How many shoppable procedure prices are published for USA Health Children's & Women's Hospital?

USA Health Children's & Women's Hospital in Mobile, AL currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do USA Health Children's & Women's Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, USA Health Children's & Women's Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Government - State 245 Beds · urban Updated: 2026-04-30

USA Health Children's & Women's Hospital

1700 Center Street, Mobile, AL 36604 · 123 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.81×vs. Fair Market Price

Typical commercial prices here are 19% below the fair benchmark (0.81×) after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 16% of the Time

File Completeness66

Price Logic79

Peer Alignment64

Clean Billing84

Real Cash Discount27

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

USA Health Children's & Women's Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.83× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.94× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 52 in AL · 3rd State Percentile#299 of 3,385 in U.S. · 8th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 19% below peer Fair BaseRate (0.81×)
Self-pay cash beats commercial insurance on 16% of shoppable procedures (27/100 Cash Honesty)
CMS clinical safety score (54/100 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)

Even at low-cost facilities (0.81× 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 (1.5×) & laboratory (1.8×) services average 1.13× higher multiples than routine shoppable care (0.8×)
Even at low-cost facilities (0.81× 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 3,157) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.13× Divergence

0.9× Medicare

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

Quantile Tail Spread+13% Upper Tail

Q25 0.55× · Q50 0.83× · 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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

0.7× MedicareGood

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

16% Cash Edge · 27/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at USA Health Children's & Women's Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 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`	$4,318	$4,318	$13,413	0.3×
Total knee replacement CPT Code: `27447`	$3,833	$3,833	$13,523	0.3×
C-section delivery (full package) CPT Code: `59510`	$7,097	$2,473	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$5,868	$2,214	$2,680	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,854	$1,854	$6,109	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	$1,540	$1,540	$855	1.8×
Trauma team activation HCPCS Code: `G0390`	$11,397	$1,014	$1,453	0.7×
Blood transfusion CPT Code: `36430`	$875	$875	$498	1.8×
Bunion correction surgery CPT Code: `28296`	$2,601	$883	$3,446	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,988	$674	$1,021	0.7×
Breast lump removal CPT Code: `19120`	$1,388	$602	$3,875	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,524	$541	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,465	$533	$3,629	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,231	$480	$1,256	0.4×
Cataract surgery with lens implant CPT Code: `66984`	$1,439	$486	$2,540	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,046	$440	$987	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$903	$397	$981	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$284	$201	1.4×
Rabies immune globulin HCPCS Code: `90375`	—	$275	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,169	$300	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,894	$317	$511	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,386	$173	$258	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,773	$183	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,738	$195	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,697	$192	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$3,319	$204	$369	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,559	$197	$583	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$149	$149	$64	2.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$282	$173	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$250	$167	$181	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$588	$184	$272	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$140	$151	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$470	$114	$134	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$171	$136	$123	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$175	$95	$87	1.1×
Care planning with family CPT Code: `90887`	$134	$89	$107	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$332	$109	$132	0.8×
CT scan, pelvis CPT Code: `72192`	$832	$133	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$904	$133	$167	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$926	$131	$169	0.8×
Ultrasound, pelvis CPT Code: `76856`	$332	$105	$130	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$860	$130	$168	0.8×
CT scan, sinuses CPT Code: `70486`	$726	$128	$166	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,010	$148	$242	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$167	$114	$166	0.7×
Family therapy session CPT Code: `90847`	—	$110	$173	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$484	$126	$123	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$378	$86	$126	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$966	$107	$160	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$493	$84	$148	0.6×
Neurobehavioral status check CPT Code: `96116`	$174	$94	$231	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$171	$118	$110	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$141	$124	$35	unverified
Typhoid vaccine HCPCS Code: `90675`	$364	$315	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$156	$156	$116	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$126	$126	$203	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$74	$74	$49	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$67	$67	$56	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$247	$76	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$72	$72	$111	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$87	$87	$140	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$97	$34	$33	1.0×
Orthotic fitting and training CPT Code: `97760`	$114	$46	$51	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$171	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$120	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$131	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$106	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$462	$30	$31	1.0×
X-ray, hip CPT Code: `73502`	$180	$49	$93	0.5×
X-ray, lower back CPT Code: `72110`	$252	$53	$112	0.5×
Blood test, vitamin B12 CPT Code: `82607`	$137	$15	$16	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$241	$18	$20	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$147	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$103	$40	$45	0.9×
Physical therapy (gait training) CPT Code: `97116`	$123	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$102	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$152	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$100	$29	$35	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$197	$40	$93	0.4×
Psychological testing evaluation CPT Code: `96136`	$127	$44	$128	0.3×
Psychological testing by technician CPT Code: `96138`	$95	$38	$395	0.1×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$33	$37	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$40	$40	$86	unverified
Blood test, calcium CPT Code: `82310`	$58	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$67	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$28	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$65	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$113	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$102	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$376	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$217	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$193	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$242	$13	$14	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$56	$13	$14	0.9×
X-ray, hand CPT Code: `73130`	$177	$38	$93	0.4×
X-ray, ankle CPT Code: `73610`	$376	$37	$93	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$270	$11	$11	1.0×
X-ray, shoulder CPT Code: `73030`	$540	$36	$92	0.4×
Culture, blood CPT Code: `87040`	$271	$10	$11	0.9×
Speech therapy (group session) CPT Code: `92508`	$66	$24	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$103	$28	$34	0.8×
X-ray, foot CPT Code: `73630`	$302	$34	$92	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$28	$5	$5	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$186	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$300	$8	$9	0.9×
X-ray, chest (two views) CPT Code: `71046`	$213	$33	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$80	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$140	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$78	$4	$5	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$29	$29	$39	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$121	$22	$49	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$97	$21	$48	0.4×
Group therapy session CPT Code: `90853`	—	$30	$100	0.3×
Blood test, hemoglobin CPT Code: `85018`	$25	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$65	$15	$25	0.6×
X-ray, chest (single view) CPT Code: `71045`	$227	$25	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$180	$28	$110	0.3×
Blood antibody screen CPT Code: `86850`	$119	$10	$46	0.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$241	$18	$19	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$41	$23	$25	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$147	$35	$40	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	unverified

Showing top 25 high-impact procedures of 123 total

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

Audit a Bill or Quote at USA Health Children's & Women's Hospital (Zero PHI Required)

CMS CCN: 013301

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $4,318

Insurer Median $4,318

1. Amount on Your Bill or Quote ($) Pre-filled with USA Health Children's & Women's 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 Published Cash: $4,318

Compare Prompt-Pay Cash Rate Against Remaining Deductible

USA Health Children's & Women's Hospital's published 45 CFR § 180 self-pay cash rate is $4,318 (vs. $4,318 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $13,413 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).

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 USA Health Children's & Women's 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 ↑

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 USA Health Children's & Women's Hospital.

Price Index: 1.30× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+71.0%

Median Household Income$58,119U.S. Census ACS

Local Uninsured Share10.9%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 65/100 · Caution CMS CCN 013301

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 013301) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-30

Validated Rate Rows4,237 (CMS v3.0.0)

File Integrity DigestVerified · CCN 013301

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