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Short Term Acute Care HospitalProprietary

Northwest Medical Center

Winfield, AL

1530 U S Highway 43, Winfield, AL 35594(205) 487-7736

4 of 5

CMS star rating

48

Beds

829

Inpatient discharges a year

$25.6M

Net patient revenue a year

30

In-network payers

About this hospital

Northwest Medical Center is a 48-bed proprietary hospital in Winfield, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 202 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
CCN
010086
NPI
1750495941
Teaching
No Medicare-funded residents
County
Marion County
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2010

Prices for common services

The 24 services Northwest 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

Cataract removal with lens insertion

CPT 66984

$2,145 - $2,270

from 2 insurers · median $2,207

Blue Cross$2,145
Insurer A*$2,270
Medicare $1,968Nearby hospitals $3,04528% below nearby hospitals

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$393 - $813

from 2 insurers · median $603

Blue Cross$393
Insurer A*$813
Medicare $298Nearby hospitals $2,05071% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$236 - $393

from 2 insurers · median $315

Blue Cross$393
Insurer A*$236
Medicare $89Nearby hospitals $70856% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$751 - $1,537

from 3 insurers · median $1,190

UnitedHealthcare$1,537
Insurer A*$751
Insurer B*$1,190
Medicare $773Nearby hospitals $1,53723% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Northwest 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*8
216%
08
Insurer B*22
122%
119
Insurer C*13
96%
08
Insurer D*2
-
02

How we chose these services: 1 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 9 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 Northwest 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 130 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.05%)
    See quality ratings

  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 26 services
    • 113 affiliated clinicians
    See doctors and services

  • Finances

    $25.6M net patient revenue

    • Operating margin on patient care -11.5%
    • $1.1M unreimbursed and uncompensated care
    • -$1.3M net income
    See finances

  • Ownership and leadership

    Owned by North Mississippi Health Services Inc

    • Private (for profit)
    • Michael S Spees, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Northwest 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
32-0453405Northwest Medical Center INC36Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Ambetter, Aspirus Health Plan and 31 more1750495941 Northwest Medical Center Inc.1104127265 Northwest Medical Center Inc.1679689483 Northwest Medical Center Inc.

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

1530 U S Highway 43, Winfield, AL 35594

(205) 487-7736

Get directions

Frequently asked questions

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

How much does an MRI cost at Northwest Medical Center?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Northwest Medical Center range from $317 to $515 across 2 insurers. Aetna's rate is $515. The median at nearby comparable hospitals is $705. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northwest Medical Center range from $393 to $813 across 2 insurers. Blue Cross Blue Shield's rate is $393. The median at nearby comparable hospitals is $2,050. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Northwest Medical Center?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Northwest Medical Center range from $1,240 to $1,537 across 2 insurers. UnitedHealthcare's rate is $1,537. The median at nearby comparable hospitals is $1,397. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Northwest Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northwest Medical Center range from $66 to $215 across 2 insurers. Aetna's rate is $215. The median at nearby comparable hospitals is $186. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Northwest Medical Center range from $11,457 to $11,457 across 1 insurers. The median at nearby comparable hospitals is $19,115. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Northwest Medical Center's CMS star rating?

Northwest Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Northwest Medical Center a teaching hospital?

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

Does Medicare penalize Northwest Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northwest Medical Center's base inpatient payments by an estimated 0.05% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (35 discharges), kidney and urinary tract infections without mcc (18 discharges), chronic obstructive pulmonary disease with mcc (15 discharges).

What is Northwest Medical Center's case mix index?

Northwest Medical Center's Medicare case mix index is 1.20 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.

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
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
Talk to us about your chargemaster