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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Athens Limestone

Huntsville Hospital Health System · Athens, AL

700 West Market Street, Athens, AL 35611(256) 233-9292

2 of 5

CMS star rating

66

Beds

3,497

Inpatient discharges a year

$111.8M

Net patient revenue a year

32

In-network payers

About this hospital

Athens Limestone is a 66-bed government - hospital district or authority hospital in Athens, AL, affiliated with Huntsville Hospital Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 482 disclosed rate categories.

  • Disproportionate share hospital
  • ACO participant
CCN
010079
NPI
1144695081
Health system
Huntsville Hospital Health System
Teaching
No Medicare-funded residents
County
Limestone County
Metro area
Huntsville, AL MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2002

Prices for common services

The 24 services Athens Limestone most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$21,585 - $24,377

from 3 insurers · median $24,125

Blue Cross$24,125
Insurer A*$21,585
Insurer B*$24,377
Medicare $10,318Nearby hospitals $16,54946% above nearby hospitals

64 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,442 - $8,521

from 2 insurers · median $6,981

Cigna$8,521
Insurer A*$5,442

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,862 - $12,117

from 2 insurers · median $9,990

Cigna$12,117
Insurer A*$7,862

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$871 - $5,424

from 3 insurers · median $4,812

Blue Cross$4,812
Insurer A*$871
Insurer B*$5,424
Medicare $2,436Nearby hospitals $3,67531% above nearby hospitals

131 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

How the insurers pay at Athens Limestone

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
159%
156
Insurer B*20
144%
153
Insurer C*11
124%
15
Insurer D*12
55%
010

How we chose these services: 9 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Athens Limestone, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 178 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.87%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 18 services
    • 434 affiliated clinicians
    See doctors and services
  • Finances

    $111.8M net patient revenue

    • Operating margin on patient care -6.3%
    • $5.2M unreimbursed and uncompensated care
    • $2.8M net income
    See finances
  • Ownership and leadership

    Hospital district or authority

    • Jeffrey Howard Samz, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Athens Limestone in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
47-5531420Hh Health System - Athens Limestone LLC47Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 42 more1144695081 Hh Health System - Athens Limestone LLC1982662557 Health Care Authority Of Athens And Limestone County1922031202 Athens Limestone Healthcare Incand 1 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

700 West Market Street, Athens, AL 35611

(256) 233-9292

Get directions

Frequently asked questions

About Athens Limestone's rates and hospital price transparency.

How much does an MRI cost at Athens Limestone?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Athens Limestone range from $345 to $781 across 4 insurers. Blue Cross Blue Shield's rate is $781. The median at nearby comparable hospitals is $635. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Athens Limestone?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Athens Limestone range from $157 to $573 across 4 insurers. Aetna's rate is $422. The median at nearby comparable hospitals is $648. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Athens Limestone?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Athens Limestone range from $509 to $4,083 across 3 insurers. UnitedHealthcare's rate is $4,083. The median at nearby comparable hospitals is $1,904. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Athens Limestone?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Athens Limestone range from $5,442 to $8,521 across 2 insurers. Cigna's rate is $8,521. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Athens Limestone?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Athens Limestone range from $116 to $163 across 4 insurers. Cigna's rate is $116. The median at nearby comparable hospitals is $188. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Athens Limestone?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Athens Limestone range from $21,585 to $24,377 across 3 insurers. Blue Cross Blue Shield's rate is $24,125. The median at nearby comparable hospitals is $16,549. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Athens Limestone's CMS star rating?

Athens Limestone has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Athens Limestone a teaching hospital?

CMS reports no Medicare-funded interns or residents at Athens Limestone for fiscal year 2027.

Does Medicare penalize Athens Limestone for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Athens Limestone's base inpatient payments by an estimated 0.87% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Athens Limestone?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (68 discharges), septicemia or severe sepsis without mv >96 hours with mcc (66 discharges), heart failure and shock with mcc (41 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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