▸ Hospital · AL · CCN 011302

Red Bay Hospital

211 HOSPITAL ROAD, RED BAY, AL, 011302

Compliance grade

89/100

Rates published

714

last crawl 2026-05-22

Procedures tracked

168

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All AL hospitals JSON

Source MRF: https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-antioch-medical-center-standard-charges-ncal-en.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$1,177	$659.12	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$3,890	$2,178.4	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$791	$442.96	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$1,040	$582.4	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$720	$403.2	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$1,060	$593.6	—	—	—
emergency
ED visit level 1	CPT	99281	0	$843	$472.08	—	—	—
ED visit level 2	CPT	99282	0	$1,558	$872.48	—	—	—
ED visit level 3	CPT	99283	0	$2,896	$1,621.76	—	—	—
ED visit level 4	CPT	99284	0	$4,844	$2,712.64	—	—	—
ED visit level 5	CPT	99285	0	$7,536	$4,220.16	—	—	—
Critical care, first hour	CPT	99291	0	$10,553	$5,909.68	—	—	—
imaging
CT head without contrast	CPT	70450	0	$4,790	$2,682.4	—	—	—
CT head with contrast	CPT	70460	0	$5,260	$2,945.6	—	—	—
CT head with and without contrast	CPT	70470	0	$6,340	$3,550.4	—	—	—
CT neck with contrast	CPT	70491	0	$5,830	$3,264.8	—	—	—
MRI brain without contrast	CPT	70551	0	$6,480	$3,628.8	—	—	—
MRI brain with contrast	CPT	70552	0	$9,030	$5,056.8	—	—	—
MRI brain with and without contrast	CPT	70553	0	$9,820	$5,499.2	—	—	—
Chest X-ray single view	CPT	71045	0	$850	$476	—	—	—
Chest X-ray 2 views	CPT	71046	0	$900	$504	—	—	—
Chest X-ray 3 views	CPT	71047	0	$1,040	$582.4	—	—	—
CT chest without contrast	CPT	71250	0	$5,080	$2,844.8	—	—	—
CT chest with contrast	CPT	71260	0	$6,720	$3,763.2	—	—	—
CT chest with and without contrast	CPT	71270	0	$7,820	$4,379.2	—	—	—
MRI chest without contrast	CPT	71550	0	$8,920	$4,995.2	—	—	—
MRI chest with contrast	CPT	71551	0	$10,400	$5,824	—	—	—
MRI chest with and without contrast	CPT	71552	0	$14,530	$8,136.8	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$990	$554.4	—	—	—
CT cervical spine without contrast	CPT	72125	0	$5,770	$3,231.2	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$5,770	$3,231.2	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$5,770	$3,231.2	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$6,670	$3,735.2	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$6,510	$3,645.6	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$5,860	$3,281.6	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$8,920	$4,995.2	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$10,590	$5,930.4	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$11,040	$6,182.4	—	—	—
CT pelvis without contrast	CPT	72192	0	$6,410	$3,589.6	—	—	—
CT pelvis with contrast	CPT	72193	0	$8,500	$4,760	—	—	—
Shoulder X-ray	CPT	73030	0	$1,170	$655.2	—	—	—
Humerus X-ray	CPT	73060	0	$1,080	$604.8	—	—	—
Hand X-ray 3 views	CPT	73130	0	$1,010	$565.6	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$5,900	$3,304	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$13,540	$7,582.4	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$720	$403.2	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$1,080	$604.8	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$6,140	$3,438.4	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$11,070	$6,199.2	—	—	—
CT abdomen without contrast	CPT	74150	0	$3,940	$2,206.4	—	—	—
CT abdomen with contrast	CPT	74160	0	$4,500	$2,520	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$5,060	$2,833.6	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$7,770	$4,351.2	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$8,490	$4,754.4	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$11,790	$6,602.4	—	—	—
MRI abdomen without contrast	CPT	74181	0	$6,160	$3,449.6	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$10,660	$5,969.6	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$1,770	$991.2	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$1,480	$828.8	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$1,610	$901.6	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$2,320	$1,299.2	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$1,690	$946.4	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,610	$901.6	—	—	—
Transvaginal ultrasound	CPT	76830	0	$1,280	$716.8	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$1,680	$940.8	—	—	—
Scrotal ultrasound	CPT	76870	0	$1,590	$890.4	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$670	$375.2	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$900	$504	—	—	—
Screening mammography bilateral	CPT	77067	0	$670	$375.2	—	—	—
EKG complete	CPT	93000	0	$160	$89.6	—	—	—
EKG tracing only	CPT	93005	0	$680	$380.8	—	—	—
EKG interpretation only	CPT	93010	0	$94	$52.64	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$6,830	$3,824.8	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$2,300	$1,288	—	—	—
Stress echocardiogram	CPT	93350	0	$7,400	$4,144	—	—	—
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	—	—	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	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	0	$345	$193.2	—	—	—
General health panel	CPT	80050	0	$496	$277.76	—	—	—
Electrolyte panel	CPT	80051	0	$128	$71.68	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$456	$255.36	—	—	—
Lipid panel	CPT	80061	0	$279	$156.24	—	—	—
Renal function panel	CPT	80069	0	$254	$142.24	—	—	—
Hepatic function panel	CPT	80076	0	$239	$133.84	—	—	—
Urinalysis non-automated	CPT	81002	0	$65	$36.4	—	—	—
Urinalysis automated	CPT	81003	0	$100	$56	—	—	—
Glucose quantitative	CPT	82947	0	$67	$37.52	—	—	—
Hemoglobin A1c	CPT	83036	0	$142	$79.52	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$277	$155.12	—	—	—
Complete blood count with automated differential	CPT	85025	0	$220	$123.2	—	—	—
Complete blood count without differential	CPT	85027	0	$160	$89.6	—	—	—
Urine culture bacterial	CPT	87086	0	$282	$157.92	—	—	—
Urine culture identification	CPT	87088	0	$173	$96.88	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$410	$229.6	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$890	$498.4	—	—	—
Vaginal delivery only	CPT	59409	0	$17,860	$10,002	—	—	—
C-section delivery only	CPT	59514	0	$3,010	$1,685.6	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$6,620	$3,707.2	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$5,990	$3,354.4	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$4,020	$2,251.2	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$5,410	$3,029.6	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$6,570	$3,679.2	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$6,340	$3,550.4	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$6,190	$3,466.4	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$20,250	$11,340	—	—	—
Total hip replacement	CPT	27130	0	$16,360	$9,161.6	—	—	—
Total knee replacement	CPT	27447	0	$46,000	$25,760	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$9,360	$5,241.6	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$11,250	$6,300	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$13,080	$7,324.8	—	—	—
ACL reconstruction	CPT	29888	0	$32,500	$18,200	—	—	—
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 cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	—	—	—	—	—
Open appendectomy	CPT	44950	0	$19,440	$10,886	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$40,500	$22,680	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	—	—	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$34,320	$19,219	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	$28,240	$15,814	—	—	—
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	$46,550	$26,068	—	—	—
Vaginal hysterectomy	CPT	58260	0	$26,700	$14,952	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$25,260	$14,146	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$33,860	$18,962	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$49,380	$27,653	—	—	—
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	$19,180	$10,741	—	—	—
Cataract surgery with lens implant	CPT	66984	0	$15,400	$8,624	—	—	—
Intravitreal injection	CPT	67028	0	$1,800	$1,008	—	—	—
Vitrectomy mechanical	CPT	67042	0	$27,990	$15,674	—	—	—
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	0	$20,860	$11,682	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$24,550	$13,748	—	—	—
PCI bypass graft	CPT	92937	0	$47,010	$26,326	—	—	—
Left heart catheterization	CPT	93452	0	$27,880	$15,613	—	—	—
Coronary angiography with cath	CPT	93455	0	$29,990	$16,794	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$34,800	$19,488	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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