CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: The East Alabama Healthcare Authority

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.8× the $136 Medicare rate · typically $72–$106
modeled estimate · not a bill or quote
What this hospital charges insurers
$102
About the fair price
about $1 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $103 This hospital $102 Cash price $73 Hospital's list price $133

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $81 Priciest $102

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 (30-39 min) is about $103 (about 0.8× the $136 Medicare rate). The East Alabama Healthcare Authority charges insurers about $102, or about $73 in cash — about the fair price. Located in Opelika, 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 $105 - $108 77%
Blue Cross Blue Shieldmajor $88 - $115 65%
Aetnamajor $79 - $135 58%
Cignamajor $88 - $115 65%
Humanamajor $88 - $115 65%
GEHA $111 - $115 82%
+ 7 smaller / regional plans $20 - $115
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: 2000 Pepperell Parkway, Opelika, AL 36801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals