▸ Compare · PriceTransparency
Office visit, new patient, 15-29 min
CPT 99202 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$74.19
Median
$166.89
Max
$224.16
Range multiplier
3.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 6 | 57 | $31.33 | $108.56 | $230.98 | 7.4× |
| institution [10406] | 4 | 50 | $31.33 | $159.56 | $228.00 | 7.3× |
| Blue Cross Blue Shield | 6 | 43 | $14.02 | $135.00 | $364.92 | 26.0× |
| Aetna | 6 | 28 | $39.86 | $148.66 | $282.10 | 7.1× |
| Medicaid | 4 | 20 | $44.55 | $104.52 | $161.53 | 3.6× |
| First Health | 5 | 12 | $101.25 | $169.88 | $234.60 | 2.3× |
| Cigna | 4 | 12 | $25.35 | $158.27 | $301.73 | 11.9× |
| fallon mcaid carelon hlth [29] | 4 | 11 | $135.00 | $225.00 | $304.00 | 2.3× |
| connecticare [11105] | 4 | 11 | $135.00 | $225.00 | $304.00 | 2.3× |
| grants [20507] | 4 | 11 | $135.00 | $225.00 | $304.00 | 2.3× |
| correctional care [11003] | 3 | 10 | $31.33 | $159.56 | $161.53 | 5.2× |
| masshealth mcd mbhp [38] | 3 | 9 | $135.00 | $225.00 | $272.00 | 2.0× |
| evernorth behavioral health [27] | 3 | 9 | $108.00 | $180.00 | $217.60 | 2.0× |
| harvard pilgrim [10701] | 3 | 9 | $93.81 | $93.81 | $93.81 | 1.0× |
| Multiplan | 3 | 8 | $101.25 | $169.88 | $228.00 | 2.3× |
| tufts [11201] | 4 | 8 | $23.04 | $39.51 | $193.34 | 8.4× |
| senior whole health [10110] | 4 | 7 | $33.52 | $170.73 | $172.84 | 5.2× |
| CHAMPVA | 4 | 7 | $41.51 | $137.74 | $163.91 | 3.9× |
| mgb mcr [10124] | 4 | 7 | $32.90 | $161.53 | $169.61 | 5.2× |
| tufts connectorcare [10507] | 4 | 7 | $53.29 | $271.41 | $274.77 | 5.2× |
| tufts us family [11203] | 4 | 7 | $31.33 | $159.56 | $161.53 | 5.2× |
| wellsense cc carelon hlth [20] | 2 | 6 | $135.00 | $225.00 | $228.00 | 1.7× |
| fallon mcr [10105] | 3 | 6 | $32.90 | $107.98 | $169.61 | 5.2× |
| wellfleet [11106] | 2 | 6 | $121.50 | $202.50 | $205.20 | 1.7× |
| automobile [10401] | 2 | 6 | $135.00 | $225.00 | $228.00 | 1.7× |
| optum transplant [20601] | 2 | 6 | $135.00 | $225.00 | $228.00 | 1.7× |
| geisinger | 1 | 5 | $42.40 | $120.30 | $255.44 | 6.0× |
| hp optum bh [32] | 2 | 5 | $170.00 | $272.00 | $304.00 | 1.8× |
| fallon carelon hlth [28] | 2 | 5 | $170.00 | $272.00 | $304.00 | 1.8× |
| Medicare | 3 | 5 | $31.33 | $159.56 | $161.53 | 5.2× |
| commonwealth care mcr [10115] | 3 | 5 | $32.90 | $167.53 | $169.61 | 5.2× |
| tufts dual [10111] | 3 | 5 | $31.33 | $159.56 | $161.53 | 5.2× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $32.90 | $100.22 | $167.53 | 5.1× |
| devon health | 1 | 4 | $143.08 | $223.44 | $303.80 | 2.1× |
| tufts mcr supp [20209] | 2 | 4 | $32.90 | $100.22 | $167.53 | 5.1× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $672.16 | $680.81 | 2.3× |
| fallon connectorcare [10503] | 2 | 4 | $58.00 | $82.33 | $106.65 | 1.8× |
| eternalhealth mcr replace [10116] | 2 | 4 | $32.90 | $100.22 | $167.53 | 5.1× |
| workers compensation [20501] | 4 | 4 | $68.83 | $68.83 | $68.83 | 1.0× |
| wellpoint [11112] | 3 | 3 | $45.10 | $100.49 | $100.49 | 2.2× |
| fallon mcr supp [20202] | 2 | 3 | $48.43 | $169.61 | $169.61 | 3.5× |
| pennsylvania health and wellness | 1 | 3 | $44.16 | $56.69 | $120.37 | 2.7× |
| wellsense mcaid carelon hlth [21] | 1 | 3 | $170.00 | $177.00 | $272.00 | 1.6× |
| tufts mcr [10112] | 2 | 3 | $48.43 | $169.61 | $169.61 | 3.5× |
| commonwealth care alliance [10103] | 1 | 2 | $48.43 | $109.02 | $169.61 | 3.5× |
| innovage | 1 | 2 | $36.50 | $57.00 | $77.50 | 2.1× |
| occunet | 1 | 2 | $51.10 | $79.80 | $108.50 | 2.1× |
| amerihealth | 1 | 2 | $270.25 | $270.25 | $270.25 | 1.0× |
| upmc health plan | 1 | 2 | $49.46 | $60.06 | $70.66 | 1.4× |
| hne [11108] | 2 | 2 | $101.48 | $101.48 | $101.48 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 14 | $310.00 | — | $14.02 | $74.19 | $303.80 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 9 | $391.00 | $81.44 | $39.70 | $224.16 | $364.92 |
| Harrington Memorial Hospital | Southbridge | MA | 27 | $272.00 | $272.00 | $46.12 | $169.61 | $680.81 |
| Healthalliance-Clinton | Leominster | MA | 30 | $304.00 | $304.00 | $23.04 | $166.89 | $304.00 |
| Umass Memorial Medical Center | Worcester | MA | 36 | $228.00 | $228.00 | $31.33 | $135.00 | $672.16 |
| Marlborough Hospital | Marlborough | MA | 36 | $228.00 | $228.00 | $31.33 | $135.00 | $672.16 |
| Whittier Hospital-Bradford | Bradford | MA | 0 | $550.00 | $550.00 | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | $1,296.01 | $1,296.01 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $318.46 | $302.54 | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 0 | $318.46 | $302.54 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $318.46 | $302.54 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.