CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: USA Health Children's & Women's Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $54–$92
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $90 This hospital $95 Cash price $175 Hospital's list price $175

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 $95

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 $90 (about 0.9× the $95 Medicare rate). USA Health Children's & Women's Hospital charges insurers about $95, or about $175 in cash — about the fair price. Located in Mobile, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $55 - $95 58%
Blue Cross Blue Shieldmajor $93 98%
Aetnamajor $95 - $96 100%
Cignamajor $83 - $114 87%
Humanamajor $95 - $114 100%
Ambetter (Centene) $114 120%
Devoted Health $95 - $122 100%
Molina $60 - $105 63%
WellCare $95 100%
+ 6 smaller / regional plans $55 - $158
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1700 Center Street, Mobile, AL 36604
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Childrens