CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St. Vincent's East

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.9× the $95 Medicare rate · typically $52–$237
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $26 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $81 This hospital $55 Hospital's list price $481

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 $81 (about 0.9× the $95 Medicare rate). St. Vincent's East charges insurers about $55 — below the fair price — a good deal. Located in Birmingham, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $197 207%
Aetnamajor $60 - $240 63%
Humanamajor $303 318%
Ambetter (Centene) $55 58%
+ 4 smaller / regional plans $289 - $385
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Medical Park East Drive, Birmingham, AL 35235
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals