How many shoppable procedure prices are published for Whitfield Regional Hospital?

Whitfield Regional Hospital in Demopolis, AL currently has 139 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Whitfield Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Whitfield Regional Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Whitfield Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Whitfield Regional 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 - Hospital District or Authority 47 Beds · rural Updated: 4/1/2026

Whitfield Regional Hospital

105 Highway 80 East, Demopolis, AL 36732 · 139 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 42% of the Time

File Completeness100

Price Logic86

Peer Alignment70

Clean Billing77

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Whitfield Regional Hospital prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#35 of 52 in AL · 65th State Percentile#1,011 of 3,385 in U.S. · 29th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 42% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 59% patient recommendation (65/100 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 (0.96× 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 (0.5×) & laboratory (1.6×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Even at low-cost facilities (0.96× 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.
Unnegotiated chargemaster list prices average 4.1× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.10× Divergence

1.1× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 0.81× · Q50 0.94× · Q75 1.07×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.7× MedicareGood

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

42% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 65/100Fair

Procedure Prices at Whitfield Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 139 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$33,702	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,810	$17,936	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,730	$19,087	0.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$14,804	$30,775	0.5×
Total hip replacement CPT Code: `27130`	—	$11,065	$13,413	0.8×
Total knee replacement CPT Code: `27447`	—	$11,065	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,785	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,210	$6,109	0.9×
C-section delivery (full package) CPT Code: `59510`	$4,800	$4,185	$2,975	1.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,484	$2,680	1.3×
Breast lump removal CPT Code: `19120`	—	$3,375	$3,875	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$3,086	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,820	$3,372	0.8×
Bunion correction surgery CPT Code: `28296`	—	$2,820	$3,446	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,989	$2,540	0.8×
Trauma team activation HCPCS Code: `G0390`	—	$1,149	$1,453	0.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,031	$1,256	0.8×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$840	$257	3.3×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$840	$269	3.1×
Behavioral health day treatment HCPCS Code: `H0010`	—	$840	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$840	$364	unverified
Behavioral health day program HCPCS Code: `H2012`	—	$840	$100	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$801	$981	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$782	$987	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,100	$740	$1,021	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	$984	$608	$855	0.7×
Residential mental health treatment HCPCS Code: `H2036`	—	$489	$406	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$429	$471	$583	0.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$422	$157	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$422	$140	unverified
Psychological testing by technician CPT Code: `96138`	—	$385	$395	1.0×
Blood transfusion CPT Code: `36430`	$474	$380	$498	0.8×
Rabies immune globulin HCPCS Code: `90375`	—	$280	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$662	$302	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$657	$302	$511	0.6×
Care planning with family CPT Code: `90887`	—	$242	$107	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	—	$195	$88	2.2×
Neurobehavioral status check CPT Code: `96116`	—	$186	$231	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$176	$206	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$527	$211	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$435	$225	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$465	$225	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$429	$219	$369	0.6×
Behavioral health living support HCPCS Code: `H2019`	—	$195	$34	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$312	$142	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$385	$153	$166	0.9×
Family therapy session CPT Code: `90847`	$168	$153	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$153	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$260	$154	$185	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$401	$166	$258	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$365	$152	$242	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$155	$172	$123	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	$108	$65	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$168	$132	$123	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$121	$121	$148	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$127	$90	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$135	$111	$110	1.0×
Review of medical records for care CPT Code: `90889`	—	$108	$114	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$115	$128	0.9×
Group therapy session CPT Code: `90853`	$60	$88	$100	0.9×
X-ray, pelvis CPT Code: `72170`	$66	$90	$110	0.8×
X-ray, lower back CPT Code: `72110`	$65	$90	$112	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$215	$90	$126	0.7×
Ultrasound, pelvis CPT Code: `76856`	$97	$90	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$89	$90	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$116	$90	$134	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$273	$99	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$278	$99	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$297	$99	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$278	$99	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$287	$99	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$287	$99	$169	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$144	$100	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$685	$320	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$176	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$232	$114	$116	1.0×
X-ray, chest (single view) CPT Code: `71045`	$45	$75	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$123	$75	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$60	$75	$93	0.8×
X-ray, hand CPT Code: `73130`	$63	$75	$93	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	—	$92	$140	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$53	$51	$35	1.5×
Orthotic fitting and training CPT Code: `97760`	$80	$61	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$60	$52	$45	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$47	$75	$201	0.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$42	$25	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$34	$25	1.4×
Speech therapy (group session) CPT Code: `92508`	$45	$31	$27	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$48	$43	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$60	$45	$40	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$43	$39	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$30	$16	$14	1.1×
Physical therapy (gait training) CPT Code: `97116`	$78	$37	$33	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$54	$36	$34	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$114	$39	$37	1.1×
Blood antibody screen CPT Code: `86850`	$88	$45	$46	1.0×
Blood test, calcium CPT Code: `82310`	$18	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$22	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$40	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$30	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$26	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$22	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$224	$30	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$65	$26	$27	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$69	$51	$64	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$60	$19	$20	0.9×
Flu vaccine injection HCPCS Code: `G0008`	—	$40	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$40	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	—	$40	$49	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$106	$43	$56	0.8×
X-ray, shoulder CPT Code: `73030`	$44	$44	$92	0.5×
X-ray, hip CPT Code: `73502`	$42	$42	$93	0.5×
X-ray, foot CPT Code: `73630`	$39	$39	$92	0.4×
X-ray, ankle CPT Code: `73610`	$39	$39	$93	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$43	$111	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$60	$37	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$60	$42	$38	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$74	$46	$38	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$33	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$69	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$18	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$21	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$27	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$48	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$76	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$54	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$66	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$84	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$33	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$48	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$27	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$32	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$24	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$21	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$12	$2	$3	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$25	$25	$86	unverified

Showing top 25 high-impact procedures of 139 total

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

Audit a Bill or Quote at Whitfield Regional Hospital (Zero PHI Required)

CMS CCN: 010112

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $33,702

1. Amount on Your Bill or Quote ($) Pre-filled with Whitfield Regional 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 Whitfield Regional 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 +$61,453 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($80,885) is $61,453 above the denoised Fair BaseRate ($19,432) and 5.8× the $14,044 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 Whitfield Regional 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 Composite65/100

Would Recommend59%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait120 min

Left ER Before Seen0%

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

Source: CMS Hospital Care Compare (119 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

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

Price Index: 1.02× regional baseline

Quality: 56/100 CMS composite

Median Household Income$44,205U.S. Census ACS

Local Uninsured Share8.6%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 87/100 · Verified CMS CCN 010112

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 010112) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filewhitfield

Publication / Vintage4/1/2026 · 35.37 MB

Validated Rate Rows1,087 (CMS v3.0.0)

File Integrity Digest7a81a3fa5e75da44fe05…

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