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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mizell Memorial Hospital

Opp, AL

702 Main Street, Opp, AL 36467(334) 493-3541

1 of 5

CMS star rating

49

Beds

1,169

Inpatient discharges a year

$19M

Net patient revenue a year

40

In-network payers

About this hospital

Mizell Memorial Hospital is a 49-bed voluntary non-profit - private hospital in Opp, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 269 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
  • ACO participant
CCN
010007
NPI
1013937705
Teaching
No Medicare-funded residents
County
Covington County
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services Mizell Memorial Hospital 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

$2,977 - $29,201

from 4 insurers · median $12,865

UnitedHealthcare$15,314
Insurer A*$2,977
Insurer B*$10,416
Insurer C*$29,201
Medicare $11,887Nearby hospitals $14,81213% below nearby hospitals

18 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$1,100 - $2,572

from 4 insurers · median $1,472

UnitedHealthcare$1,155
Insurer A*$1,100
Insurer B*$1,789
Insurer C*$2,572
Medicare $1,999Nearby hospitals $1,85120% below nearby hospitals

52 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$239 - $673

from 4 insurers · median $367

Aetna$673
Insurer A*$239
Insurer B*$280
Insurer C*$454
Medicare $302Nearby hospitals $44718% below nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$430 - $820

from 4 insurers · median $728

Aetna$772
Insurer A*$430
Insurer B*$684
Insurer C*est.$820
Medicare $473Nearby hospitals $6758% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mizell Memorial Hospital

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*15
123%
66
Insurer B*22
109%
43
Insurer C*19
76%
08
Insurer D*24
55%
118

How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Mizell Memorial Hospital, 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

    1 of 5 stars

    • 130 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.54%)
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 32 services, including trauma care
    • 89 affiliated clinicians
    See doctors and services
  • Finances

    $19M net patient revenue

    • Operating margin on patient care -33.1%
    • $1.5M unreimbursed and uncompensated care
    • $1.1M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Lori Stanfield, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
63-0307951Mizell Memorial Hospital INC58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1013937705 Mizell Memorial Hospital Inc.1760728455 Mizell Memorial Hospital Inc.1033863170 Mizell Memorial Hospital Inc.and 2 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

702 Main Street, Opp, AL 36467

(334) 493-3541

Get directions

Frequently asked questions

About Mizell Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Mizell Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mizell Memorial Hospital range from $239 to $644 across 3 insurers. Cigna's rate is $280. The median at nearby comparable hospitals is $1,243. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mizell Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mizell Memorial Hospital range from $239 to $673 across 4 insurers. Aetna's rate is $673. The median at nearby comparable hospitals is $447. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mizell Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mizell Memorial Hospital range from $600 to $1,341 across 4 insurers. Cigna's rate is $925. The median at nearby comparable hospitals is $2,229. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mizell Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mizell Memorial Hospital range from $80 to $168 across 3 insurers. Blue Cross Blue Shield's rate is $85. The median at nearby comparable hospitals is $128. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mizell Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mizell Memorial Hospital range from $2,977 to $29,201 across 4 insurers. UnitedHealthcare's rate is $15,314. The median at nearby comparable hospitals is $14,812. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mizell Memorial Hospital's CMS star rating?

Mizell Memorial Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Mizell Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mizell Memorial Hospital for fiscal year 2027.

Does Medicare penalize Mizell Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mizell Memorial Hospital's base inpatient payments by an estimated 0.54% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mizell Memorial Hospital?

In 2024, the most common were kidney and urinary tract infections without mcc (23 discharges), heart failure and shock with mcc (17 discharges), septicemia or severe sepsis without mv >96 hours with mcc (17 discharges).

What is Mizell Memorial Hospital's case mix index?

Mizell Memorial Hospital's Medicare case mix index is 1.19 for fiscal year 2027, higher than 6% of hospitals paid under the inpatient prospective payment system.

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.

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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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  • cms-hpt.txt file and homepage footer link
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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.

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