▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$137.88
Median
$170.73
Max
$399.59
Range multiplier
2.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 7 | 57 | $69.83 | $158.78 | $478.95 | 6.9× |
| Blue Cross Blue Shield | 7 | 56 | $20.00 | $166.89 | $1,261.26 | 63.1× |
| institution [10406] | 4 | 52 | $85.41 | $206.00 | $455.00 | 5.3× |
| Aetna | 7 | 32 | $94.19 | $276.33 | $651.56 | 6.9× |
| Medicaid | 4 | 18 | $67.98 | $159.56 | $401.96 | 5.9× |
| Cigna | 5 | 13 | $25.35 | $172.50 | $537.87 | 21.2× |
| First Health | 5 | 10 | $154.50 | $341.25 | $579.75 | 3.8× |
| correctional care [11003] | 3 | 10 | $85.41 | $159.56 | $161.53 | 1.9× |
| connecticare [11105] | 4 | 9 | $206.00 | $455.00 | $773.00 | 3.8× |
| grants [20507] | 4 | 9 | $206.00 | $455.00 | $773.00 | 3.8× |
| harvard pilgrim [10701] | 3 | 9 | $217.03 | $217.03 | $217.03 | 1.0× |
| fallon mcaid carelon hlth [29] | 4 | 9 | $206.00 | $455.00 | $773.00 | 3.8× |
| mgb mcr [10124] | 4 | 8 | $89.68 | $164.53 | $169.61 | 1.9× |
| Multiplan | 3 | 8 | $154.50 | $256.13 | $579.75 | 3.8× |
| tufts connectorcare [10507] | 4 | 8 | $145.28 | $271.41 | $274.77 | 1.9× |
| masshealth mcd mbhp [38] | 3 | 7 | $206.00 | $228.00 | $564.00 | 2.7× |
| Medicare | 4 | 7 | $85.41 | $159.56 | $161.53 | 1.9× |
| evernorth behavioral health [27] | 3 | 7 | $164.80 | $182.40 | $451.20 | 2.7× |
| geisinger | 1 | 7 | $108.44 | $284.28 | $589.98 | 5.4× |
| senior whole health [10110] | 4 | 6 | $91.39 | $170.73 | $172.84 | 1.9× |
| automobile [10401] | 2 | 6 | $206.00 | $228.00 | $455.00 | 2.2× |
| CHAMPVA | 4 | 6 | $117.83 | $145.39 | $163.91 | 1.4× |
| commonwealth care mcr [10115] | 3 | 6 | $89.68 | $167.53 | $169.61 | 1.9× |
| devon health | 1 | 6 | $338.10 | $528.22 | $701.68 | 2.1× |
| fallon mcr [10105] | 3 | 6 | $89.68 | $167.53 | $169.61 | 1.9× |
| optum transplant [20601] | 2 | 6 | $206.00 | $228.00 | $455.00 | 2.2× |
| tufts [11201] | 4 | 6 | $23.04 | $37.71 | $400.89 | 17.4× |
| tufts dual [10111] | 3 | 6 | $85.41 | $159.56 | $161.53 | 1.9× |
| wellfleet [11106] | 2 | 6 | $185.40 | $205.20 | $409.50 | 2.2× |
| wellsense cc carelon hlth [20] | 2 | 6 | $206.00 | $228.00 | $455.00 | 2.2× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $672.16 | $680.81 | 2.3× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $89.68 | $128.61 | $167.53 | 1.9× |
| tufts mcr [10112] | 2 | 4 | $167.53 | $168.57 | $169.61 | 1.0× |
| tufts us family [11203] | 4 | 4 | $159.56 | $160.55 | $161.53 | 1.0× |
| workers compensation [20501] | 4 | 4 | $150.71 | $150.71 | $150.71 | 1.0× |
| tufts mcr supp [20209] | 2 | 4 | $89.68 | $128.61 | $167.53 | 1.9× |
| fallon mcr supp [20202] | 2 | 4 | $167.53 | $168.57 | $169.61 | 1.0× |
| fallon connectorcare [10503] | 2 | 4 | $58.00 | $136.84 | $215.67 | 3.7× |
| eternalhealth mcr replace [10116] | 2 | 4 | $89.68 | $128.61 | $167.53 | 1.9× |
| pennsylvania health and wellness | 1 | 4 | $112.96 | $171.63 | $278.02 | 2.5× |
| innovage | 1 | 3 | $86.25 | $134.75 | $179.00 | 2.1× |
| hp optum bh [32] | 2 | 3 | $564.00 | $709.00 | $773.00 | 1.4× |
| fallon carelon hlth [28] | 2 | 3 | $564.00 | $709.00 | $773.00 | 1.4× |
| keystone first | 1 | 3 | $106.71 | $166.71 | $221.46 | 2.1× |
| point comfort | 1 | 3 | $138.00 | $215.60 | $286.40 | 2.1× |
| occunet | 1 | 3 | $120.75 | $188.65 | $250.60 | 2.1× |
| wellpoint [11112] | 3 | 3 | $74.23 | $155.49 | $155.49 | 2.1× |
| hne [11108] | 2 | 2 | $205.21 | $205.21 | $205.21 | 1.0× |
| mgb [allways] | 1 | 2 | $100.16 | $129.47 | $158.78 | 1.6× |
| qualcare inc | 1 | 2 | $535.29 | $553.07 | $570.84 | 1.1× |
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 | $697.00 | $145.18 | $91.33 | $399.59 | $650.51 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 14 | $716.00 | — | $33.12 | $180.74 | $1,261.26 |
| Healthalliance-Clinton | Leominster | MA | 30 | $773.00 | $773.00 | $23.04 | $172.84 | $773.00 |
| Marlborough Hospital | Marlborough | MA | 36 | $455.00 | $455.00 | $35.91 | $170.73 | $672.16 |
| Umass Memorial Medical Center | Worcester | MA | 36 | $455.00 | $455.00 | $35.91 | $170.73 | $672.16 |
| Harrington Memorial Hospital | Southbridge | MA | 27 | $564.00 | $564.00 | $150.71 | $169.61 | $680.81 |
| Whittier Hospital-Bradford | Bradford | MA | 12 | $550.00 | $550.00 | $20.00 | $137.88 | $175.24 |
| North Adams Regional Hospital | North Adams | MA | 0 | $763.03 | $724.88 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $763.03 | $724.88 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $763.03 | $724.88 | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | $1,735.28 | $1,735.28 | — | — | — |
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.