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Hospital Profile Acute Care Hospital Government - Hospital District or Authority 904 Beds · rural Updated: 3/27/2026

Huntsville Hospital

101 Sivley Rd, Huntsville, AL 35801 · 95 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 3 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
0.98×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).61/100 · Caution
61/100Self-Pay Cash Beats Insurance 14% of the Time
File Completeness51Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic84Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment57Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing82Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount22Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating4/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score72/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait252 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

4-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Huntsville Hospital prices shoppable and inpatient services (1.3× to 1.1× Medicare, divergence 0.85×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#37 of 52 in AL · 69th State Percentile#1,145 of 3,385 in U.S. · 33rd National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
  • Self-pay cash beats commercial insurance on 14% of shoppable procedures (25/100 Cash Honesty)
  • CMS clinical safety score (72/100 safety score) with 76% 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 1.6× markup over Medicare rates
  • Commercial insurance median sits at 0.97× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
  • Consolidated metro market (HHI 6,582) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
1.3× Medicare

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

Back-Door Captive & ER0.85× Divergence
1.1× Medicare

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

Quantile Tail Spread+11% Upper Tail
Q25 0.81× · Q50 0.97× · Q75 1.08×

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
1.3× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.6× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.2× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.9× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
2.4× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
14% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 72/100Fair

Procedure Prices at Huntsville Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Injection procedure for pain management
HCPCS Code: G0260
$1,231 unverified
Sleep study (overnight, in lab)
CPT Code: 95810
$803 0.8×
Echocardiogram (heart ultrasound)
CPT Code: 93306
$630 unverified
Ultrasound, leg veins (duplex)
CPT Code: 93970
$336 unverified
Rabies immune globulin
HCPCS Code: 90375
$288 0.9×
MRI, knee or other leg joint
CPT Code: 73721
$300 0.8×
MRI, brain (with and without contrast)
CPT Code: 70553
$318 0.6×
Diagnostic procedure preparation
HCPCS Code: G0279
$286 unverified
MRI, lower back (no contrast)
CPT Code: 72148
$223 0.7×
MRI, brain (no contrast)
CPT Code: 70551
$224 0.7×
Hospital observation (per hour)
HCPCS Code: G0378
$151 1.8×
New patient office visit (30-44 min)
CPT Code: 99203
$172 1.6×
Office visit, established patient (30-39 min)
CPT Code: 99214
$172 1.4×
Psychotherapy session (60 minutes)
CPT Code: 90837
$166 0.9×
Breathing treatment (nebulizer)
CPT Code: 94640
$155 0.8×
CT scan, head (with contrast)
CPT Code: 70460
$164 0.7×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$187 0.6×
Ultrasound, abdomen (complete)
CPT Code: 76700
$135 1.0×
CT scan, head (with and without contrast)
CPT Code: 70470
$157 0.6×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$163 0.4×
Blood transfusion
CPT Code: 36430
$155 0.3×
X-ray, ankle
CPT Code: 73610
$159 unverified
Speech therapy (language evaluation)
CPT Code: 92507
$150 unverified
Office visit, established patient (20-29 min)
CPT Code: 99213
$172 unverified
Prosthetic fitting and training
CPT Code: 97761
$91 2.0×
Showing top 25 high-impact procedures of 95 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 010039
CPT G0260
Fair BaseRate™ $855
Medicare Rate $721
Self-Pay Cash $1,231
Insurer Median $1,231
Pre-filled with Huntsville Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 Published Cash: $1,231

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Huntsville Hospital's published 45 CFR § 180 self-pay cash rate is $1,231 (vs. $1,231 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$376 Above Fair BaseRate

Negotiate Toward $855 Fair BaseRate ($721 Medicare)

Your bill ($1,231) is $376 above the denoised Fair BaseRate ($855) and 1.7× the $721 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 Huntsville 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 Composite72/100
Would Recommend76%
Rated 9 or 10 (HCAHPS)70%
Median ER Wait252 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate2.7%

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 Huntsville Hospital. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-05-01·administrative_or_closure

    Closure Notice

    Recorded
  • 2025-03-31·warning_notice

    Warning Notice

    Recorded
  • 2022-06-17·administrative_or_closure

    Closure Notice

    Recorded
  • 2022-01-12·cap_corrective_action

    CAP Request

    Recorded
  • 2021-07-20·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare (1,278 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

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

Price Index: 1.08× regional baseline
Quality: 74/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna
+69.9%
Median Household Income$83,528U.S. Census ACS
Local Uninsured Share7.7%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 61/100 · Caution CMS CCN 010039

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage3/27/2026
Validated Rate Rows4,638 (CMS v3.0.0)
File Integrity DigestVerified · CCN 010039

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.