The East Alabama Health Care Authority

Valley, AL

In-network payers

About this hospital

The East Alabama Health Care Authority is a hospital in Valley, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 226 disclosed rate categories.

Disproportionate share hospital

CCN: 010175
NPI: 1780235002
Website: eastalabamahealth.org
Teaching: No Medicare-funded residents
Medicare contractor: Jurisdiction J, Palmetto GBA (10001)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Negotiated	Very High
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Multianalyte Assay Range: 0002M - 0018M	Negotiated	Average
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very High
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	High
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Percentage of Bill Charged	-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 226

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

Quality
No Medicare readmissions penalty
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Doctors and services
No Medicare-funded residents
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Tax IDs and NPIs insurers list

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

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
63-6000526East Alabama Medical Center	42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 37 more	1154386431 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

Valley, AL

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Medicare outpatient services

The comprehensive outpatient service groups (APCs) The East Alabama Health Care Authority billed Medicare for most in 2024: 29 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	29	28	$6,825	$1,750	$2,090

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Medicare payment profile

The factors Medicare uses to set what it pays The East Alabama Health Care Authority for an inpatient stay.

1.18
Case mix index
Higher than 5% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
18.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
93
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).

Show FY 2023 to FY 2026

IPPS fiscal year	FY 2023	FY 2024	FY 2025	FY 2026
Case mix index	1.47	1.21	1.19	1.18
Wage index	0.749	0.789	0.769	0.750
Readmissions adjustment	0.00%	0.00%	0.00%	0.00%
Value-based purchasing adjustment	0.00%	0.00%	0.00%	0.00%
Medicare inpatient stays	162	138	126	93

Source: CMS IPPS final rule Impact File (FY 2026).

Frequently asked questions

About The East Alabama Health Care Authority's rates and hospital price transparency.

Is The East Alabama Health Care Authority a teaching hospital?

CMS reports no Medicare-funded interns or residents at The East Alabama Health Care Authority for fiscal year 2026.

Does Medicare penalize The East Alabama Health Care Authority for readmissions?

No. The East Alabama Health Care Authority has no Hospital Readmissions Reduction Program penalty in fiscal year 2026.

What is The East Alabama Health Care Authority's case mix index?

The East Alabama Health Care Authority's Medicare case mix index is 1.18 for fiscal year 2026, higher than 5% of hospitals paid under the inpatient prospective payment system.

What is The East Alabama Health Care Authority's tax ID (EIN)?

Insurers' price transparency files list The East Alabama Health Care Authority under employer identification number 63-6000526 (East Alabama Medical Center). 42 health plans and networks list 63-6000526 for it.

Where is The East Alabama Health Care Authority and what is its phone number?

The East Alabama Health Care Authority is located at Valley, AL.

What is The East Alabama Health Care Authority's CCN (Medicare provider number)?

The East Alabama Health Care Authority's CMS Certification Number (CCN), also called its Medicare provider number, is 010175.

What is The East Alabama Health Care Authority's NPI number?

The National Provider Identifier (NPI) on file for The East Alabama Health Care Authority is 1780235002.

Which insurance plans are in network at The East Alabama Health Care Authority?

The East Alabama Health Care Authority lists 25 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for The East Alabama Health Care Authority?

226 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

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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
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Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
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