CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Vincent's Birmingham

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$107
about 0.9× the $118 Medicare rate · typically $65–$245
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
Below the fair price — a good deal
about $39 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $107 This hospital $68 Hospital's list price $1,087

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 $68 Priciest $82

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

A fair price for a New patient office visit (30-44 min) is about $107 (about 0.9× the $118 Medicare rate). St Vincent's Birmingham charges insurers about $68 — 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 $435 - $457 370%
Aetnamajor $141 - $557 120%
Humanamajor $668 - $702 568%
Ambetter (Centene) $68 58%
+ 6 smaller / regional plans $636 - $947
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: 810 St Vincent's Drive, Birmingham, AL 35205
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals