Marion Regional Medical Center
1256 Military Street South, Hamilton, AL 35570 · 113 Priced Procedures · 86% Patient Recommendation
Typical commercial prices here are +51% above the fair benchmark (1.51×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.51× fair market pricing.
Aligned Regional Benchmark Peer
Marion Regional Medical Center prices shoppable and inpatient services (1.5× to 1.7× Medicare, divergence 1.13×) in alignment with regional hospital peers (1.51× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.27× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (74/100 safety score) with 86% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.51× 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.
- Captive ER (0.9×) & laboratory (2.0×) services average 1.13× higher multiples than routine shoppable care (1.5×)
- Even at low-cost facilities (1.51× 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 9.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Marion 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 113 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $30,834 | 1.0× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $18,541 | 1.0× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $18,411 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $16,828 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $10,031 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,563 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $5,941 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $3,829 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,986 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,895 | 1.3× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,543 | 1.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,559 | 1.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,505 | 1.5× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,171 | 1.4× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $907 | unverified |
| Blood transfusion CPT Code: 36430 | $732 | 1.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $579 | 1.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $579 | 1.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $396 | 1.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $396 | 1.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $396 | 1.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $396 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $396 | unverified |
| Neurobehavioral status check CPT Code: 96116 | $358 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $291 | 1.2× |
Audit a Bill or Quote at Marion Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $16,510
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.3% of gross = $16,510).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Marion 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.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($74,002) is $43,227 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (22.3% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (97 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Marion Regional Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.