CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Athens Limestone Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$87
about 0.9× the $95 Medicare rate · typically $59–$181
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $13 over the fair price · 1.1× Medicare
Medicare pays $95 Fair price $87 This hospital $100 Cash price $100 Hospital's list price $100

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 $55 Priciest $100

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 $87 (about 0.9× the $95 Medicare rate). Athens Limestone Hospital charges insurers about $100, or about $100 in cash — about the fair price. Located in Athens, 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✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $35 - $120 37%
Aetnamajor $62 - $214 65%
Cignamajor $77 - $172 81%
+ 1 smaller / regional plan $62 - $214

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 700 West Market Street, Athens, AL 35611
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals