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Short Term Acute Care HospitalProprietary

Evergreen Medical Center

Evergreen, AL

101 Crestview Avenue, Evergreen, AL 36401(251) 578-2480

3 of 5

CMS star rating

44

Beds

693

Inpatient discharges a year

$15.4M

Net patient revenue a year

30

In-network payers

About this hospital

Evergreen Medical Center is a 44-bed proprietary hospital in Evergreen, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 292 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
CCN
010148
NPI
1891770368
Teaching
No Medicare-funded residents
County
Conecuh County
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1977
Last CMS survey
2023

Prices for common services

The 24 services Evergreen 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

Uterine and adnexa procedure for non-malignancy without CC or MCC

MS-DRG 743

$7,037 - $10,871

from 2 insurers · median $8,954

UnitedHealthcare$10,871
Insurer A*$7,037
Medicare $8,362Nearby hospitals $10,30013% below nearby hospitals

Hospital reports inpatient surgical services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$400 - $571

from 2 insurers · median $486

Aetna$400
Insurer A*$571
Medicare $298Nearby hospitals $59118% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$246 - $556

from 2 insurers · median $401

Aetna$246
Insurer A*$556
Medicare $89Nearby hospitals $51722% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,308 - $1,709

from 2 insurers · median $1,509

UnitedHealthcare$1,308
Insurer A*$1,709
Medicare $1,022Nearby hospitals $1,32614% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Evergreen 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*22
135%
181
Insurer B*6
112%
06
Insurer C*16
61%
75
Insurer D*1
-
00

How we chose these services: 0 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 12 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 Evergreen 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

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

    No Medicare-funded residents

    • 16 services
    • 17 affiliated clinicians
    See doctors and services
  • Finances

    $15.4M net patient revenue

    • Operating margin on patient care 20.7%
    • $1.4M unreimbursed and uncompensated care
    • $5.2M net income
    See finances
  • Ownership and leadership

    Owned by Evergreen Medical Center LLC

    • Private (for profit)
    • Thomas Mclendon, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Evergreen 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
20-8057151Evergreen Medical Center LLC49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1891770368 Evergreen Medical Center LLC1881677581 Evergreen Medical Center LLC1427366871 Evergreen Medical Center LLCand 4 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

101 Crestview Avenue, Evergreen, AL 36401

(251) 578-2480

Get directions

Frequently asked questions

About Evergreen Medical Center's rates and hospital price transparency.

How much does an MRI cost at Evergreen Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Evergreen Medical Center range from $782 to $782 across 1 insurers. Blue Cross Blue Shield's rate is $782. The median at nearby comparable hospitals is $677. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Evergreen Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Evergreen Medical Center range from $400 to $571 across 2 insurers. Aetna's rate is $400. The median at nearby comparable hospitals is $591. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Evergreen Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Evergreen Medical Center range from $1,308 to $1,709 across 2 insurers. UnitedHealthcare's rate is $1,308. The median at nearby comparable hospitals is $1,326. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Evergreen Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Evergreen Medical Center range from $98 to $104 across 2 insurers. Aetna's rate is $98. The median at nearby comparable hospitals is $165. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Evergreen Medical Center's CMS star rating?

Evergreen 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 Evergreen Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Evergreen Medical Center for fiscal year 2027.

Does Medicare penalize Evergreen Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Evergreen 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 Evergreen Medical Center?

In 2024, the most common were esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc (21 discharges), chronic obstructive pulmonary disease with mcc (15 discharges), syncope and collapse (15 discharges).

What is Evergreen Medical Center's case mix index?

Evergreen Medical Center's Medicare case mix index is 0.89 for fiscal year 2027, higher than 1% of hospitals paid under the inpatient prospective payment system.

How many patients does Evergreen Medical Center admit?

Evergreen Medical Center reported 693 inpatient discharges and 2,440 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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