▸ Hospital · AL · CCN 010085
Decatur Morgan Hospital-decatur Campus
7TH STREET S.E., DECATUR, AL, 35609-
310 bedsAcute Care Hospitals13
Compliance grade
A
100/100
Procedures tracked
176
of 209 target codes
Payers
10
with negotiated rates
Rates published
63,315
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 | 10 | $218 | $218 | $45.62 | $118.61 | $285.2 |
| Psychotherapy 60 minutes | CPT | 90837 | 10 | $436 | $436 | $9.05 | $161.83 | $343.98 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 10 | $9,423 | $9,423 | $1.09 | $125.92 | $6,124.95 |
| ED visit level 2 | CPT | 99282 | 10 | $428 | $428 | $44.72 | $144.19 | $470.51 |
| ED visit level 3 | CPT | 99283 | 10 | $13,015 | $13,015 | $69.59 | $273.78 | $8,459.49 |
| ED visit level 4 | CPT | 99284 | 10 | $20,820 | $20,820 | $111.5 | $760.88 | $13,533 |
| ED visit level 5 | CPT | 99285 | 10 | $9,785.4 | $9,785.4 | $113.46 | $578.27 | $6,360.51 |
| Critical care, first hour | CPT | 99291 | 10 | $77,684 | $77,684 | $7 | $735.97 | $50,494 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 10 | $2,320.5 | $2,320.5 | $12.05 | $95.32 | $2,320.5 |
| CT head with contrast | CPT | 70460 | 10 | $2,505.5 | $2,505.5 | $157 | $232.69 | $2,505.5 |
| CT head with and without contrast | CPT | 70470 | 10 | $2,723 | $2,723 | $4.38 | $85.16 | $1,769.95 |
| CT neck with contrast | CPT | 70491 | 10 | $7,820.5 | $7,820.5 | $40.78 | $159.92 | $5,083.33 |
| MRI brain without contrast | CPT | 70551 | 10 | $74,129 | $74,129 | $87.02 | $631.26 | $48,184 |
| MRI brain with contrast | CPT | 70552 | 10 | $4,606.5 | $4,606.5 | $32.34 | $324.45 | $2,994.23 |
| MRI brain with and without contrast | CPT | 70553 | 10 | $4,819 | $4,819 | $81.11 | $318.09 | $3,132.35 |
| Chest X-ray single view | CPT | 71045 | 10 | $3,537 | $3,537 | $31.74 | $158.97 | $2,299.05 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $663.5 | $663.5 | $31.74 | $117.6 | $431.28 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $362 | $362 | $53.45 | $134.72 | $235.3 |
| CT chest without contrast | CPT | 71250 | 10 | $2,185.5 | $2,185.5 | $38.13 | $122.75 | $2,185.5 |
| CT chest with contrast | CPT | 71260 | 10 | $2,213.5 | $2,213.5 | $28.88 | $159.92 | $2,213.5 |
| CT chest with and without contrast | CPT | 71270 | 10 | $2,227 | $2,227 | $6.25 | $159.92 | $1,447.55 |
| MRI chest without contrast | CPT | 71550 | 10 | $96,093 | $96,093 | $345 | $1,662.38 | $62,460 |
| MRI chest with contrast | CPT | 71551 | 10 | $3,820 | $3,820 | $345 | $736.18 | $2,483 |
| MRI chest with and without contrast | CPT | 71552 | 10 | $4,048.5 | $4,048.5 | $318.09 | $345 | $2,631.53 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $813 | $813 | $38.13 | $157.27 | $559.73 |
| CT cervical spine without contrast | CPT | 72125 | 10 | $2,321.5 | $2,321.5 | $38.13 | $130.93 | $2,321.5 |
| CT thoracic spine without contrast | CPT | 72128 | 10 | $2,427 | $2,427 | $38.13 | $130.93 | $2,427 |
| CT lumbar spine without contrast | CPT | 72131 | 10 | $2,427 | $2,427 | $38.13 | $97.94 | $1,577.55 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $4,237.5 | $4,237.5 | $87.02 | $332.5 | $2,754.38 |
| MRI thoracic spine without contrast | CPT | 72146 | 10 | $3,611.5 | $3,611.5 | $87.02 | $223.53 | $2,347.48 |
| MRI lumbar spine without contrast | CPT | 72148 | 10 | $4,237.5 | $4,237.5 | $87.02 | $223.53 | $2,754.38 |
| MRI cervical spine with and without contrast | CPT | 72156 | 10 | $4,892.5 | $4,892.5 | $81.11 | $318.09 | $3,180.13 |
| MRI lumbar spine with contrast | CPT | 72158 | 10 | $4,974.5 | $4,974.5 | $81.11 | $318.09 | $3,233.43 |
| CT pelvis without contrast | CPT | 72192 | 10 | $799.5 | $799.5 | $38.13 | $98.18 | $519.68 |
| CT pelvis with contrast | CPT | 72193 | 10 | $38,553 | $38,553 | $63.97 | $164.72 | $25,059 |
| Shoulder X-ray | CPT | 73030 | 10 | $8,675 | $8,675 | $43.01 | $182.25 | $5,638.75 |
| Humerus X-ray | CPT | 73060 | 10 | $4,990 | $4,990 | $45.24 | $196.56 | $4,990 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $641 | $641 | $9.31 | $134.72 | $641 |
| MRI upper extremity joint without contrast | CPT | 73221 | 10 | $6,894 | $6,894 | $86.68 | $345 | $4,481.1 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 10 | $9,494 | $9,494 | $10.08 | $345 | $6,171.1 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $231,200 | $231,200 | $2.32 | $187.65 | $150,280 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $101,150 | $101,150 | $51.22 | $202.09 | $65,748 |
| MRI lower extremity joint without contrast | CPT | 73721 | 10 | $13,825 | $13,825 | $3.28 | $345 | $8,985.99 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 10 | $9,494.5 | $9,494.5 | $318.09 | $2,373.57 | $9,494.5 |
| CT abdomen without contrast | CPT | 74150 | 10 | $1,287.5 | $1,287.5 | $38.13 | $157 | $836.88 |
| CT abdomen with contrast | CPT | 74160 | 10 | $2,321.5 | $2,321.5 | $63.97 | $167.19 | $2,321.5 |
| CT abdomen with and without contrast | CPT | 74170 | 10 | $2,434.5 | $2,434.5 | $20.62 | $161.52 | $2,434.5 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 10 | $2,086.5 | $2,086.5 | $64.69 | $217.55 | $1,356.23 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 10 | $4,855 | $4,855 | $64.69 | $163.81 | $3,155.75 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 10 | $5,053.5 | $5,053.5 | $64.69 | $324.45 | $5,053.5 |
| MRI abdomen without contrast | CPT | 74181 | 10 | $600 | $600 | $87.02 | $223.53 | $599.22 |
| MRI abdomen with and without contrast | CPT | 74183 | 10 | $4,747 | $4,747 | $127.23 | $326.84 | $3,085.55 |
| Abdominal ultrasound complete | CPT | 76700 | 10 | $822 | $822 | $95.32 | $152.7 | $534.3 |
| Abdominal ultrasound limited | CPT | 76705 | 10 | $822 | $822 | $2.64 | $97.23 | $534.3 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 10 | $795 | $795 | $34.67 | $101.52 | $516.75 |
| Obstetric ultrasound first trimester | CPT | 76801 | 10 | $13,922 | $13,922 | $95.32 | $231.69 | $9,049.3 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 10 | $696 | $696 | $4.7 | $98.18 | $620.94 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $759 | $759 | $24.31 | $98.18 | $493.35 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $591.5 | $591.5 | $95.32 | $190.64 | $591.5 |
| Scrotal ultrasound | CPT | 76870 | 10 | $859.5 | $859.5 | $95.32 | $222.87 | $558.68 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | $269.5 | $269.5 | $75.3 | $114.49 | $221.44 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | $317.5 | $317.5 | $96.53 | $142.88 | $317.5 |
| Screening mammography bilateral | CPT | 77067 | 10 | $293.5 | $293.5 | $39.84 | $119.11 | $293.5 |
| EKG tracing only | CPT | 93005 | 10 | $202.5 | $202.5 | $19.38 | $59.16 | $202.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 10 | $1,895 | $1,895 | $308.2 | $758.25 | $2,082.17 |
| Transthoracic echocardiogram | CPT | 93307 | 6 | $20,092 | $20,092 | $314.05 | $1,091.99 | $13,059 |
| Stress echocardiogram | CPT | 93350 | 10 | $892 | $892 | $75.86 | $498.19 | $12,132 |
| 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 | 10 | $170.5 | $170.5 | $6.35 | $12.53 | $170.5 |
| General health panel | CPT | 80050 | 6 | $232 | $232 | $19.55 | $39.13 | $150.8 |
| Electrolyte panel | CPT | 80051 | 10 | $153.5 | $153.5 | $5.26 | $7.47 | $99.78 |
| Comprehensive metabolic panel | CPT | 80053 | 10 | $224 | $224 | $7.92 | $20.34 | $224 |
| Lipid panel | CPT | 80061 | 10 | $270 | $270 | $10.04 | $18.29 | $270 |
| Renal function panel | CPT | 80069 | 10 | $237 | $237 | $6.51 | $11.04 | $154.05 |
| Hepatic function panel | CPT | 80076 | 10 | $165 | $165 | $2.81 | $16.34 | $165 |
| Urinalysis non-automated | CPT | 81002 | 10 | $7 | $7 | $1.75 | $3.56 | $7 |
| Urinalysis automated | CPT | 81003 | 10 | $144,500 | $144,500 | $1.69 | $42.08 | $93,925 |
| Glucose quantitative | CPT | 82947 | 10 | $116 | $116 | $2.95 | $10.93 | $116 |
| Hemoglobin A1c | CPT | 83036 | 10 | $1,370.5 | $1,370.5 | $1.51 | $14.2 | $890.83 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 10 | $234.46 | $234.46 | $12.6 | $58.62 | $19,530 |
| Complete blood count with automated differential | CPT | 85025 | 10 | $154.5 | $154.5 | $5.83 | $19.85 | $154.5 |
| Complete blood count without differential | CPT | 85027 | 10 | $95.5 | $95.5 | $4.85 | $9.59 | $95.5 |
| Urine culture bacterial | CPT | 87086 | 10 | $153 | $153 | $6.05 | $11.96 | $153 |
| Urine culture identification | CPT | 87088 | 10 | $50 | $50 | $6.07 | $8.62 | $32.5 |
| Tissue exam by pathologist level IV | CPT | 88305 | 10 | $50,575 | $50,575 | $28.13 | $66.38 | $32,874 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 10 | $17,513 | $17,513 | $14.9 | $565 | $17,513 |
| Vaginal delivery only | CPT | 59409 | 0 | — | — | — | — | — |
| C-section delivery only | CPT | 59514 | 0 | — | — | — | — | — |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 0 | — | — | — | — | — |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 0 | — | — | — | — | — |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 0 | — | — | — | — | — |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $2,279.5 | $2,279.5 | $57.6 | $184.8 | $1,481.68 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $448 | $448 | $55.75 | $128.16 | $291.2 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 10 | $363 | $363 | $90.75 | $363 | $363 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 6 | $524.5 | $524.5 | $129 | $236.03 | $340.93 |
| Office visit, established patient, 5 min | CPT | 99211 | 10 | $1,627.5 | $1,627.5 | $15.75 | $80.32 | $1,057.88 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 8 | $231 | $231 | $1.17 | $46.56 | $286.46 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 6 | $250 | $250 | $1.42 | $81 | $286.46 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 6 | $1,066.5 | $1,066.5 | $2.23 | $154.47 | $693.23 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $1,033 | $1,033 | $98 | $258.25 | $671.45 |
| 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 | — | — | — | — | — |
| Knee revision arthroplasty all components | CPT | 27487 | 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 | — | — | — | — | — |
| CABG single arterial graft | CPT | 33533 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 0 | — | — | — | — | — |
| Open appendectomy | CPT | 44950 | 0 | — | — | — | — | — |
| Laparoscopic appendectomy | CPT | 44970 | 0 | — | — | — | — | — |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 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 | 0 | — | — | — | — | — |
| OR procedure for obesity w MCC | MS-DRG | 619 | 0 | — | — | — | — | — |
| OR procedure for obesity w CC | MS-DRG | 620 | 0 | — | — | — | — | — |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 0 | — | — | — | — | — |
| Complex cataract surgery | CPT | 66982 | 0 | — | — | — | — | — |
| Cataract surgery with lens implant | CPT | 66984 | 0 | — | — | — | — | — |
| Intravitreal injection | CPT | 67028 | 0 | — | — | — | — | — |
| Vitrectomy mechanical | CPT | 67042 | 0 | — | — | — | — | — |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 0 | — | — | — | — | — |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 0 | — | — | — | — | — |
| PCI single major coronary artery | CPT | 92920 | 10 | $8,428 | $8,428 | $518.7 | $4,045.44 | $20,238 |
| PCI with drug-eluting stent | CPT | 92928 | 10 | $17,513 | $17,513 | $7.41 | $231.04 | $20,238 |
| PCI bypass graft | CPT | 92937 | 10 | $17,513 | $17,513 | $1.21 | $4,378.13 | $20,238 |
| Left heart catheterization | CPT | 93452 | 10 | $4,678.5 | $4,678.5 | $2,105.33 | $3,042.77 | $5,539.84 |
| Coronary angiography with cath | CPT | 93455 | 10 | $6,304 | $6,304 | $1,477.91 | $2,803.36 | $6,304 |
| Coronary angiography with bypass cath | CPT | 93458 | 10 | $6,679.5 | $6,679.5 | $2,955.83 | $3,147.96 | $6,679.5 |
Payer mix (top 10)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 100 | $221.9 |
| Cigna | 100 | $157 |
| Humana | 100 | $204.98 |
| UnitedHealthcare | 100 | $163.92 |
| viva | 100 | $182 |
| Blue Cross Blue Shield | 100 | $170.5 |
| Ambetter | 94 | $234.46 |
| devoted | 92 | $98.18 |
| WellCare | 91 | $110.69 |
| Medicare | 91 | $105.89 |