▸ Hospital · AL · CCN 010164
Coosa Valley Medical Center
315 WEST HICKORY STREET, SYLACAUGA, AL, 35150
122 bedsAcute Care Hospitals12
Compliance grade
A
97/100
Procedures tracked
115
of 209 target codes
Payers
8
with negotiated rates
Rates published
4,846
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 8 | $138 | $33 | $26 | $82 | $138 |
| ED visit level 2 | CPT | 99282 | 8 | $229 | $55 | $39 | $152 | $229 |
| ED visit level 3 | CPT | 99283 | 8 | $284 | $68 | $79 | $264 | $284 |
| ED visit level 4 | CPT | 99284 | 8 | $1,140 | $274 | $106 | $410 | $1,140 |
| ED visit level 5 | CPT | 99285 | 8 | $1,347 | $323 | $153 | $595 | $1,347 |
| Critical care, first hour | CPT | 99291 | 8 | $2,215 | $532 | $227 | $822 | $2,215 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 8 | $1,527 | $366 | $102 | $320.5 | $1,527 |
| CT head with contrast | CPT | 70460 | 8 | $2,625 | $630 | $170 | $549 | $2,625 |
| CT head with and without contrast | CPT | 70470 | 8 | $2,729 | $655 | $170 | $567 | $2,729 |
| CT neck with contrast | CPT | 70491 | 8 | $2,866 | $688 | $170 | $591 | $2,866 |
| MRI brain without contrast | CPT | 70551 | 8 | $3,539 | $849 | $227 | $738.5 | $3,539 |
| MRI brain with contrast | CPT | 70552 | 8 | $4,483 | $1,076 | $356 | $971.5 | $4,483 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $6,681 | $1,603 | $356 | $1,356 | $6,681 |
| Chest X-ray single view | CPT | 71045 | 8 | $217 | $52 | $76 | $87.5 | $217 |
| Chest X-ray 2 views | CPT | 71046 | 8 | $617 | $148 | $84 | $294 | $617 |
| Chest X-ray 3 views | CPT | 71047 | 8 | $775 | $186 | $84 | $342 | $775 |
| CT chest without contrast | CPT | 71250 | 8 | $2,016 | $484 | $102 | $406.5 | $2,016 |
| CT chest with contrast | CPT | 71260 | 8 | $2,866 | $688 | $170 | $591 | $2,866 |
| CT chest with and without contrast | CPT | 71270 | 8 | $3,024 | $726 | $170 | $618.5 | $3,024 |
| MRI chest without contrast | CPT | 71550 | 8 | $4,181 | $1,003 | $227 | $850.5 | $4,181 |
| MRI chest with contrast | CPT | 71551 | 8 | $4,222 | $1,013 | $742 | $1,128.5 | $4,222 |
| MRI chest with and without contrast | CPT | 71552 | 8 | $6,755 | $1,621 | $356 | $1,369 | $6,755 |
| Lumbosacral spine X-ray | CPT | 72100 | 8 | $387 | $93 | $102 | $121 | $387 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $2,183 | $524 | $102 | $435.5 | $2,183 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $2,039 | $489 | $102 | $410.5 | $2,039 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $2,039 | $489 | $102 | $410.5 | $2,039 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $4,272 | $1,025 | $227 | $866.5 | $4,272 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $3,932 | $944 | $227 | $807 | $3,932 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $3,985 | $956 | $227 | $816.5 | $3,985 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 8 | $5,068 | $1,216 | $356 | $1,074 | $5,068 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $6,758 | $1,622 | $356 | $1,369.5 | $6,758 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $7,119 | $1,709 | $356 | $1,433 | $7,119 |
| CT pelvis without contrast | CPT | 72192 | 8 | $1,699 | $408 | $102 | $351 | $1,699 |
| CT pelvis with contrast | CPT | 72193 | 8 | $2,780 | $667 | $170 | $576 | $2,780 |
| Shoulder X-ray | CPT | 73030 | 8 | $268 | $64 | $84 | $91 | $268 |
| Humerus X-ray | CPT | 73060 | 8 | $318 | $76 | $84 | $99.5 | $318 |
| Hand X-ray 3 views | CPT | 73130 | 8 | $235 | $56 | $82 | $87.5 | $235 |
| MRI upper extremity joint without contrast | CPT | 73221 | 8 | $3,984 | $956 | $227 | $816 | $3,984 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 8 | $6,151 | $1,476 | $356 | $1,263.5 | $6,151 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $325 | $78 | $84 | $136 | $325 |
| Ankle X-ray 3 views | CPT | 73610 | 8 | $315 | $76 | $84 | $99 | $315 |
| MRI lower extremity joint without contrast | CPT | 73721 | 8 | $3,984 | $956 | $227 | $816 | $3,984 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 8 | $6,151 | $1,476 | $356 | $1,263.5 | $6,151 |
| CT abdomen without contrast | CPT | 74150 | 8 | $2,014 | $483 | $37 | $107 | $2,014 |
| CT abdomen with contrast | CPT | 74160 | 8 | $3,301 | $792 | $170 | $667 | $3,301 |
| CT abdomen with and without contrast | CPT | 74170 | 8 | $3,452 | $828 | $170 | $693.5 | $3,452 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $3,713 | $891 | $7 | $227 | $3,713 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $6,081 | $1,459 | $356 | $1,251 | $6,081 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $6,538 | $1,569 | $356 | $1,331 | $6,538 |
| MRI abdomen without contrast | CPT | 74181 | 8 | $4,181 | $1,003 | $227 | $850.5 | $4,181 |
| MRI abdomen with and without contrast | CPT | 74183 | 8 | $6,224 | $1,494 | $356 | $1,276 | $6,224 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $730 | $175 | $102 | $181 | $730 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $378 | $91 | $102 | $119.5 | $378 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $506 | $121 | $102 | $142 | $506 |
| Obstetric ultrasound first trimester | CPT | 76801 | 8 | $470 | $113 | $102 | $136 | $470 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 8 | $470 | $113 | $102 | $136 | $470 |
| Transvaginal ultrasound | CPT | 76830 | 8 | $595 | $143 | $102 | $157.5 | $595 |
| Pelvic ultrasound complete | CPT | 76856 | 8 | $499 | $120 | $102 | $141 | $499 |
| Scrotal ultrasound | CPT | 76870 | 8 | $702 | $168 | $102 | $176.5 | $702 |
| Diagnostic mammography unilateral | CPT | 77065 | 4 | $455 | $109 | $104 | $297 | $455 |
| Diagnostic mammography bilateral | CPT | 77066 | 4 | $512 | $123 | $104 | $297 | $512 |
| Screening mammography bilateral | CPT | 77067 | 4 | $297 | $71 | $36 | $103.5 | $297 |
| EKG tracing only | CPT | 93005 | 8 | $229 | $55 | $57 | $70 | $229 |
| EKG interpretation only | CPT | 93010 | 4 | $34 | $8 | $12 | $34 | $34 |
| Transthoracic echocardiogram complete | CPT | 93306 | 8 | $1,524 | $366 | $22 | $511 | $1,524 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 4 | $154 | $37 | $50 | $144 | $154 |
| Initial hospital care, moderate complexity | CPT | 99222 | 4 | $328 | $79 | $91 | $260 | $328 |
| Initial hospital care, high complexity | CPT | 99223 | 4 | $344 | $83 | $120 | $344 | $344 |
| Hospital discharge, <30 min | CPT | 99238 | 4 | $188 | $45 | $49 | $141 | $188 |
| Hospital discharge, >30 min | CPT | 99239 | 4 | $231 | $55 | $62 | $177 | $231 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 4 | $104 | $25 | $13 | $38 | $104 |
| General health panel | CPT | 80050 | 4 | $308 | $74 | $108 | $308 | $308 |
| Electrolyte panel | CPT | 80051 | 4 | $94 | $23 | $25 | $70 | $94 |
| Comprehensive metabolic panel | CPT | 80053 | 4 | $198 | $48 | $36 | $104 | $198 |
| Lipid panel | CPT | 80061 | 4 | $128 | $31 | $15 | $70 | $128 |
| Renal function panel | CPT | 80069 | 4 | $117 | $28 | $35 | $99 | $117 |
| Hepatic function panel | CPT | 80076 | 4 | $96 | $23 | $31 | $88 | $96 |
| Urinalysis non-automated | CPT | 81002 | 4 | $108 | $26 | $4 | $17 | $108 |
| Urinalysis automated | CPT | 81003 | 4 | $57 | $14 | $19 | $55 | $57 |
| Glucose quantitative | CPT | 82947 | 4 | $38 | $9 | $13 | $38 | $38 |
| Hemoglobin A1c | CPT | 83036 | 4 | $80 | $19 | $28 | $80 | $80 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 4 | $105 | $25 | $21 | $60.5 | $105 |
| Complete blood count with automated differential | CPT | 85025 | 4 | $111 | $27 | $27 | $77 | $111 |
| Complete blood count without differential | CPT | 85027 | 4 | $77 | $18 | $7 | $24 | $77 |
| Urine culture bacterial | CPT | 87086 | 4 | $60 | $14 | $21 | $60 | $60 |
| Urine culture identification | CPT | 87088 | 4 | $61 | $15 | $4 | $44 | $61 |
| Tissue exam by pathologist level IV | CPT | 88305 | 4 | $203 | $49 | $16 | $70 | $203 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 8 | $158 | $38 | $55 | $171.5 | $194 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 4 | $188 | $45 | $44 | $125 | $188 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 4 | $248 | $60 | $66 | $202 | $248 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 4 | $342 | $82 | $113 | $323 | $342 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 4 | $448 | $108 | $104 | $359 | $448 |
| Office visit, established patient, 5 min | CPT | 99211 | 4 | $166 | $40 | $9 | $71 | $166 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 4 | $239 | $57 | $33 | $115 | $239 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 4 | $190 | $46 | $44 | $130 | $190 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 4 | $598 | $144 | $47 | $185 | $598 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 4 | $1,059 | $254 | $72 | $294 | $1,059 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 8 | $7,831 | $1,879 | $840 | $1,811.5 | $7,831 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 8 | $8,100 | $1,944 | $840 | $1,858.5 | $8,100 |
| Colonoscopy diagnostic | CPT | 45378 | 8 | $6,663 | $1,599 | $847 | $1,610.5 | $6,663 |
| Colonoscopy with biopsy | CPT | 45380 | 8 | $7,988 | $1,917 | $1,094 | $1,972 | $7,988 |
| Colonoscopy with polyp removal | CPT | 45385 | 8 | $7,717 | $1,852 | $1,094 | $1,924.5 | $7,717 |
| surgery | ||||||||
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $2,767 | $664 | $968 | $2,767 | $2,767 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $26,961 | $6,471 | $9,436 | $26,961 | $26,961 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 8 | $16,251 | $3,900 | $3,000 | $4,419 | $16,251 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 4 | $56,270 | $13,505 | $1,875 | $54,864 | $56,270 |
| Laparoscopic cholecystectomy | CPT | 47562 | 8 | $16,341 | $3,922 | $5,348 | $5,667 | $16,341 |
| Cataract surgery with lens implant | CPT | 66984 | 8 | $9,456 | $2,269 | $483 | $2,160 | $9,456 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 4 | $20,230 | $4,855 | $1,875 | $19,725 | $20,230 |
| PCI single major coronary artery | CPT | 92920 | 8 | $7,947 | $1,907 | $2,781 | $5,376.5 | $7,947 |
| PCI with drug-eluting stent | CPT | 92928 | 8 | $12,674 | $3,042 | $3,887 | $10,604 | $12,674 |
| PCI bypass graft | CPT | 92937 | 8 | $12,674 | $3,042 | $3,887 | $10,604 | $12,674 |
| Left heart catheterization | CPT | 93452 | 8 | $7,016 | $1,684 | $2,456 | $3,141 | $7,016 |
| Coronary angiography with cath | CPT | 93455 | 8 | $9,441 | $2,266 | $3,020 | $3,237.5 | $9,441 |
| Coronary angiography with bypass cath | CPT | 93458 | 8 | $9,810 | $2,354 | $3,020 | $4,427 | $9,810 |
Payer mix (top 8)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 115 | $157.5 |
| Blue Cross Blue Shield | 115 | $297 |
| health spring | 115 | $123 |
| Humana | 115 | $297 |
| UnitedHealthcare | 76 | $227 |
| viva health | 76 | $227 |
| clover health | 76 | $238 |
| devoted health | 76 | $234 |