▸ Compare · PriceTransparency
Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$109.5
Median
$163.31
Max
$331.37
Range multiplier
3.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 6 | 57 | $58.12 | $148.13 | $296.37 | 5.1× |
| institution [10406] | 4 | 52 | $58.12 | $174 | $307 | 5.3× |
| Blue Cross Blue Shield | 6 | 44 | $20.93 | $164.85 | $539.44 | 25.8× |
| Aetna | 6 | 29 | $59.51 | $200.16 | $400.4 | 6.7× |
| Medicaid | 4 | 20 | $57.42 | $127.14 | $274.56 | 4.8× |
| First Health | 5 | 12 | $130.5 | $214.5 | $396 | 3.0× |
| Cigna | 4 | 12 | $25.35 | $186.94 | $446.04 | 17.6× |
| grants [20507] | 4 | 11 | $174 | $265 | $528 | 3.0× |
| connecticare [11105] | 4 | 11 | $174 | $265 | $528 | 3.0× |
| fallon mcaid carelon hlth [29] | 4 | 11 | $174 | $265 | $528 | 3.0× |
| correctional care [11003] | 3 | 10 | $58.12 | $159.56 | $161.53 | 2.8× |
| masshealth mcd mbhp [38] | 3 | 9 | $174 | $261 | $349 | 2.0× |
| harvard pilgrim [10701] | 3 | 9 | $144.83 | $144.83 | $144.83 | 1.0× |
| evernorth behavioral health [27] | 3 | 9 | $139.2 | $208.8 | $279.2 | 2.0× |
| tufts [11201] | 4 | 8 | $23.04 | $39.51 | $248.07 | 10.8× |
| tufts connectorcare [10507] | 4 | 8 | $98.86 | $271.41 | $274.77 | 2.8× |
| mgb mcr [10124] | 4 | 8 | $61.03 | $164.53 | $169.61 | 2.8× |
| Multiplan | 3 | 8 | $130.5 | $200.63 | $396 | 3.0× |
| CHAMPVA | 4 | 7 | $71.92 | $137.74 | $163.91 | 2.3× |
| senior whole health [10110] | 4 | 7 | $62.19 | $170.73 | $172.84 | 2.8× |
| Medicare | 4 | 7 | $58.12 | $159.56 | $161.53 | 2.8× |
| tufts us family [11203] | 4 | 7 | $58.12 | $159.56 | $161.53 | 2.8× |
| commonwealth care mcr [10115] | 3 | 6 | $61.03 | $167.53 | $169.61 | 2.8× |
| automobile [10401] | 2 | 6 | $174 | $228 | $307 | 1.8× |
| fallon mcr [10105] | 3 | 6 | $61.03 | $125.99 | $169.61 | 2.8× |
| optum transplant [20601] | 2 | 6 | $174 | $228 | $307 | 1.8× |
| tufts dual [10111] | 3 | 6 | $58.12 | $159.56 | $161.53 | 2.8× |
| wellfleet [11106] | 2 | 6 | $156.6 | $205.2 | $276.3 | 1.8× |
| wellsense cc carelon hlth [20] | 2 | 6 | $174 | $228 | $307 | 1.8× |
| geisinger | 1 | 5 | $65.1 | $179.63 | $362.56 | 5.6× |
| hp optum bh [32] | 2 | 5 | $261 | $349 | $528 | 2.0× |
| fallon carelon hlth [28] | 2 | 5 | $261 | $349 | $528 | 2.0× |
| eternalhealth mcr replace [10116] | 2 | 4 | $61.03 | $114.28 | $167.53 | 2.7× |
| fallon mcr supp [20202] | 2 | 4 | $84.45 | $168.57 | $169.61 | 2.0× |
| fallon connectorcare [10503] | 2 | 4 | $58 | $101.76 | $145.52 | 2.5× |
| hsno/free care [10801] | 4 | 4 | $294.3 | $672.16 | $680.81 | 2.3× |
| devon health | 1 | 4 | $213.64 | $322.42 | $431.2 | 2.0× |
| workers compensation [20501] | 4 | 4 | $100 | $100 | $100 | 1.0× |
| tufts mcr [10112] | 2 | 4 | $84.45 | $168.57 | $169.61 | 2.0× |
| tufts mcr supp [20209] | 2 | 4 | $61.03 | $114.28 | $167.53 | 2.7× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $61.03 | $114.28 | $167.53 | 2.7× |
| wellsense mcaid carelon hlth [21] | 1 | 3 | $261 | $265 | $349 | 1.3× |
| wellpoint [11112] | 3 | 3 | $61.08 | $109.56 | $109.56 | 1.8× |
| pennsylvania health and wellness | 1 | 3 | $67.81 | $84.65 | $170.85 | 2.5× |
| amerihealth | 1 | 2 | $399.51 | $399.51 | $399.51 | 1.0× |
| qualcare inc | 1 | 2 | $443.9 | $458.64 | $473.38 | 1.1× |
| innovage | 1 | 2 | $54.5 | $82.25 | $110 | 2.0× |
| hne [11108] | 2 | 2 | $138.46 | $138.46 | $138.46 | 1.0× |
| commonwealth care alliance [10103] | 1 | 2 | $84.45 | $127.03 | $169.61 | 2.0× |
| point comfort | 1 | 2 | $87.2 | $131.6 | $176 | 2.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS - PLYMOUTH | PLYMOUTH | MA | 9 | $578 | $120.39 | $61.09 | $331.37 | $539.44 |
| HARRINGTON MEMORIAL HOSPITAL | SOUTHBRIDGE | MA | 27 | $349 | $349 | $80.43 | $209.32 | $680.81 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 30 | $528 | $528 | $23.04 | $169.61 | $528 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 36 | $307 | $307 | $35.91 | $163.31 | $672.16 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 36 | $307 | $307 | $35.91 | $163.31 | $672.16 |
| WHITTIER HOSPITAL-BRADFORD | BRADFORD | MA | 2 | $550 | $550 | $84.43 | $121.61 | $158.78 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 14 | $440 | — | $20.93 | $109.5 | $431.2 |
| NORTH ADAMS REGIONAL HOSPITAL | NORTH ADAMS | MA | 0 | $549.02 | $521.57 | — | — | — |
| BERKSHIRE MEDICAL CENTER | PITTSFIELD | MA | 0 | $549.02 | $521.57 | — | — | — |
| FAIRVIEW HOSPITAL | GREAT BARRINGTON | MA | 0 | $549.02 | $521.57 | — | — | — |
| NORTH SHORE MEDICAL CENTER | SALEM | MA | 0 | $1,361.41 | $1,361.41 | — | — | — |
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.