CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $123
Cash Discount Price: $152
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Medical West, An Affiliate of UAB Health System is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.05x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $152 (129%)

Insurance Median: $123 (105%)

Cash: $152 (129% of Medicare)

Ins. Median: $123 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$18 - $370	15%
Cigna	$27 - $3,830	23%
Viva	$56 - $264	48%
Phcs	$67 - $370	57%
Beech Street	$69 - $370	59%
One Health Plan	$72 - $344	61%
Triwest	$77	65%
Geha	$78 - $370	66%
Healthchoice	$78 - $370	66%
Alamed	$87 - $414	74%
Construction Claims Management	$90 - $428	77%
Multiplan	$91 - $434	77%
Corvel	$92 - $476	78%
Novanet	$93 - $442	79%
Humana	$94 - $450	80%
UnitedHealthcare	$95 - $454	81%
Department Of Labor	$97 - $460	83%
Heritage Summit Health	$97 - $460	83%
Pnoa	$100 - $476	85%
Three Rivers	$100 - $476	85%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $152.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.