Medical Procedure Costs in Alabama

Alabama Medicare physician rates are generally below the national average (-9.2%). One statewide locality — the ZIP tool still maps you onto that locality.

Look up any CPT in Alabama

Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.

Try
vs national (featured set)
-9.2%
Medicare localities
1
PE GPCI 0.875
On this page
59
featured procedures · rest via search

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Alabama averages are unweighted means of the state’s localities, not population-weighted.

How Medicare prices Alabama

Medicare treats Alabama as one statewide payment locality, so the same geographic adjustment factors apply to a physician visit in Birmingham as in a small Wiregrass town. That single-locality setup keeps the published fee schedule uniform across the state, even though the cost of running a practice differs between the larger metros and rural counties. Alabama's geographic indices sit below the national average, which places its Medicare-approved amounts among the lower tiers nationally. What varies for patients is less the fee schedule itself and more the setting where care is delivered, since hospital outpatient billing can add facility fees on top of the physician rate.

Birmingham anchors the state's medical economy with a major academic medical center and a concentration of specialists, while Huntsville, Mobile, and Montgomery support sizable regional systems. Much of rural Alabama, particularly the Black Belt counties, faces thin physician coverage, so patients there often travel to a metro for specialty care. That travel pattern means the price you compare should be for where you will actually be treated, not just where you live.

Enter a ZIP code to see figures for your part of Alabama, whether that is Birmingham, Huntsville, Mobile, Montgomery, or a rural county in the Black Belt or the Appalachian north.

Featured physician rates in Alabama

ProcedureAlabama
Incision & Drainage of Abscess10060$116
Skin Biopsy (Tangential)11102$86
Skin Biopsy (Punch)11104$109
Destruction of Skin Lesion17000$60
Partial Mastectomy19301$569
Total Hip Replacement27130$1,055
Total Knee Replacement27447$1,053
Knee Arthroscopy29881$465
Upper Endoscopy (EGD)43235$288
Upper Endoscopy (EGD) With Biopsy43239$373
Colonoscopy (Diagnostic)45378$340
Colonoscopy With Biopsy45380$430
Colonoscopy With Polyp Removal45385$451
Laparoscopic Cholecystectomy47562$568
Laparoscopic Inguinal Hernia Repair49650$380
Laparoscopic Removal of Ovarian Cyst58661$537
Vaginal Delivery (Global)59400$1,983
Cesarean Delivery (Global)59510$2,201
Lumbar Discectomy63030$795
Cataract Surgery66984$429
MRI Brain Without Contrast70551$176
MRI Brain With Contrast70552$241
MRI Brain70553$285
Chest X-Ray71046$30
CT Chest Without Contrast71250$120
CT Chest With Contrast71260$150
MRI Cervical Spine72141$172
MRI Lumbar Spine72148$173
Shoulder X-Ray73030$32
MRI Shoulder73221$184
Knee X-Ray73560$31
MRI Knee73721$183
CT Abdomen & Pelvis Without Contrast74176$166
CT Abdomen & Pelvis With Contrast74177$269
Ultrasound Abdomen76700$103
Ultrasound Transvaginal76830$105
Ultrasound Pelvis76856$94
Diagnostic Mammogram77066$141
Screening Mammogram77067$113
Nuclear Stress Test78452$380
Psychiatric Evaluation90791$168
Psychiatric Evaluation With Medical Services90792$192
Psychotherapy (45 min)90834$110
Psychotherapy (60 min)90837$162
ECG/EKG93000$14
Echocardiogram93306$177
Stress Echocardiogram93350$167
Carotid Ultrasound93880$168
Laser Treatment for Skin96920$124
Physical Therapy (Therapeutic Exercise)97110$27
Physical Therapy (Manual Therapy)97140$26
PT Evaluation (Low Complexity)97161$92
PT Evaluation (Moderate Complexity)97162$92
Office Visit (New, Low)99203$108
Office Visit (New, Moderate-High)99204$164
Office Visit (New, High)99205$218
Office Visit (Established, Moderate)99213$88
Office Visit (Established, Moderate-High)99214$125
Office Visit (Established, High)99215$178

Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.

Medical costs in Alabama: questions

Across the 59 featured procedures on this page, Alabama sits below the national average by about 9%. Examples: incision & drainage of abscess $116, skin biopsy (tangential) $86, skin biopsy (punch) $109. Search any other CPT in the box above — those codes are in the tool, not as extra Alabama articles.

Alabama is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.

Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.

Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Alabama’s locality when you enter a ZIP.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.