CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Prattville Baptist Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 0.8× the $95 Medicare rate · typically $65–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Below the fair price — a good deal
about $10 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $76 This hospital $66 Cash price $43 Hospital's list price $71

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 $66

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 $76 (about 0.8× the $95 Medicare rate). Prattville Baptist Hospital charges insurers about $66, or about $43 in cash — below the fair price — a good deal. Located in Prattville, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $66 - $74 69%
Aetnamajor $70 74%
Cignamajor $107 112%
Humanamajor $60 63%
+ 1 smaller / regional plan $60 - $63

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Facility Profile & Credentials

  • Address: 124 S Memorial Dr, Prattville, AL 36067
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals