CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Southern Regional Medical Center

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–$177
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Below the fair price — a good deal
about $34 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $87 This hospital $53 Hospital's list price $746

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

One of the lower prices — 6 of 8 other GA hospitals charge more for the same procedure.

Cheapest $29 Priciest $65

Black dot = this hospital, among the 9 GA 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). Southern Regional Medical Center charges insurers about $53 — below the fair price — a good deal. Located in Riverdale, GA.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $53 56%
Humanamajor $179 188%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals