Monroe County Hospital
2016 S Alabama Ave, Monroeville, AL 36460 · 93 Priced Procedures
Typical commercial prices here are 15% below the fair benchmark (0.85×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Monroe County Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.85× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.93× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 15% below peer Fair BaseRate (0.85×)
- Self-pay cash beats commercial insurance on 24% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Commercial insurance median sits at 0.85× Fair BaseRate (0.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.85× 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 6.4× Medicare (16¢ 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 Monroe County Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $3,822 | unverified |
| Breast lump removal CPT Code: 19120 | $3,542 | 0.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $1,645 | 0.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,285 | 0.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,082 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $1,107 | 0.1× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,060 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $950 | 0.3× |
| Inguinal hernia repair CPT Code: 49505 | $956 | 0.3× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $841 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $820 | 0.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $777 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $494 | 0.8× |
| Blood transfusion CPT Code: 36430 | $399 | 0.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $316 | 0.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $316 | 0.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $216 | 0.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $216 | 0.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $216 | 0.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $216 | 0.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $216 | 0.6× |
| CT scan, head (with contrast) CPT Code: 70460 | $159 | 0.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $159 | 0.6× |
| X-ray, pelvis CPT Code: 72170 | $95 | 0.9× |
| X-ray, lower back CPT Code: 72110 | $95 | 0.8× |
Audit a Bill or Quote at Monroe County Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,930
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.2% of gross = $1,930).
Self-Pay Cash Rate ($3,822) Beats Your Bill
Monroe County Hospital's published 45 CFR § 180 self-pay cash rate is $3,822 (vs. $3,822 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($9,554) is $9,232 above the denoised Fair BaseRate ($322) and 34.7× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (20.2% 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.
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 Monroe County Hospital.
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.