CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $164
Cash Discount Price: $167
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Medical West, An Affiliate of UAB Health System is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.21x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$167

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)

Cash / Self-Pay: $167 (123%)

Insurance Median: $164 (121%)

Cash: $167 (123% of Medicare)

Ins. Median: $164 (121% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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	$20 - $370	15%
Cigna	$29 - $3,830	21%
Viva	$60 - $264	44%
Phcs	$72 - $370	53%
Beech Street	$74 - $370	55%
One Health Plan	$78 - $344	58%
Geha	$84 - $370	62%
Healthchoice	$84 - $370	62%
Triwest	$91	67%
Alamed	$94 - $414	69%
Construction Claims Management	$97 - $428	72%
Multiplan	$98 - $434	72%
Corvel	$99 - $476	73%
Novanet	$100 - $442	74%
Humana	$102 - $450	75%
UnitedHealthcare	$103 - $454	76%
Department Of Labor	$104 - $460	77%
Heritage Summit Health	$104 - $460	77%
Pnoa	$108 - $476	80%
Three Rivers	$108 - $476	80%

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 $167.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99214.

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 99214.
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.