How many shoppable procedure prices are published for The East Alabama Healthcare Authority?

The East Alabama Healthcare Authority in Opelika, AL currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The East Alabama Healthcare Authority's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, The East Alabama Healthcare Authority's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is The East Alabama Healthcare Authority's CMS Care Compare overall star rating?

CMS Care Compare assigns The East Alabama Healthcare Authority 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 265 Beds · urban Updated: 2026-01-01

The East Alabama Healthcare Authority

2000 Pepperell Parkway, Opelika, AL 36801 · 122 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.77×vs. Fair Market Price

Typical commercial prices here are 23% below the fair benchmark (0.77×) after accounting for local nurse/doctor wages and patient complexity.

88/100 · Verified

88/100Self-Pay Cash Beats Insurance 68% of the Time

File Completeness100

Price Logic91

Peer Alignment69

Clean Billing78

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.77× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

The East Alabama Healthcare Authority maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.79× 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.

#1 of 52 in AL · 1st State Percentile#209 of 3,385 in U.S. · 6th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 23% below peer Fair BaseRate (0.77×)
Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 72% 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 1.2× markup over Medicare rates
Captive ER (1.2×) & laboratory (1.2×) services average 1.67× higher multiples than routine shoppable care (0.6×)
Upper-quartile procedures (Q75 0.94×) jump +19% above the median procedure ratio (Q50 0.79×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER1.67× Divergence

1.0× Medicare

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

Quantile Tail Spread+19% Upper Tail

Q25 0.42× · Q50 0.79× · 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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.0× MedicareGood

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

68% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at The East Alabama Healthcare Authority

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$13,009	$13,009	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$13,009	$13,009	$13,523	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,331	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,108	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	—	$1,199	$1,453	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,062	$797	$981	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$719	$2,540	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,170	$726	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$3,717	$694	$3,629	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$687	$628	$855	0.7×
Breast lump removal CPT Code: `19120`	$3,741	$555	$3,875	0.1×
Bunion correction surgery CPT Code: `28296`	$5,551	$529	$3,446	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,247	$430	$1,021	0.4×
Blood transfusion CPT Code: `36430`	$398	$380	$498	0.8×
Psychological testing by technician CPT Code: `96138`	—	$348	$395	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,187	$371	$1,256	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,046	$318	$987	0.3×
Rabies immune globulin HCPCS Code: `90375`	$823	$280	$322	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$275	$179	$369	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$434	$186	$448	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$481	$182	$511	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$202	$179	$201	unverified
X-ray, pelvis CPT Code: `72170`	$125	$125	$110	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$312	$146	$151	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$160	$146	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$146	$185	0.8×
Care planning with family CPT Code: `90887`	—	$120	$107	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$256	$128	$272	0.5×
X-ray, chest (single view) CPT Code: `71045`	$88	$88	$92	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$73	$102	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$73	$87	$110	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$113	$94	$148	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$160	$100	$166	0.6×
Family therapy session CPT Code: `90847`	$160	$100	$173	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$340	$98	$258	0.4×
Neurobehavioral status check CPT Code: `96116`	—	$84	$231	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$328	$109	$343	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$345	$82	$242	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$275	$105	$338	0.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$340	$88	$303	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$552	$106	$583	0.2×
Typhoid vaccine HCPCS Code: `90675`	$338	$328	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$117	$160	$203	0.8×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$312	$133	$140	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$73	$71	$87	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$92	$78	$123	0.6×
Blood antibody screen CPT Code: `86850`	$80	$45	$46	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$70	$86	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$142	$70	$132	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$184	$65	$134	0.5×
Ultrasound, pelvis CPT Code: `76856`	$184	$61	$130	0.5×
CT scan, sinuses CPT Code: `70486`	$128	$76	$166	0.5×
CT scan, pelvis CPT Code: `72192`	$270	$71	$163	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$135	$72	$169	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$126	$71	$167	0.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$135	$71	$168	0.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$36	$26	$27	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$146	$37	$39	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$29	$33	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$46	$42	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$46	$42	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$42	$49	0.9×
Orthotic fitting and training CPT Code: `97760`	$49	$42	$51	0.8×
Prosthetic fitting and training CPT Code: `97761`	$45	$37	$45	0.8×
Physical therapy (gait training) CPT Code: `97116`	$35	$27	$33	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$41	$31	$38	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$140	$50	$126	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$345	$58	$160	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$72	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$30	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$39	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$46	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$34	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$31	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$48	$18	$19	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$41	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$53	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$63	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$63	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$41	$22	$27	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$123	$39	$56	0.7×
X-ray, hand CPT Code: `73130`	$88	$32	$93	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$142	$37	$111	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$60	$51	$64	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$39	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$40	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$49	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$46	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$51	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$48	$10	$11	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$87	$22	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$87	$31	$37	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$42	$32	$40	0.8×
Blood test, amylase CPT Code: `82150`	$34	$6	$7	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$42	$30	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$47	$27	$35	0.8×
X-ray, hip CPT Code: `73502`	$88	$31	$93	0.3×
X-ray, ankle CPT Code: `73610`	$88	$31	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$88	$30	$92	0.3×
X-ray, foot CPT Code: `73630`	$88	$29	$92	0.3×
X-ray, lower back CPT Code: `72110`	$125	$33	$112	0.3×
Psychological testing evaluation CPT Code: `96136`	—	$37	$128	0.3×
Blood test, vitamin D CPT Code: `82306`	$105	$30	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$4	$5	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$35	$11	$14	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$64	$26	$35	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$42	$25	$34	0.7×
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$13	$25	0.5×
Group therapy session CPT Code: `90853`	$204	$27	$100	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$88	$24	$93	0.3×
X-ray, chest (two views) CPT Code: `71046`	$88	$20	$93	0.2×
Blood test, sodium CPT Code: `84295`	$17	$5	$5	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$41	$30	$38	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$4	$4	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$48	$19	$20	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$29	$29	$86	unverified

Showing top 25 high-impact procedures of 122 total

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

Audit a Bill or Quote at The East Alabama Healthcare Authority (Zero PHI Required)

CMS CCN: 010029

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $13,009

Insurer Median $13,009

1. Amount on Your Bill or Quote ($) Pre-filled with The East Alabama Healthcare Authority’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 Save $10,643 Paying Cash

Self-Pay Cash Rate ($13,009) Beats Your Bill

The East Alabama Healthcare Authority's published 45 CFR § 180 self-pay cash rate is $13,009 (vs. $13,009 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$10,239 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($23,652) is $10,239 above the denoised Fair BaseRate ($13,413) and 1.8× the $13,117 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: 636000526

Public IRS & CMS ownership records classify The East Alabama Healthcare Authority 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 Composite73/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait202 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

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 (386 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 The East Alabama Healthcare Authority.

Price Index: 1.00× regional baseline

Quality: 73/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Novanet

-75.6%

GEHA

+94.8%

UnitedHealthcare

+124.7%

Median Household Income$61,123U.S. Census ACS

Local Uninsured Share8.7%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 88/100 · Verified CMS CCN 010029 EIN 636000526

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 010029) ↗ Verify IRS Form 990 (EIN 636000526) ↗ CMS HCRIS Cost Reports ↗

Published MRF File636000526_EastAlabama_standardcharges.csv.zip!636000526_EastAlabama_standardcharges.csv

Publication / Vintage2026-01-01 · 6.53 MB

Validated Rate Rows5,662 (CMS v3.0.0)

File Integrity Digest1775d096b9c422eef402…

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

The East Alabama Healthcare Authority

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 The East Alabama Healthcare Authority

Audit a Bill or Quote at The East Alabama Healthcare Authority (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Self-Pay Cash Rate ($13,009) Beats Your Bill

Negotiate Toward $13,413 Fair BaseRate ($13,117 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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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