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Echocardiogram Cost in Alabama (2026): Average Prices & What You'll Pay

What does a echocardiogram cost in Alabama?

The same echocardiogram in Alabama might cost you $211 at one facility and $557 at another - the building you walk into drives the difference. The median cash price across 51 reporting hospitals is $236. These figures come straight from hospital price transparency files published under federal law.

Where echocardiogram costs vary in Alabama

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

A missing prior authorization can turn a covered echocardiogram into a denied claim - and the same study is one bill or two.

Your personalized cost report includes:

  • ✓ Why prior authorization is the most preventable echo billing surprise - and how to confirm it
  • ✓ Why a facility splits into a technical bill and a separate cardiologist bill (an office bills one global fee)
  • ✓ How the interpreting cardiologist can be out-of-network even at an in-network facility
  • ✓ Why a hospital outpatient department costs far more than a cardiology office or imaging center
  • ✓ A real patient billing breakdown, line by line

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Cheapest Echocardiogram Providers in Alabama

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 HH HEALTH SYSTEM ATHENS LIMESTONE Athens, AL $154 -$82
2 TMC East Alabama Wedowee, AL $166 -$70
3 Medical West Hospital AL $170 -$66
4 Jackson Hospital AL $174 -$62
5 Whitfield Regional Hospital AL $174 -$62
6 Russell Medical Center Alexander City, AL $183 -$53
7 LAKELAND COMMUNITY HOSPITAL Po Box 780, AL $191 -$45
8 J Paul Jones Rural Emergency Hospital AL $205 -$31

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • HH HEALTH SYSTEM ATHENS LIMESTONE is the lowest-cost option at $154 - $82 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $236, and it's often lower than what insurance pays before your deductible is satisfied.
  • Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.

How where you go changes what you pay for echocardiogram

The same echocardiogram bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$252–$4,730
  • Facility fee $106–$3,802
  • Professional fee $146–$928

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$286–$2,255
  • Facility fee $140–$1,327
  • Professional fee $146–$928

Estimated from CMS fee schedules + commercial rate multipliers

Alabama's hospital market is concentrated around UAB Health System in Birmingham and Baptist Health statewide, limiting competitive pricing pressure outside the major metros. Rural facilities operate with thinner margins and fewer negotiated-rate contracts, which typically produces higher list prices alongside steeper cash discounts. Echocardiograms are unusual in that the physician component (interpretation fee) and technical component (sonographer and equipment) are often billed separately, meaning you may receive two bills from two different providers. Hospital-based cardiology departments also add a facility fee that independent echo labs and cardiology offices don't charge. The same study can cost $200 at a freestanding cardiology office and $2,000 at a hospital outpatient department.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (2) report prices above $1,211, including Clay County Healthcare Authority at $1,327, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $227 versus $354 inpatient (about 1.6× more), so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$236
Deductible met - 20% coinsurance ~$47
Out-of-network provider $519+

Frequently asked questions: echocardiogram costs in Alabama

How much does an echocardiogram cost in Alabama?

Across 51 Alabama hospitals that publish prices, an echocardiogram ranges from $106 to $9,814, with a median of $236. Most facilities fall between $206 and $557. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an echocardiogram in Alabama?

Based on declared prices, the lowest-cost facility in our Alabama data is East Alabama Medical Center at about $106. By metro, Birmingham has the lowest median ($216). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an echocardiogram so much cheaper at some Alabama hospitals?

Prices vary up to 92.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Alabama, the median cash (self-pay) price is $236 versus a median negotiated rate of $193 - about 1.2× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an echocardiogram in Alabama?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Alabama

Echocardiogram, elsewhere

Other Alabama Hospitals and ambulatory surgery centers for Echocardiogram

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Alabama. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ADAMCO LLC
2058383047
BIRMINGHAM, AL Ambulatory Surgical Center -
AFFINITY GASTROENTEROLOGY ASC LLC
2059713700
BIRMINGHAM, AL Ambulatory Surgical Center -
AFFINITY HOSPITAL LLC
2059711000
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
AFFINITY ORTHOPAEDIC ASC LLC
7022718476
BIRMINGHAM, AL Ambulatory Surgical Center -
AFFINITY UROLOGY ASC, LLC
7022718476
BIRMINGHAM, AL Ambulatory Surgical Center -
ALABAMA DIGESTIVE HEALTH AND ENDOSCOPY CENTER
2058771187
BIRMINGHAM, AL Ambulatory Surgical Center -
ALABAMA DIGESTIVE HEALTH ENDOSCOPY CENTER, LLC
2055234342
BIRMINGHAM, AL Ambulatory Surgical Center -
ALABAMA DIGESTIVE HEALTH ENDOSCOPY CENTER, LLC
2058771187
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
ALABAMA EYE SURGERY CENTER LLC
3344460872
DOTHAN, AL Ambulatory Surgical Center -
ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C.
2059181205
BIRMINGHAM, AL Ambulatory Surgical Center -
ALLEN'S RESPIRATORY CARE AND NURSING SERVICES, INC
3347452731
OPELIKA, AL General Acute Care Hospital $252–$4,730 bundled est.
ANESTHESIA SOUTH INC
2059027578
BIRMINGHAM, AL Ambulatory Surgical Center -
▼ Show 88 more Alabama hospitals and ambulatory surgery centers (of 351 registered)
ATTENTUS EUFAULA, LLC
3346887000
EUFAULA, AL General Acute Care Hospital $252–$4,730 bundled est.
ATTENTUS MOULTON, LLC
2569742206
MOULTON, AL General Acute Care Hospital $252–$4,730 bundled est.
ATTENTUS MOULTON, LLC
2569742254
MOULTON, AL General Acute Care Hospital $252–$4,730 bundled est.
ATTENTUS TROY, LLC
3346705000
TROY, AL Rural Acute Care Hospital $252–$4,730 bundled est.
BAPTIST HEALTH
3344514447
WETUMPKA, AL General Acute Care Hospital $252–$4,730 bundled est.
BAPTIST HEALTH SYSTEM INC
2053874000
JASPER, AL General Acute Care Hospital $252–$4,730 bundled est.
BAPTIST HEALTH SYSTEM, INC
2056208100
ALABASTER, AL General Acute Care Hospital $252–$4,730 bundled est.
BAPTIST HEALTH SYSTEMS
3342778330
MONTGOMERY, AL Women's Hospital $252–$4,730 bundled est.
BBH BMC, LLC
2058771000
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
BBH CBMC, LLC
2563628111
TALLADEGA, AL General Acute Care Hospital $252–$4,730 bundled est.
BBH PBMC, LLC
2057833000
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
BBH SBMC, LLC
2056208100
ALABASTER, AL General Acute Care Hospital $252–$4,730 bundled est.
BBH WBMC, LLC
2053874000
JASPER, AL General Acute Care Hospital $252–$4,730 bundled est.
BEATRICE CHAICHARNCHEEP
2059105366
BESSEMER, AL Ambulatory Surgical Center -
BIBB COUNTY HOSPITAL BOARD
2059264881
CENTREVILLE, AL General Acute Care Hospital $252–$4,730 bundled est.
BIRMINGHAM OUTPATIENT SURGERY CENTER LTD
2059330050
BIRMINGHAM, AL Ambulatory Surgical Center -
BIRMINGHAM SURGERY CENTER, LLC
2052718200
BIRMINGHAM, AL Ambulatory Surgical Center -
BIRMINGHAM VA MEDICAL CENTER
2059338101
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
BIRMINGHAM VAMC
8282572333
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
BROOKWOOD HEALTH SERVICES, INC.
2058771000
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
BRUCE LOWMAN,MD LLC
2516313530
MOBILE, AL General Acute Care Hospital $252–$4,730 bundled est.
BULLOCK COUNTY HEALTH CARE AUTHORITY
3347382140
UNION SPRINGS, AL Rural Acute Care Hospital $252–$4,730 bundled est.
CARRAWAY METHODIST MEDICAL CENTER
2055026000
BIRMINGHAM, AL General Acute Care Hospital $252–$4,730 bundled est.
CENTRAL ALABAMA VETERAN HEALTH CARE SYSTEM
3347270550
TUSKEGEE, AL General Acute Care Hospital $252–$4,730 bundled est.
CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM
3342724670
MONTGOMERY, AL Critical Access Hospital $252–$4,730 bundled est.
CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM
3347253002
TUSKEGEE, AL General Acute Care Hospital $252–$4,730 bundled est.
CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM
3347270550
TUSKEGEE, AL General Acute Care Hospital $252–$4,730 bundled est.
CENTRAL ALABAMA WOMEN'S CLINIC
3348751440
SELMA, AL Ambulatory Surgery Center -
CENTRE HOSPITAL CORPORATION
2569275531
CENTRE, AL General Acute Care Hospital $252–$4,730 bundled est.
CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
3347569180
VALLEY, AL General Acute Care Hospital $252–$4,730 bundled est.
CHILDRENS HEALTH SYSTEM
2059395786
HOOVER, AL Children's Hospital $252–$4,730 bundled est.
CHILDRENS OF ALABAMA
2059395432
BIRMINGHAM, AL Children's Hospital $252–$4,730 bundled est.
CHILTON COUNTY HOSPITAL BOARD
2057552500
CLANTON, AL General Acute Care Hospital $252–$4,730 bundled est.
CHOI SURGERY CENTER LLC
2058792221
VESTAVIA, AL Ambulatory Surgical Center -
CITIZENS BAPTIST MEDICAL CENTER
2567614363
TALLADEGA, AL Rural Acute Care Hospital $252–$4,730 bundled est.
CITIZENS BAPTIST MEDICAL CENTER
2563628111
TALLADEGA, AL General Acute Care Hospital $252–$4,730 bundled est.
CITY OF JACKSON HEALTHCARE AUTHORITY
2517549300
JACKSON, AL Rural Acute Care Hospital $252–$4,730 bundled est.
CLANTON HOSPITAL LLC
2057552500
CLANTON, AL Rural Acute Care Hospital $252–$4,730 bundled est.
CLANTON HOSPITAL LLC
2057552500
CLANTON, AL General Acute Care Hospital $252–$4,730 bundled est.
CLARKE COUNTY HEALTHCARE LLC
3346364431
THOMASVILLE, AL General Acute Care Hospital $252–$4,730 bundled est.
CLAY COUNTY HEALTHCARE AUTHORITY
2563542131
ASHLAND, AL General Acute Care Hospital $252–$4,730 bundled est.
CLAY COUNTY HEALTHCARE AUTHORITY
2563541258
ASHLAND, AL Ambulatory Surgical Center -
CLAY COUNTY HEALTHCARE AUTHORITY
2563542131
ASHLAND, AL General Acute Care Hospital $252–$4,730 bundled est.
CLEARWAY SURGERY CENTER OF MOBILE
8504844080
MOBILE, AL Ambulatory Surgical Center -
CLINTON PLASTIC SURGERY, LLC
2054089787
BIRMINGHAM, AL Ambulatory Surgical Center -
COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY
2563569532
RED BAY, AL Critical Access Hospital $252–$4,730 bundled est.
COMMUNITY BIRTH GROUP
8003418598
TUSCALOOSA, AL General Acute Care Hospital $252–$4,730 bundled est.
COMMUNITY BIRTH GROUP
8003418598
MOUNT OLIVE, AL General Acute Care Hospital $252–$4,730 bundled est.
COMMUNITY BIRTH GROUP
8003418598
HOOVER, AL General Acute Care Hospital $252–$4,730 bundled est.
COMMUNITY HOSPITAL
3342833761
TALLASSEE, AL General Acute Care Hospital $252–$4,730 bundled est.
COMMUNITY HOSPITAL INC
3342836541
TALLASSEE, AL Rural Acute Care Hospital $252–$4,730 bundled est.
COMMUNITY HOSPITAL OF ANDALUSIA LLC
3342228466
ANDALUSIA, AL General Acute Care Hospital $252–$4,730 bundled est.
CRESTWOOD HEALTHCARE LP
2568823100
HUNTSVILLE, AL Ambulatory Surgical Center -
CRESTWOOD MEDICAL CENTER
2564294879
HUNTSVILLE, AL General Acute Care Hospital $252–$4,730 bundled est.
CULLMAN REGIONAL MEDICAL CENTER
2567372000
CULLMAN, AL Rural Acute Care Hospital $252–$4,730 bundled est.
CULLMAN REGIONAL MEDICAL CENTER PHYSICIANS
2567372000
CULLMAN, AL General Acute Care Hospital $252–$4,730 bundled est.
CULLMAN REGIONAL MEDICAL CENTER, INC
2567372000
CULLMAN, AL General Acute Care Hospital $252–$4,730 bundled est.
CUTANEOUS ONCOLOGY & SURGERY CENTER, LLC
2059683919
VESTAVIA HLS, AL Ambulatory Surgical Center -
CV SURGICAL SERVICES LLC
2058562284
BIRMINGHAM, AL Ambulatory Surgical Center -
D. W. MCMILLAN MEMORIAL HOSPITAL
2518678061
BREWTON, AL Rural Acute Care Hospital $252–$4,730 bundled est.
D. W. MCMILLAN MEMORIAL HOSPITAL
2518678061
BREWTON, AL General Acute Care Hospital $252–$4,730 bundled est.
DALE MEDICAL CENTER
3347742601
OZARK, AL General Acute Care Hospital $252–$4,730 bundled est.
DECATUR GENERAL HOSPITAL
2563412000
DECATUR, AL General Acute Care Hospital $252–$4,730 bundled est.
DECATUR SURGERY CENTER LP
2563401212
DECATUR, AL Ambulatory Surgical Center -
DOTHAN SURGERY CENTER, LLC
3347933442
DOTHAN, AL Ambulatory Surgical Center -
DREAMS INC SHORT TERM CARE
2056404282
ODENVILLE, AL Ambulatory Surgical Center -
EAMC-LANIER AMBULATORY SURGERY CENTER, LLC
3347569180
VALLEY, AL Ambulatory Surgical Center -
EAST ALABAMA AMBULATORY SURGERY CENTER, LLC
3343643200
AUBURN, AL Ambulatory Surgical Center -
EAST ALABAMA MEDICAL CENTER
3345281964
OPELIKA, AL General Acute Care Hospital $252–$4,730 bundled est.
EAST ALABAMA MEDICAL CENTER
3348291899
AUBURN, AL General Acute Care Hospital $252–$4,730 bundled est.
EAST ALABAMA MEDICAL CENTER PEC
3347493411
OPELIKA, AL General Acute Care Hospital $252–$4,730 bundled est.
EASTERN SHORE CARE SERVICES
2519289090
FAIRHOPE, AL Ambulatory Surgical Center -
EUTAW MEDICAL CENTER
2055356195
TUSCALOOSA, AL Critical Access Hospital $252–$4,730 bundled est.
EYE SURGERY CENTER OF NORTH ALABAMA
2565330315
HUNTSVILLE, AL Ambulatory Surgical Center -
EYE SURGERY CENTER OF NORTH ALABAMA, INC.
2567043937
HUNTSVILLE, AL Ambulatory Surgical Center -
FAYETTE MEDICAL CENTER
2059325966
FAYETTE, AL General Acute Care Hospital $252–$4,730 bundled est.
FLORENCE EYE SURGERY CENTER
2564156110
FLORENCE, AL Ambulatory Surgical Center -
FLORENCE SURGERY CENTER, L.P.
2567600672
FLORENCE, AL Ambulatory Surgical Center -
FLOYD CHEROKEE MEDICAL CENTER LLC
2569271301
CENTRE, AL General Acute Care Hospital $252–$4,730 bundled est.
FOLEY ASC, LLC
7022718476
FOLEY, AL Ambulatory Surgical Center -
FOLEY HOSPITAL COMPANY LLC
2519493400
FOLEY, AL Ambulatory Surgical Center -
FORT PAYNE HOSPITAL CORPORATION
2568453150
FORT PAYNE, AL General Acute Care Hospital $252–$4,730 bundled est.
FORT PAYNE HOSPITAL CORPORATION
2568453150
FORT PAYNE, AL General Acute Care Hospital $252–$4,730 bundled est.
FRESENIUS VASCULAR CARE MONTGOMERY ASC LLC
3345937434
MONTGOMERY, AL Ambulatory Surgical Center -
GADSDEN ENDOSCOPY, LLC
2564922484
GADSDEN, AL Ambulatory Surgical Center -
GADSDEN REGIONAL MEDICAL CENTER
2564944052
GADSDEN, AL Critical Access Hospital $252–$4,730 bundled est.
GADSDEN REGIONAL MEDICAL CENTER LLC
2564944000
GADSDEN, AL General Acute Care Hospital $252–$4,730 bundled est.
GADSDEN SURGERY CENTER LP
2565431253
GADSDEN, AL Ambulatory Surgical Center -

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same echocardiogram - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

Cost by type

Which type your doctor orders for this echocardiogram changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.

This is shoppable

Echocardiogram is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for echocardiogram before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Alabama

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published July 17, 2026

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