CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Southeast Health Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 0.7× the $95 Medicare rate · typically $55–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $13 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $68 This hospital $55 Cash price $113 Hospital's list price $283

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Lowest price of the 9 AL hospitals we have prices for — a strong deal.

Cheapest $55 Priciest $64

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $68 (about 0.7× the $95 Medicare rate). Southeast Health Medical Center charges insurers about $55, or about $113 in cash — below the fair price — a good deal. Located in Dothan, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $55 58%
Blue Cross Blue Shieldmajor $55 58%
Aetnamajor $55 58%
Cignamajor $55 58%
Humanamajor $55 58%
Ambetter (Centene) $74 78%
Security Health Plan $55 58%
WellCare $55 58%
+ 4 smaller / regional plans $55 - $77
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1108 Ross Clark Circle, Dothan, AL 36301
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals