How many shoppable procedure prices are published for USA Health University Hospital?

USA Health University Hospital in Mobile, AL currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do USA Health University Hospital's commercial prices compare to the fair BaseRate?

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

What is USA Health University Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns USA Health University Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - State 264 Beds · urban Updated: 2026-04-30

USA Health University Hospital

2451 Fillingim Street, Mobile, AL 36617 · 128 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.83×vs. Fair Market Price

Typical commercial prices here are 17% below the fair benchmark (0.83×) after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 18% of the Time

File Completeness56

Price Logic79

Peer Alignment65

Clean Billing85

Real Cash Discount19

Premium Quality Tier

3-Star CMS clinical quality rating paired with 0.83× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

USA Health University Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.85× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#6 of 52 in AL · 9th State Percentile#341 of 3,385 in U.S. · 10th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 17% below peer Fair BaseRate (0.83×)
Self-pay cash beats commercial insurance on 18% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 71% patient recommendation (66/100 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 (0.83× 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 (2.4×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Even at low-cost facilities (0.83× 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 & ER1.25× Divergence

1.0× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.57× · Q50 0.85× · Q75 0.95×

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

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

0.6× MedicareGood

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

18% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 66/100Fair

Procedure Prices at USA Health University Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 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`	—	$31,985	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,409	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,297	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,935	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,859	$8,223	unverified
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	$573	$3,875	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,524	$516	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,465	$508	$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	$463	$2,540	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,046	$419	$987	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$903	$378	$981	0.4×
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×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$284	$201	1.4×
Rabies immune globulin HCPCS Code: `90375`	—	$275	$322	0.9×
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×
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×
Office visit, established patient (30-39 min) CPT Code: `99214`	$171	$136	$123	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$484	$126	$123	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$140	$151	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$470	$114	$134	0.9×
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×
Office visit, established patient (20-29 min) CPT Code: `99213`	$175	$95	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$171	$118	$110	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$141	$124	$35	unverified
Care planning with family CPT Code: `90887`	$134	$89	$107	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$167	$114	$166	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$378	$86	$126	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$966	$107	$160	0.7×
Family therapy session CPT Code: `90847`	—	$110	$173	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$493	$84	$148	0.6×
Neurobehavioral status check CPT Code: `96116`	$174	$94	$231	0.4×
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	0.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	$97	$34	$33	1.0×
X-ray, lower back CPT Code: `72110`	$252	$53	$112	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$197	$40	$93	0.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$171	$14	$14	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, chest (two views) CPT Code: `71046`	$213	$33	$93	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$4	$4	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$137	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$242	$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×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$65	$4	$4	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$114	$46	$51	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$241	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$217	$17	$18	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$40	$40	$86	unverified
Hepatitis C antibody test CPT Code: `86803`	$193	$14	$15	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$56	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$41	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$271	$10	$11	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×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$33	$37	0.9×
Speech therapy (group session) CPT Code: `92508`	$66	$24	$27	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×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$147	$35	$40	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×
Physical therapy (manual therapy) CPT Code: `97140`	$103	$28	$34	0.8×
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×
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×
Pneumonia vaccine injection HCPCS Code: `G0009`	$121	$22	$49	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$97	$21	$48	0.4×
X-ray, shoulder CPT Code: `73030`	$540	$36	$92	0.4×
X-ray, foot CPT Code: `73630`	$302	$34	$92	0.4×
Psychological testing evaluation CPT Code: `96136`	$127	$44	$128	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$80	$3	$3	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×
Blood test, amylase CPT Code: `82150`	$140	$6	$7	0.9×
X-ray, chest (single view) CPT Code: `71045`	$227	$25	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$180	$28	$110	0.3×
Psychological testing by technician CPT Code: `96138`	$95	$38	$395	0.1×
Blood antibody screen CPT Code: `86850`	$119	$10	$46	0.2×
Blood test, calcium CPT Code: `82310`	$58	$5	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$67	$5	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$120	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$131	$7	$7	unverified
Blood test, magnesium CPT Code: `83735`	$106	$7	$7	unverified
Blood test, potassium CPT Code: `84132`	$28	$5	$5	unverified
Blood test, sodium CPT Code: `84295`	$28	$5	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$113	$8	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$102	$6	$6	unverified
Culture, bacterial CPT Code: `87070`	$376	$9	$9	unverified

Showing top 25 high-impact procedures of 128 total

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

Audit a Bill or Quote at USA Health University Hospital (Zero PHI Required)

CMS CCN: 010087

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,985

1. Amount on Your Bill or Quote ($) Pre-filled with USA Health University 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 USA Health University 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 +$45,989 Above Fair BaseRate

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

Your bill ($76,764) is $45,989 above the denoised Fair BaseRate ($30,775) and 3.3× 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 USA Health University 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 Composite66/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait214 min

Left ER Before Seen2%

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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-06-05·administrative_or_closure
Closure Notice
Recorded
2025-03-10·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (1,260 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for USA Health University Hospital.

Price Index: 1.33× regional baseline

Quality: 60/100 CMS composite

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 62/100 · Caution CMS CCN 010087

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 010087) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-30

Validated Rate Rows4,439 (CMS v3.0.0)

File Integrity DigestVerified · CCN 010087

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