How many shoppable procedure prices are published for Prattville Baptist Hospital?

Prattville Baptist Hospital in Prattville, AL currently has 136 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Prattville Baptist Hospital's commercial prices compare to the fair BaseRate?

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

What is Prattville Baptist Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Prattville Baptist Hospital 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 Government - Hospital District or Authority 49 Beds · urban Updated: 12/30/2025

Prattville Baptist Hospital

124 S Memorial Dr, Prattville, AL 36067 · 136 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.07×vs. Fair Market Price

Typical commercial prices here are +7% above the fair benchmark (1.07×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 72% of the Time

File Completeness55

Price Logic94

Peer Alignment62

Clean Billing80

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.07× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Prattville Baptist Hospital maintains elevated commercial insurance contracts (1.07× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 72% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#41 of 52 in AL · 76th State Percentile#1,566 of 3,385 in U.S. · 46th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 72% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (63/100 safety score) with 70% 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 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (1.5×) services average 1.09× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.22×) jump +18% above the median procedure ratio (Q50 1.03×)
Consolidated metro market (HHI 2,835) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.09× Divergence

1.2× Medicare

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

Quantile Tail Spread+18% Upper Tail

Q25 0.91× · Q50 1.03× · Q75 1.22×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

0.7× MedicareGood

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

72% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 63/100Elevated

Procedure Prices at Prattville Baptist Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 136 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$22,481	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,636	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,101	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,568	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$12,900	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,900	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,386	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,903	$6,109	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$4,725	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$3,934	$2,680	1.5×
Inguinal hernia repair CPT Code: `49505`	—	$3,506	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,253	$3,372	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,287	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,314	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,223	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,174	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,078	$987	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,020	$1,021	1.0×
Behavioral health day program HCPCS Code: `H2012`	—	$949	$100	9.5×
Behavioral health day treatment HCPCS Code: `H0010`	—	$949	$343	2.8×
Behavioral health residential care HCPCS Code: `H0011`	—	$949	$364	2.6×
Injection procedure for pain management HCPCS Code: `G0260`	—	$694	$855	0.8×
Bunion correction surgery CPT Code: `28296`	$607	$607	$3,446	0.2×
Residential mental health treatment HCPCS Code: `H2036`	—	$553	$406	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$550	$583	0.9×
Mental health services (assessment) HCPCS Code: `H0031`	—	$476	$140	3.4×
Behavioral health assessment HCPCS Code: `H0001`	—	$476	$157	unverified
Blood transfusion CPT Code: `36430`	—	$438	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$400	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$358	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$358	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$309	$231	1.3×
Breast lump removal CPT Code: `19120`	$325	$325	$3,875	0.1×
Rabies immune globulin HCPCS Code: `90375`	—	$293	$322	0.9×
Care planning with family CPT Code: `90887`	—	$243	$107	2.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$245	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$242	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	—	$242	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	—	$242	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	—	$242	$369	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$218	$148	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$220	$34	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	—	$220	$88	unverified
Screening mammogram (both breasts) CPT Code: `77067`	—	$178	$123	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$137	$185	$185	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$199	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	—	$178	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$178	$258	0.7×
Review of medical records for care CPT Code: `90889`	—	$151	$114	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$163	$166	1.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$122	$65	1.9×
Psychological testing evaluation CPT Code: `96136`	—	$129	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$144	$151	1.0×
Family therapy session CPT Code: `90847`	$173	$161	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$163	$181	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$134	$134	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	$105	$86	1.2×
X-ray, hip CPT Code: `73502`	—	$89	$93	1.0×
Ultrasound, pelvis CPT Code: `76856`	—	$114	$130	0.9×
X-ray, chest (single view) CPT Code: `71045`	—	$88	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	—	$88	$93	0.9×
X-ray, shoulder CPT Code: `73030`	—	$87	$92	0.9×
X-ray, foot CPT Code: `73630`	—	$87	$92	0.9×
X-ray, pelvis CPT Code: `72170`	—	$103	$110	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$87	$93	0.9×
X-ray, hand CPT Code: `73130`	—	$87	$93	0.9×
X-ray, ankle CPT Code: `73610`	—	$87	$93	0.9×
X-ray, lower back CPT Code: `72110`	—	$104	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$108	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$108	$132	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$71	$97	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$87	$82	$110	0.7×
CT scan, head (no contrast) CPT Code: `70450`	—	$107	$160	0.7×
CT scan, pelvis CPT Code: `72192`	—	$107	$163	0.7×
CT scan, sinuses CPT Code: `70486`	—	$107	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	—	$107	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$107	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$107	$169	0.6×
Group therapy session CPT Code: `90853`	$104	$106	$100	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,445	$332	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$225	$203	1.1×
Drug screening test HCPCS Code: `G0480`	—	$122	$116	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$97	$111	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$119	$140	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$266	$49	$25	2.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$48	$25	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$58	$35	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	—	$50	$37	1.4×
Orthotic fitting and training CPT Code: `97760`	—	$65	$51	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$237	$49	$39	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$46	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$48	$40	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$67	$56	1.2×
Physical therapy (gait training) CPT Code: `97116`	—	$39	$33	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$44	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	—	$43	$38	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$58	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$43	$66	$87	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$17	$14	1.2×
Speech therapy (group session) CPT Code: `92508`	—	$32	$27	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	—	$37	$34	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$29	$27	1.1×
Blood antibody screen CPT Code: `86850`	—	$49	$46	1.1×
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$18	$14	1.3×
Blood test, vitamin B12 CPT Code: `82607`	—	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$5	$4	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	—	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	—	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	—	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$21	$18	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	—	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	—	$8	$7	1.1×
Hepatitis C antibody test CPT Code: `86803`	—	$17	$15	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$9	$8	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$21	$19	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$11	$10	1.1×
Culture, blood CPT Code: `87040`	—	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$15	$14	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$21	$20	1.1×
Blood test, vitamin D CPT Code: `82306`	—	$32	$31	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$39	$35	unverified
Prosthetic fitting and training CPT Code: `97761`	—	$57	$45	unverified
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	—	$8	$7	unverified
Culture, bacterial CPT Code: `87070`	—	$11	$9	unverified

Showing top 25 high-impact procedures of 136 total

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

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

CMS CCN: 010108

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $22,481

1. Amount on Your Bill or Quote ($) Pre-filled with Prattville Baptist 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 Prattville Baptist 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 +$23,179 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($53,954) is $23,179 above the denoised Fair BaseRate ($30,775) and 2.3× the $23,504 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 Prattville Baptist 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 Overall3/5 Stars (3/5)

Safety Composite63/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait208 min

Left ER Before Seen6%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Prattville Baptist Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (398 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

Regional Quality & Price Benchmark

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

Price Index: 1.00× regional baseline

Quality: 52/100 CMS composite

Median Household Income$69,841U.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 78/100 · Corroborated CMS CCN 010108

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

MRF Portal Indexed (prattville) Verify on CMS Medicare.gov (CCN 010108) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileprattville

Publication / Vintage12/30/2025 · 104.59 MB

Validated Rate Rows908 (CMS v3.0.0)

File Integrity DigestVerified · CCN 010108

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