▸ Hospital · AL · CCN 012010

Noland Hospital Dothan Ii, Llc

1180 ROSS CLARK CIRCLE 4TH FLOOR, DOTHAN, AL, 36301

38 beds2

Compliance grade

74/100

Procedures tracked

109

of 209 target codes

Payers

with negotiated rates

Rates published

507

last crawl 2026-05-22

▸ Compare with other hospitals All AL hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://nolandhospitals.com/wp-content/uploads/price-transparency/472491675_Noland_Hospital_Dothan_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	0	$435.1	—	—	—	—
ED visit level 2	CPT	99282	0	$937.74	—	—	—	—
ED visit level 3	CPT	99283	0	$1,617.85	—	—	—	—
ED visit level 4	CPT	99284	0	$2,999.16	—	—	—	—
ED visit level 5	CPT	99285	0	$3,455.35	—	—	—	—
Critical care, first hour	CPT	99291	0	$4,407.9	—	—	—	—
imaging
CT head without contrast	CPT	70450	0	$6,006.77	—	—	—	—
CT head with contrast	CPT	70460	0	$6,006.77	—	—	—	—
CT head with and without contrast	CPT	70470	0	$6,006.77	—	—	—	—
CT neck with contrast	CPT	70491	0	$6,006.77	—	—	—	—
MRI brain without contrast	CPT	70551	0	$8,150.74	—	—	—	—
MRI brain with contrast	CPT	70552	0	$8,150.74	—	—	—	—
MRI brain with and without contrast	CPT	70553	0	$11,238	—	—	—	—
Chest X-ray single view	CPT	71045	0	$240.35	—	—	—	—
Chest X-ray 2 views	CPT	71046	0	$240.35	—	—	—	—
Chest X-ray 3 views	CPT	71047	0	$240.35	—	—	—	—
CT chest without contrast	CPT	71250	0	$4,718.39	—	—	—	—
CT chest with contrast	CPT	71260	0	$4,718.39	—	—	—	—
CT chest with and without contrast	CPT	71270	0	$6,091.23	—	—	—	—
MRI chest without contrast	CPT	71550	0	$8,150.74	—	—	—	—
MRI chest with contrast	CPT	71551	0	$8,150.74	—	—	—	—
MRI chest with and without contrast	CPT	71552	0	$12,218	—	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$934.42	—	—	—	—
CT cervical spine without contrast	CPT	72125	0	$6,251.75	—	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$6,251.75	—	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$6,465.08	—	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$8,150.74	—	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$8,150.74	—	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$13,667	—	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$8,150.74	—	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$11,238	—	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$11,238	—	—	—	—
CT pelvis without contrast	CPT	72192	0	$4,923.25	—	—	—	—
CT pelvis with contrast	CPT	72193	0	$5,681.5	—	—	—	—
Shoulder X-ray	CPT	73030	0	$990.7	—	—	—	—
Humerus X-ray	CPT	73060	0	$698	—	—	—	—
Hand X-ray 3 views	CPT	73130	0	$1,092	—	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$8,038.15	—	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$10,521	—	—	—	—
Hip X-ray 2 views	CPT	73510	0	$816.21	—	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$599.49	—	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$1,308.75	—	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$8,038.15	—	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$11,238	—	—	—	—
CT abdomen without contrast	CPT	74150	0	$5,681.5	—	—	—	—
CT abdomen with contrast	CPT	74160	0	$5,681.5	—	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$5,873.69	—	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$10,609	—	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$11,535	—	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$11,887	—	—	—	—
MRI abdomen without contrast	CPT	74181	0	$8,150.74	—	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$11,238	—	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$2,631.65	—	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$2,141.64	—	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$3,958.05	—	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$2,076.18	—	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$2,076.18	—	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$2,426.78	—	—	—	—
Transvaginal ultrasound	CPT	76830	0	$1,765.72	—	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$1,767.8	—	—	—	—
Scrotal ultrasound	CPT	76870	0	$1,011.69	—	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$506.93	—	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$506.93	—	—	—	—
Screening mammography bilateral	CPT	77067	0	$506.93	—	—	—	—
EKG tracing only	CPT	93005	0	$531.89	—	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$4,987.82	—	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$2,321.66	—	—	—	—
Stress echocardiogram	CPT	93350	0	$2,314.73	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$364.18	—	—	—	—
General health panel	CPT	80050	0	$389.07	—	—	—	—
Electrolyte panel	CPT	80051	0	$378	—	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$620.8	—	—	—	—
Lipid panel	CPT	80061	0	$587.69	—	—	—	—
Renal function panel	CPT	80069	0	$573.9	—	—	—	—
Hepatic function panel	CPT	80076	0	$364.18	—	—	—	—
Urinalysis non-automated	CPT	81002	0	$146.23	—	—	—	—
Urinalysis automated	CPT	81003	0	$146.23	—	—	—	—
Glucose quantitative	CPT	82947	0	$146.23	—	—	—	—
Hemoglobin A1c	CPT	83036	0	$251.08	—	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$344.87	—	—	—	—
Complete blood count with automated differential	CPT	85025	0	$378	—	—	—	—
Complete blood count without differential	CPT	85027	0	$378	—	—	—	—
Urine culture bacterial	CPT	87086	0	$402.82	—	—	—	—
Urine culture identification	CPT	87088	0	$402.82	—	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$3,197.68	—	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$1,985.13	—	—	—	—
Vaginal delivery only	CPT	59409	0	$11,754	—	—	—	—
C-section delivery only	CPT	59514	0	$4,745.81	—	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$965.22	—	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$1,282.02	—	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$1,651.66	—	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$2,171.2	—	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$673.77	—	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$404.69	—	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$1,617.85	—	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$1,142.69	—	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$2,750.51	—	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,750.51	—	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$1,890	—	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$1,890	—	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$3,021.73	—	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$3,021.73	—	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$3,021.73	—	—	—	—
surgery
PCI single major coronary artery	CPT	92920	0	$17,789	—	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$35,724	—	—	—	—
PCI bypass graft	CPT	92937	0	$35,724	—	—	—	—
Left heart catheterization	CPT	93452	0	$21,277	—	—	—	—
Coronary angiography with cath	CPT	93455	0	$12,953	—	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$21,323	—	—	—	—

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