$669	$112	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$437	$112	$93	1.2×
X-ray, hand CPT Code: `73130`	$572	$112	$93	1.2×
X-ray, ankle CPT Code: `73610`	$618	$112	$93	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$327	$135	$126	1.1×
X-ray, pelvis CPT Code: `72170`	$449	$116	$110	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$327	$135	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$327	$135	$134	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$263	$109	$86	1.3×
X-ray, lower back CPT Code: `72110`	$100	$99	$112	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$456	$116	$151	0.8×
Group therapy session CPT Code: `90853`	$129	$88	$100	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$294	$103	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$337	$103	$148	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$301	$106	$201	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$1,541	$385	$48	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$687	$266	$203	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$330	$148	$111	1.3×
Orthotic fitting and training CPT Code: `97760`	$292	$78	$51	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$585	$90	$140	0.6×
Drug screening test HCPCS Code: `G0480`	$315	$114	$116	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$115	$52	$25	2.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$155	$55	$39	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$381	$77	$64	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$2,179	$77	$56	unverified
Physical therapy (gait training) CPT Code: `97116`	$91	$51	$33	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$256	$51	$86	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$141	$21	$20	1.1×
Blood antibody screen CPT Code: `86850`	$295	$45	$46	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$138	$62	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$152	$61	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$146	$66	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$144	$65	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$106	$60	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$137	$78	$45	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$116	$52	$38	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$357	$18	$14	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$585	$15	$14	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$280	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$390	$11	$11	1.0×
Blood test, liver function panel CPT Code: `80076`	$482	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$32	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$163	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$181	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$141	$19	$19	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$234	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$64	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$202	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$341	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$17	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$458	$15	$15	1.0×
Blood test, vitamin D CPT Code: `82306`	$610	$30	$31	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$79	$15	$16	0.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$64	$5	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$127	$4	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$115	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$186	$7	$7	unverified
Blood test, magnesium CPT Code: `83735`	$100	$7	$7	unverified
Blood test, potassium CPT Code: `84132`	$174	$5	$5	unverified
Blood test, sodium CPT Code: `84295`	$45	$5	$5	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$65	$4	$5	unverified
Culture, blood CPT Code: `87040`	$258	$11	$11	unverified
Culture, bacterial CPT Code: `87070`	$175	$9	$9	unverified

Showing top 25 high-impact procedures of 107 total

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

Audit a Bill or Quote at Helen Keller Hospital (Zero PHI Required)

CMS CCN: 010019

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $20,626

1. Amount on Your Bill or Quote ($) Pre-filled with Helen Keller Hospital’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 Helen Keller Hospital'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 Target: $17,936 Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($17,936).

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 Helen Keller Hospital 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 Overall4/5 Stars (4/5)

Safety Composite68/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait185 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (413 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

Median Household Income$56,736U.S. Census ACS

Local Uninsured Share7.4%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 7/100 · Quarantined CMS CCN 010019

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 010019) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-10

Validated Rate Rows0 (CMS v2024)

File Integrity DigestVerified · CCN 010019

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