▸ Hospital · AL · CCN 012007

Noland Hospital Montgomery Ii, Llc

1725 PINE STREET 5TH FLOOR, MONTGOMERY, AL, 36106

65 beds2
Compliance grade
C
74/100
Procedures tracked
83
of 209 target codes
Payers
0
with negotiated rates
Rates published
127
last crawl 2026-05-22

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
emergency
ED visit level 1CPT992810$223.19
ED visit level 2CPT992820$223.19
ED visit level 3CPT992830$398.97
ED visit level 4CPT992840$684.77
ED visit level 5CPT992850$684.77
Critical care, first hourCPT992910$1,571.29
imaging
CT head without contrastCPT704500$1,193.29
CT head with contrastCPT704600$1,426.33
CT head with and without contrastCPT704700$1,869.54
CT neck with contrastCPT704910$1,426.33
MRI brain without contrastCPT705510$3,776.75
MRI brain with contrastCPT705520$4,664.3
MRI brain with and without contrastCPT705530$6,554.45
CT chest without contrastCPT712500$1,353.28
CT chest with contrastCPT712600$1,619.32
CT chest with and without contrastCPT712700$2,027.41
MRI chest without contrastCPT715500$3,776.75
Lumbosacral spine X-rayCPT721000$429.83
CT cervical spine without contrastCPT721250$2,747.23
CT thoracic spine without contrastCPT721280$2,747.23
CT lumbar spine without contrastCPT721310$3,731.63
MRI cervical spine without contrastCPT721410$3,776.75
MRI thoracic spine without contrastCPT721460$3,776.75
MRI lumbar spine without contrastCPT721480$3,776.75
MRI lumbar spine with and without contrastCPT721490$4,664.3
MRI cervical spine with and without contrastCPT721560$6,554.45
MRI lumbar spine with contrastCPT721580$6,554.45
CT pelvis without contrastCPT721920$1,867.97
CT pelvis with contrastCPT721930$2,400.06
Shoulder X-rayCPT730300$271.59
Humerus X-rayCPT730600$271.59
Hand X-ray 3 viewsCPT731300$343.51
MRI upper extremity joint with and without contrastCPT732230$6,699.15
Hip X-ray 2 viewsCPT735100$215.29
Knee X-ray 1-2 viewsCPT735600$271.59
Ankle X-ray 3 viewsCPT736100$343.51
MRI lower extremity joint without contrastCPT737210$3,706.67
MRI lower extremity joint with and without contrastCPT737230$6,699.15
CT abdomen without contrastCPT741500$1,735.37
CT abdomen with contrastCPT741600$2,267.65
CT abdomen with and without contrastCPT741700$2,400.06
CT abdomen and pelvis with and without contrastCPT741780$4,119.9
MRI abdomen without contrastCPT741810$3,352.45
MRI abdomen with and without contrastCPT741830$6,762.74
Abdominal ultrasound completeCPT767000$754.6
Abdominal ultrasound limitedCPT767050$686.99
Retroperitoneal ultrasound completeCPT767700$754.6
Obstetric ultrasound first trimesterCPT768010$309.16
Obstetric ultrasound after first trimesterCPT768050$633.71
Obstetric ultrasound with fetal anatomyCPT768110$768.12
Transvaginal ultrasoundCPT768300$754.6
Pelvic ultrasound completeCPT768560$830.59
Scrotal ultrasoundCPT768700$459.99
EKG tracing onlyCPT930050$360.81
Transthoracic echocardiogram completeCPT933060$1,713.39
Transthoracic echocardiogramCPT933070$1,133.06
lab
Basic metabolic panel (BMP)CPT800480$295.06
General health panelCPT800500$76.91
Electrolyte panelCPT800510$154.25
Comprehensive metabolic panelCPT800530$568.48
Lipid panelCPT800610$249.07
Renal function panelCPT800690$256.64
Hepatic function panelCPT800760$319.79
Urinalysis non-automatedCPT810020$99.71
Urinalysis automatedCPT810030$63.53
Glucose quantitativeCPT829470$63.53
Hemoglobin A1cCPT830360$146.29
Thyroid stimulating hormone (TSH)CPT844430$136.32
Complete blood count with automated differentialCPT850250$174.97
Complete blood count without differentialCPT850270$152.88
Urine culture bacterialCPT870860$99.42
Urine culture identificationCPT870880$142.51
Tissue exam by pathologist level IVCPT883050$265.44
maternity
C-section delivery onlyCPT595140$6,194.19
office
Office visit, established patient, 5 minCPT992110$388.25
preventive
Upper GI endoscopy diagnosticCPT432350$1,685.36
Upper GI endoscopy with biopsyCPT432390$1,928.4
Sigmoidoscopy diagnosticCPT453300$1,544.01
Sigmoidoscopy with biopsyCPT453310$895.11
Colonoscopy diagnosticCPT453780$2,248.3
Colonoscopy with biopsyCPT453800$2,537.3
Colonoscopy with polyp removalCPT453850$3,269.4
surgery
Coronary angiography with bypass cathCPT934580$15,405