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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Southeast Alabama Medical Center

Southeast Health · Dothan, AL

1108 Ross Clark Circle, Dothan, AL 36301(334) 793-8701

4 of 5

CMS star rating

378

Beds

21,144

Inpatient discharges a year

$531M

Net patient revenue a year

34

In-network payers

About this hospital

Southeast Alabama Medical Center is a 378-bed government - hospital district or authority hospital in Dothan, AL, affiliated with Southeast Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 357 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
010001
NPI
1164403861
Health system
Southeast Health
Teaching
Teaching hospital
County
Houston County
Metro area
Dothan, AL MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2017

Prices for common services

The 24 services Southeast 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,306 - $2,490

from 2 insurers · median $2,398

Blue Cross$2,306
Insurer A*$2,490

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

$2,306 - $4,428

from 3 insurers · median $4,098

Blue Cross$2,306
Insurer A*$4,098
Insurer B*$4,428

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$413 - $1,418

from 4 insurers · median $625

Aetna$413
Insurer A*$487
Insurer B*$764
Insurer C*est.$1,418
Medicare $313Nearby hospitals $88629% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Inguinal hernia repair, age 5 or older

CPT 49505

$3,129 - $16,937

from 4 insurers · median $8,928

Blue Cross$4,431
Insurer A*$3,129
Insurer B*est.$13,426
Insurer C*est.$16,937
Medicare $3,217Nearby hospitals $6,14345% above nearby hospitals

64 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)

How the insurers pay at Southeast 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*22
294%
515
Insurer B*24
180%
021
Insurer C*16
171%
511
Insurer D*22
115%
412

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 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 Southeast 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 212 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.12%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 34 services, including trauma care
    • 580 affiliated clinicians
    See doctors and services
  • Finances

    $531M net patient revenue

    • Operating margin on patient care -6.1%
    • $34.1M unreimbursed and uncompensated care
    • $31.7M net income
    See finances
  • Ownership and leadership

    Hospital district or authority

    • Richard Sutton, 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 Southeast 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
63-6004476(multi-state) Houston County Healthcare Authority58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1164403861 Houston County Healthcare Authority1538597349 Houston County Healthcare Authority1114161601 Houston County Healthcare Authorityand 32 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

1108 Ross Clark Circle, Dothan, AL 36301

(334) 793-8701

Get directions

Frequently asked questions

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

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

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Southeast Alabama Medical Center range from $582 to $1,894 across 4 insurers. Cigna's rate is $1,894. The median at nearby comparable hospitals is $978. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Southeast Alabama Medical Center range from $413 to $1,418 across 4 insurers. Aetna's rate is $413. The median at nearby comparable hospitals is $886. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Southeast Alabama Medical Center range from $365 to $1,894 across 4 insurers. UnitedHealthcare's rate is $1,894. The median at nearby comparable hospitals is $3,462. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Southeast Alabama Medical Center range from $2,306 to $2,490 across 2 insurers. Blue Cross Blue Shield's rate is $2,306. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Southeast Alabama Medical Center range from $163 to $404 across 3 insurers. Aetna's rate is $163. The median at nearby comparable hospitals is $217. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

Southeast Alabama 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 Southeast Alabama Medical Center a teaching hospital?

Yes. CMS counts 0.16 Medicare-funded residents per bed at Southeast Alabama Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Southeast Alabama Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Southeast Alabama Medical Center's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (354 discharges), heart failure and shock with mcc (197 discharges), acute myocardial infarction, discharged alive with mcc (119 discharges).

What is Southeast Alabama Medical Center's case mix index?

Southeast Alabama Medical Center's Medicare case mix index is 1.85 for fiscal year 2027, higher than 66% of hospitals paid under the inpatient prospective payment system.

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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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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