▸ Hospital · AL · CCN 010010
MARSHALL MEDICAL CENTER - NORTH
8000 ALABAMA HIGHWAY 69, GUNTERSVILLE, AL, 35976-
90 beds9
Compliance grade
A
97/100
Procedures tracked
162
of 209 target codes
Payers
7
with negotiated rates
Rates published
12,927
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 0 | — | — | — | — | — |
| Psychotherapy 30 minutes | CPT | 90832 | 7 | $218 | $218 | $54.5 | $156.03 | $255.59 |
| Psychotherapy 45 minutes | CPT | 90834 | 7 | $327 | $327 | $81.75 | $156.03 | $308.28 |
| Psychotherapy 60 minutes | CPT | 90837 | 7 | $436 | $436 | $109 | $156.8 | $340.08 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 7 | $203 | $203 | $72.67 | $143 | $203 |
| ED visit level 2 | CPT | 99282 | 7 | $375 | $375 | $111.54 | $143 | $375 |
| ED visit level 3 | CPT | 99283 | 7 | $660 | $660 | $167.31 | $237.62 | $660 |
| ED visit level 4 | CPT | 99284 | 7 | $1,029 | $1,029 | $214.5 | $363.22 | $1,029 |
| ED visit level 5 | CPT | 99285 | 7 | $1,479 | $1,479 | $321.75 | $518.39 | $1,479 |
| Critical care, first hour | CPT | 99291 | 7 | $1,497.5 | $1,497.5 | $263.56 | $711.91 | $1,423.83 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 7 | $1,703.9 | $1,703.9 | $90.1 | $124.91 | $1,329.04 |
| CT head with contrast | CPT | 70460 | 7 | $1,831.5 | $1,831.5 | $151.17 | $156.35 | $1,428.57 |
| CT head with and without contrast | CPT | 70470 | 7 | $1,964.6 | $1,964.6 | $151.17 | $156.35 | $1,532.39 |
| CT neck with contrast | CPT | 70491 | 7 | $2,046 | $2,046 | $151.17 | $156.35 | $1,595.88 |
| MRI brain without contrast | CPT | 70551 | 7 | $1,864.5 | $1,864.5 | $102.82 | $209.75 | $1,454.31 |
| MRI brain with contrast | CPT | 70552 | 7 | $2,164.8 | $2,164.8 | $150.34 | $306.69 | $1,688.54 |
| MRI brain with and without contrast | CPT | 70553 | 7 | $4,819 | $4,819 | $300.68 | $473.18 | $3,758.82 |
| Chest X-ray single view | CPT | 71045 | 7 | $382.2 | $382.2 | $61.33 | $96.84 | $298.12 |
| Chest X-ray 2 views | CPT | 71046 | 7 | $353.1 | $353.1 | $75 | $88.28 | $275.42 |
| Chest X-ray 3 views | CPT | 71047 | 7 | $433.4 | $433.4 | $75 | $92.8 | $338.05 |
| CT chest without contrast | CPT | 71250 | 7 | $2,185.5 | $2,185.5 | $90.1 | $168.61 | $1,704.69 |
| CT chest with contrast | CPT | 71260 | 7 | $1,703.9 | $1,703.9 | $151.17 | $156.35 | $1,329.04 |
| CT chest with and without contrast | CPT | 71270 | 7 | $1,948.1 | $1,948.1 | $151.17 | $156.35 | $1,519.52 |
| MRI chest without contrast | CPT | 71550 | 7 | $3,575 | $3,575 | $205.64 | $278.41 | $2,788.5 |
| MRI chest with contrast | CPT | 71551 | 7 | $3,820 | $3,820 | $345 | $694.2 | $2,979.6 |
| MRI chest with and without contrast | CPT | 71552 | 7 | $4,048.5 | $4,048.5 | $300.68 | $327.35 | $3,157.83 |
| Lumbosacral spine X-ray | CPT | 72100 | 7 | $477.6 | $477.6 | $90.1 | $120.07 | $372.53 |
| CT cervical spine without contrast | CPT | 72125 | 7 | $2,356.2 | $2,356.2 | $90.1 | $124.91 | $1,837.84 |
| CT thoracic spine without contrast | CPT | 72128 | 7 | $2,046 | $2,046 | $90.1 | $124.91 | $1,595.88 |
| CT lumbar spine without contrast | CPT | 72131 | 7 | $2,046 | $2,046 | $45.05 | $91.9 | $1,595.88 |
| MRI cervical spine without contrast | CPT | 72141 | 7 | $1,864.5 | $1,864.5 | $102.82 | $209.75 | $1,454.31 |
| MRI thoracic spine without contrast | CPT | 72146 | 7 | $1,864.5 | $1,864.5 | $205.64 | $278.41 | $1,454.31 |
| MRI lumbar spine without contrast | CPT | 72148 | 7 | $1,864.5 | $1,864.5 | $205.64 | $278.41 | $1,454.31 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 7 | $2,164.8 | $2,164.8 | $300.68 | $327.35 | $1,688.54 |
| MRI cervical spine with and without contrast | CPT | 72156 | 7 | $2,461.8 | $2,461.8 | $300.68 | $327.35 | $1,920.2 |
| MRI lumbar spine with contrast | CPT | 72158 | 7 | $2,461.8 | $2,461.8 | $300.68 | $327.35 | $1,920.2 |
| CT pelvis without contrast | CPT | 72192 | 7 | $1,526.8 | $1,526.8 | $90.1 | $124.91 | $1,190.9 |
| CT pelvis with contrast | CPT | 72193 | 7 | $1,703.9 | $1,703.9 | $151.17 | $156.35 | $1,329.04 |
| Shoulder X-ray | CPT | 73030 | 7 | $486 | $486 | $75 | $142.12 | $379.08 |
| Humerus X-ray | CPT | 73060 | 7 | $498.3 | $498.3 | $75 | $142.12 | $388.67 |
| Hand X-ray 3 views | CPT | 73130 | 7 | $421.2 | $421.2 | $69.85 | $120.74 | $328.54 |
| MRI upper extremity joint without contrast | CPT | 73221 | 7 | $1,864.5 | $1,864.5 | $205.64 | $453.72 | $1,537.09 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 7 | $2,461.8 | $2,461.8 | $300.68 | $731.45 | $2,461.8 |
| Knee X-ray 1-2 views | CPT | 73560 | 7 | $500.4 | $500.4 | $73.43 | $125.1 | $390.31 |
| Ankle X-ray 3 views | CPT | 73610 | 7 | $327.8 | $327.8 | $74.53 | $119.24 | $255.68 |
| MRI lower extremity joint without contrast | CPT | 73721 | 7 | $1,864.5 | $1,864.5 | $102.82 | $346.66 | $1,537.09 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 7 | $2,461.8 | $2,461.8 | $300.68 | $731.45 | $2,461.8 |
| CT abdomen without contrast | CPT | 74150 | 7 | $1,526.8 | $1,526.8 | $90.1 | $124.91 | $1,190.9 |
| CT abdomen with contrast | CPT | 74160 | 7 | $2,046 | $2,046 | $151.17 | $156.35 | $1,595.88 |
| CT abdomen with and without contrast | CPT | 74170 | 7 | $2,288 | $2,288 | $151.17 | $156.35 | $1,784.64 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 7 | $1,526.8 | $1,526.8 | $157 | $211.3 | $1,190.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 7 | $2,046 | $2,046 | $157 | $308.95 | $1,595.88 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 7 | $2,288 | $2,288 | $157 | $308.95 | $1,784.64 |
| MRI abdomen without contrast | CPT | 74181 | 7 | $1,864.5 | $1,864.5 | $205.64 | $278.41 | $1,454.31 |
| MRI abdomen with and without contrast | CPT | 74183 | 7 | $4,747 | $4,747 | $300.68 | $473.18 | $3,702.66 |
| Abdominal ultrasound complete | CPT | 76700 | 7 | $509.3 | $509.3 | $90.1 | $110.07 | $397.25 |
| Abdominal ultrasound limited | CPT | 76705 | 7 | $822 | $822 | $83.88 | $150.98 | $641.16 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 7 | $462 | $462 | $90.1 | $104.16 | $360.36 |
| Obstetric ultrasound first trimester | CPT | 76801 | 7 | $649 | $649 | $90.1 | $171.23 | $506.22 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 7 | $696 | $696 | $90.1 | $177.11 | $542.88 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 7 | $346 | $346 | $86.5 | $207.7 | $346 |
| Transvaginal ultrasound | CPT | 76830 | 7 | $759 | $759 | $90.1 | $184.98 | $592.02 |
| Pelvic ultrasound complete | CPT | 76856 | 7 | $591.5 | $591.5 | $90.1 | $164.05 | $461.37 |
| Scrotal ultrasound | CPT | 76870 | 7 | $368.5 | $368.5 | $90.1 | $92.59 | $287.43 |
| Diagnostic mammography unilateral | CPT | 77065 | 7 | $209 | $209 | $52.25 | $77.37 | $200 |
| Diagnostic mammography bilateral | CPT | 77066 | 7 | $234.3 | $234.3 | $58.58 | $99.19 | $200 |
| Screening mammography bilateral | CPT | 77067 | 7 | $210.1 | $210.1 | $52.53 | $81.67 | $200 |
| EKG tracing only | CPT | 93005 | 7 | $211.2 | $211.2 | $50.63 | $54.19 | $211.2 |
| Transthoracic echocardiogram complete | CPT | 93306 | 7 | $1,895 | $1,895 | $421.25 | $485.06 | $1,478.1 |
| Transthoracic echocardiogram | CPT | 93307 | 7 | $771.5 | $771.5 | $192.88 | $211.3 | $978.65 |
| Stress echocardiogram | CPT | 93350 | 7 | $986 | $986 | $223 | $481.53 | $978.65 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 0 | — | — | — | — | — |
| COPD w MCC | MS-DRG | 190 | 0 | — | — | — | — | — |
| COPD w CC | MS-DRG | 191 | 0 | — | — | — | — | — |
| COPD w/o CC/MCC | MS-DRG | 192 | 0 | — | — | — | — | — |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 0 | — | — | — | — | — |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 0 | — | — | — | — | — |
| AMI discharged alive w MCC | MS-DRG | 280 | 0 | — | — | — | — | — |
| AMI discharged alive w CC | MS-DRG | 281 | 0 | — | — | — | — | — |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 0 | — | — | — | — | — |
| Heart failure & shock w MCC | MS-DRG | 291 | 0 | — | — | — | — | — |
| Heart failure & shock w CC | MS-DRG | 292 | 0 | — | — | — | — | — |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 0 | — | — | — | — | — |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 0 | — | — | — | — | — |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 0 | — | — | — | — | — |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 0 | — | — | — | — | — |
| GI hemorrhage w CC | MS-DRG | 378 | 0 | — | — | — | — | — |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 0 | — | — | — | — | — |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 0 | — | — | — | — | — |
| Kidney/UTI w MCC | MS-DRG | 689 | 0 | — | — | — | — | — |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 0 | — | — | — | — | — |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 0 | — | — | — | — | — |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 0 | — | — | — | — | — |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 7 | $170.5 | $170.5 | $6.35 | $8.69 | $132.99 |
| General health panel | CPT | 80050 | 4 | $232 | $232 | $17.52 | $87 | $180.96 |
| Electrolyte panel | CPT | 80051 | 7 | $153.5 | $153.5 | $5.26 | $7.21 | $119.73 |
| Comprehensive metabolic panel | CPT | 80053 | 7 | $224 | $224 | $7.92 | $10.85 | $174.72 |
| Lipid panel | CPT | 80061 | 7 | $270 | $270 | $10.04 | $13.76 | $210.6 |
| Renal function panel | CPT | 80069 | 7 | $208 | $208 | $6.51 | $8.92 | $162.24 |
| Hepatic function panel | CPT | 80076 | 7 | $165 | $165 | $6.13 | $8.4 | $128.7 |
| Urinalysis non-automated | CPT | 81002 | 7 | $7 | $7 | $1.75 | $3.53 | $6.96 |
| Urinalysis automated | CPT | 81003 | 7 | $103 | $103 | $1.69 | $2.32 | $80.34 |
| Glucose quantitative | CPT | 82947 | 7 | $116 | $116 | $2.95 | $9.16 | $90.48 |
| Hemoglobin A1c | CPT | 83036 | 7 | $115 | $115 | $7.28 | $10.33 | $89.7 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 7 | $234.46 | $234.46 | $12.6 | $30.1 | $182.88 |
| Complete blood count with automated differential | CPT | 85025 | 7 | $154.5 | $154.5 | $5 | $10.5 | $120.51 |
| Complete blood count without differential | CPT | 85027 | 7 | $95.5 | $95.5 | $4.85 | $6.65 | $74.49 |
| Urine culture bacterial | CPT | 87086 | 7 | $153 | $153 | $6.05 | $8.29 | $119.34 |
| Urine culture identification | CPT | 87088 | 7 | $50 | $50 | $6.07 | $8.31 | $39 |
| Tissue exam by pathologist level IV | CPT | 88305 | 7 | $1,147 | $1,147 | $33.68 | $108.65 | $894.66 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 7 | $565 | $565 | $170 | $226 | $565 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 3 | $250.67 | $250.67 | $51.2 | $93.45 | $172 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 3 | $330.35 | $330.35 | $89.2 | $112.5 | $172 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 3 | $453.34 | $453.34 | $118.8 | $163.35 | $204 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 3 | $493 | $493 | $150.4 | $172 | $221.85 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | $275 | $275 | $25.2 | $79.69 | $172 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 4 | $285 | $285 | $38.8 | $97 | $222.3 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 3 | $300 | $300 | $72 | $112.5 | $172 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 3 | $356.5 | $356.5 | $106 | $133.65 | $172 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 3 | $392 | $392 | $150.4 | $169.2 | $176.4 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 0 | — | — | — | — | — |
| Upper GI endoscopy with biopsy | CPT | 43239 | 0 | — | — | — | — | — |
| Sigmoidoscopy diagnostic | CPT | 45330 | 0 | — | — | — | — | — |
| Sigmoidoscopy with biopsy | CPT | 45331 | 0 | — | — | — | — | — |
| Colonoscopy diagnostic | CPT | 45378 | 0 | — | — | — | — | — |
| Colonoscopy with biopsy | CPT | 45380 | 0 | — | — | — | — | — |
| Colonoscopy with polyp removal | CPT | 45385 | 0 | — | — | — | — | — |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 0 | — | — | — | — | — |
| Total hip replacement | CPT | 27130 | 0 | — | — | — | — | — |
| Total knee replacement | CPT | 27447 | 0 | — | — | — | — | — |
| Knee revision arthroplasty single component | CPT | 27486 | 0 | — | — | — | — | — |
| Shoulder arthroscopy with decompression | CPT | 29826 | 0 | — | — | — | — | — |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 0 | — | — | — | — | — |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 0 | — | — | — | — | — |
| ACL reconstruction | CPT | 29888 | 0 | — | — | — | — | — |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 0 | — | — | — | — | — |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 0 | — | — | — | — | — |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 0 | — | — | — | — | — |
| Laparoscopic appendectomy | CPT | 44970 | 0 | — | — | — | — | — |
| Major joint replacement w MCC | MS-DRG | 469 | 0 | — | — | — | — | — |
| Major joint replacement w/o MCC | MS-DRG | 470 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy | CPT | 47562 | 0 | — | — | — | — | — |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 0 | — | — | — | — | — |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 0 | — | — | — | — | — |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 0 | — | — | — | — | — |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 0 | — | — | — | — | — |
| Lap inguinal hernia repair | CPT | 49650 | 0 | — | — | — | — | — |
| Total abdominal hysterectomy | CPT | 58150 | 0 | — | — | — | — | — |
| Vaginal hysterectomy | CPT | 58260 | 0 | — | — | — | — | — |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 0 | — | — | — | — | — |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 0 | — | — | — | — | — |
| Lap salpingo-oophorectomy | CPT | 58661 | 7 | $16,050 | $16,050 | $2,919 | $5,327.58 | $15,125 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 0 | — | — | — | — | — |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 0 | — | — | — | — | — |
| PCI single major coronary artery | CPT | 92920 | 7 | $8,428 | $8,428 | $354 | $5,015.65 | $18,138 |
| PCI with drug-eluting stent | CPT | 92928 | 7 | $16,429 | $16,429 | $354 | $10,049 | $18,138 |
| PCI bypass graft | CPT | 92937 | 7 | $16,429 | $16,429 | $354 | $10,049 | $18,138 |
| Left heart catheterization | CPT | 93452 | 7 | $4,678.5 | $4,678.5 | $1,871.4 | $2,863.92 | $4,964.82 |
| Coronary angiography with cath | CPT | 93455 | 7 | $7,498.84 | $7,498.84 | $2,521.6 | $2,938.72 | $6,782 |
| Coronary angiography with bypass cath | CPT | 93458 | 7 | $7,498.84 | $7,498.84 | $2,671.8 | $2,938.72 | $6,782 |
Payer mix (top 7)
| Payer | Codes covered | Median rate |
|---|---|---|
| Cigna | 104 | $151.17 |
| UnitedHealthcare | 104 | $176.55 |
| viva | 103 | $174.72 |
| Aetna | 96 | $261.69 |
| Blue Cross Blue Shield | 95 | $205.64 |
| devoted | 94 | $155.7 |
| Ambetter | 94 | $275 |