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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

East Alabama Medical Center

East Alabama Medical Center · Opelika, AL

2000 Pepperell Parkway, Opelika, AL 36801(334) 749-3411

3 of 5

CMS star rating

290

Beds

14,585

Inpatient discharges a year

$527.3M

Net patient revenue a year

39

In-network payers

About this hospital

East Alabama Medical Center is a 290-bed government - hospital district or authority hospital in Opelika, AL, affiliated with East Alabama Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 234 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
010029
NPI
1154386431
Health system
East Alabama Medical Center
Teaching
Teaching hospital
County
Lee County
Metro area
Auburn-Opelika, AL MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2001

Prices for common services

The 24 services East Alabama Medical Center 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

$2,980 - $27,000

from 4 insurers · median $12,859

Aetna$14,438
Insurer A*$2,980
Insurer B*$11,280
Insurer C*$27,000
Medicare $9,742Nearby hospitals $30,54458% below nearby hospitals

184 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,513 - $5,841

from 4 insurers · median $3,353

Cigna$3,725
Insurer A*$2,513
Insurer B*$2,980
Insurer C*$5,841

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 neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$2,513 - $8,999

from 4 insurers · median $3,541

Cigna$4,101
Insurer A*$2,513
Insurer B*$2,980
Insurer C*$8,999

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 neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,596 - $5,670

from 4 insurers · median $4,778

Aetna$4,902
Insurer A*$4,596
Insurer B*$4,654
Insurer C*$5,670
Medicare $3,020Nearby hospitals $3,56934% above nearby hospitals

17 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at East Alabama Medical Center

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
173%
810
Insurer B*24
161%
711
Insurer C*19
152%
610
Insurer D*23
143%
145

How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 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 East Alabama Medical Center, 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 200 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.24%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 25 services
    • 518 affiliated clinicians
    See doctors and services
  • Finances

    $527.3M net patient revenue

    • Operating margin on patient care 2.7%
    • $17.5M unreimbursed and uncompensated care
    • $46.6M net income
    See finances
  • Ownership and leadership

    Hospital district or authority

    • Laura D Grill, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
63-6000526East Alabama Medical Center65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 60 more1154386431 The East Alabama Health Care Authority1780235002 The East Alabama Health Care Authority1487117982 The East Alabama Health Care Authorityand 24 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

2000 Pepperell Parkway, Opelika, AL 36801

(334) 749-3411

Get directions

Frequently asked questions

About East Alabama Medical Center's rates and hospital price transparency.

How much does an MRI cost at East Alabama Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at East Alabama Medical Center range from $637 to $821 across 4 insurers. Cigna's rate is $637. The median at nearby comparable hospitals is $782. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at East Alabama Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at East Alabama Medical Center range from $509 to $659 across 4 insurers. UnitedHealthcare's rate is $631. The median at nearby comparable hospitals is $615. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at East Alabama Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at East Alabama Medical Center range from $1,504 to $2,102 across 4 insurers. Blue Cross Blue Shield's rate is $1,504. The median at nearby comparable hospitals is $2,253. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at East Alabama Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at East Alabama Medical Center range from $2,513 to $5,841 across 4 insurers. Cigna's rate is $3,725. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at East Alabama Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at East Alabama Medical Center range from $103 to $152 across 4 insurers. Cigna's rate is $111. The median at nearby comparable hospitals is $168. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at East Alabama Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at East Alabama Medical Center range from $2,980 to $27,000 across 4 insurers. Aetna's rate is $14,438. The median at nearby comparable hospitals is $30,544. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is East Alabama Medical Center's CMS star rating?

East Alabama Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is East Alabama Medical Center a teaching hospital?

Yes. CMS counts 0.09 Medicare-funded residents per bed at East Alabama Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize East Alabama Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts East Alabama Medical Center's base inpatient payments by an estimated 0.24% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at East Alabama Medical Center?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (160 discharges), septicemia or severe sepsis without mv >96 hours with mcc (132 discharges), heart failure and shock with mcc (129 discharges).

For hospital finance and compliance teams

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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.

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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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