How many shoppable procedure prices are published for Southeast Health Medical Center?

Southeast Health Medical Center in Dothan, AL currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Southeast Health Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Southeast Health Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Southeast Health Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Southeast Health Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 345 Beds · rural Updated: 03/10/2026

Southeast Health Medical Center

1108 Ross Clark Circle, Dothan, AL 36301 · 104 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness100

Price Logic97

Peer Alignment70

Clean Billing74

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Southeast Health Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.94× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#23 of 52 in AL · 42nd State Percentile#568 of 3,385 in U.S. · 16th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 77% patient recommendation (74/100 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)

Even at low-cost facilities (0.89× 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 (0.7×) & laboratory (0.9×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Even at low-cost facilities (0.89× 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.
Consolidated metro market (HHI 5,056) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 0.79× · Q50 0.88× · Q75 0.94×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

0.5× MedicareGood

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

32% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Southeast Health Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 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`	—	$25,968	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,173	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,070	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,808	$17,936	0.8×
Total hip replacement CPT Code: `27130`	$18,156	$12,308	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$17,493	$12,308	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,329	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,084	$5,796	$6,109	0.9×
Inguinal hernia repair CPT Code: `49505`	$9,533	$5,313	$3,629	unverified
Breast lump removal CPT Code: `19120`	$2,052	$3,754	$3,875	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,478	$3,137	$3,372	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$2,181	$2,212	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	$1,222	$1,284	$1,453	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,131	$1,131	$86	unverified
Colonoscopy with biopsy CPT Code: `45380`	$987	$1,104	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$987	$858	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$660	$837	$987	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,057	$823	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,180	$677	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$544	$524	$583	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,210	$464	$369	unverified
Blood transfusion CPT Code: `36430`	$502	$423	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$886	$334	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,183	$334	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$2,202	$280	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$238	$229	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$530	$229	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$707	$229	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$707	$220	$343	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$175	$175	$201	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$464	$168	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$464	$168	$258	0.7×
X-ray, pelvis CPT Code: `72170`	$143	$100	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$80	$83	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$119	$83	$92	0.9×
X-ray, foot CPT Code: `73630`	$99	$83	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$80	$83	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$79	$83	$93	0.9×
X-ray, hand CPT Code: `73130`	$119	$83	$93	0.9×
X-ray, hip CPT Code: `73502`	$118	$83	$93	0.9×
X-ray, ankle CPT Code: `73610`	$118	$83	$93	0.9×
Ultrasound, pelvis CPT Code: `76856`	$116	$100	$130	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$145	$100	$134	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$125	$81	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$259	$100	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$259	$100	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$259	$100	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$259	$100	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$259	$100	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$259	$100	$169	0.6×
X-ray, lower back CPT Code: `72110`	$143	$100	$112	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$116	$100	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$116	$100	$126	unverified
Typhoid vaccine HCPCS Code: `90675`	$602	$320	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$53	$114	$116	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$73	$73	$56	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$62	$57	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$90	$72	$86	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$168	$44	$148	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$97	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$33	$30	$31	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$63	$45	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$45	$49	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$113	$55	$87	0.6×
New patient office visit (30-44 min) CPT Code: `99203`	$108	$68	$110	0.6×
Orthotic fitting and training CPT Code: `97760`	$53	$42	$51	0.8×
Prosthetic fitting and training CPT Code: `97761`	$72	$37	$45	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$40	$31	$38	0.8×
Blood antibody screen CPT Code: `86850`	$53	$50	$46	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$63	$45	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$15	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$72	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$39	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$30	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$37	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$23	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$16	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$59	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$78	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$72	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$54	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$53	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$16	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$17	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$83	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$57	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$57	$8	$9	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$252	$33	$123	0.3×
Blood test, amylase CPT Code: `82150`	$28	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$21	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$35	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$40	$31	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$45	$32	$40	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$41	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$52	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$32	$26	$34	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$26	$26	$35	0.7×
Blood test, hemoglobin CPT Code: `85018`	$4	$2	$3	0.7×

Showing top 25 high-impact procedures of 104 total

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

Audit a Bill or Quote at Southeast Health Medical Center (Zero PHI Required)

CMS CCN: 010001

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,968

1. Amount on Your Bill or Quote ($) Pre-filled with Southeast Health Medical Center’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 Southeast Health 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.

Step 3 · Fair BaseRate Target +$31,548 Above Fair BaseRate

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

Your bill ($62,323) is $31,548 above the denoised Fair BaseRate ($30,775) and 2.7× 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)

EIN: 636004476

Public IRS & CMS ownership records classify Southeast Health Medical Center 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 Composite74/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait217 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (952 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Southeast Health Medical Center.

Price Index: 0.57× regional baseline

Quality: 76/100 CMS composite

Median Household Income$57,531U.S. Census ACS

Local Uninsured Share11.7%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 89/100 · Verified CMS CCN 010001 EIN 636004476

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 010001) ↗ Verify IRS Form 990 (EIN 636004476) ↗ CMS HCRIS Cost Reports ↗

Published MRF File636004476_Southeast-Health-Medical-Center-_standardcharges.csv

Publication / Vintage03/10/2026 · 43.60 MB

Validated Rate Rows1,646 (CMS v3.0.0)

File Integrity Digest814f2d67c3f8c949a43d…

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

Southeast Health Medical Center

Uniform Value Leader · Low-Cost Across Departments

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Southeast Health Medical Center

Audit a Bill or Quote at Southeast Health Medical Center (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

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