▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in MA
Hospitals
12
Min
$147.68
Median
$222.75
Max
$523.64
Range multiplier
3.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 7 | 53 | $77.29 | $169.61 | $855.14 | 11.1× |
| institution [10406] | 4 | 49 | $120.84 | $228.00 | $586.00 | 4.8× |
| Blue Cross Blue Shield | 7 | 44 | $20.00 | $227.59 | $755.03 | 37.8× |
| Aetna | 6 | 23 | $120.12 | $382.07 | $1,007.00 | 8.4× |
| Medicaid | 4 | 18 | $88.44 | $177.46 | $528.84 | 6.0× |
| correctional care [11003] | 3 | 10 | $126.99 | $159.56 | $224.77 | 1.8× |
| First Health | 5 | 10 | $171.00 | $439.50 | $762.75 | 4.5× |
| fallon mcaid carelon hlth [29] | 4 | 9 | $228.00 | $586.00 | $1,017.00 | 4.5× |
| harvard pilgrim [10701] | 3 | 9 | $286.19 | $286.19 | $286.19 | 1.0× |
| Cigna | 4 | 9 | $25.35 | $445.50 | $715.78 | 28.2× |
| grants [20507] | 4 | 9 | $228.00 | $586.00 | $1,017.00 | 4.5× |
| connecticare [11105] | 4 | 9 | $228.00 | $586.00 | $1,017.00 | 4.5× |
| commonwealth care mcr [10115] | 3 | 8 | $133.34 | $167.53 | $319.11 | 2.4× |
| Multiplan | 3 | 8 | $171.00 | $320.25 | $762.75 | 4.5× |
| evernorth behavioral health [27] | 3 | 7 | $182.40 | $214.40 | $805.60 | 4.4× |
| Medicare | 4 | 7 | $126.99 | $158.78 | $159.56 | 1.3× |
| masshealth mcd mbhp [38] | 3 | 7 | $228.00 | $268.00 | $1,007.00 | 4.4× |
| tufts us family [11203] | 4 | 6 | $126.99 | $159.56 | $161.53 | 1.3× |
| CHAMPVA | 4 | 6 | $137.74 | $161.42 | $163.91 | 1.2× |
| wellfleet [11106] | 2 | 6 | $205.20 | $241.20 | $527.40 | 2.6× |
| automobile [10401] | 2 | 6 | $228.00 | $268.00 | $586.00 | 2.6× |
| mgb mcr [10124] | 4 | 6 | $133.34 | $164.53 | $167.53 | 1.3× |
| tufts connectorcare [10507] | 4 | 6 | $216.01 | $271.41 | $274.77 | 1.3× |
| tufts [11201] | 4 | 6 | $23.04 | $37.71 | $715.78 | 31.1× |
| senior whole health [10110] | 4 | 6 | $135.88 | $170.73 | $172.84 | 1.3× |
| wellsense cc carelon hlth [20] | 2 | 6 | $228.00 | $268.00 | $586.00 | 2.6× |
| optum transplant [20601] | 2 | 6 | $228.00 | $268.00 | $586.00 | 2.6× |
| geisinger | 1 | 5 | $141.05 | $362.56 | $734.18 | 5.2× |
| tufts dual [10111] | 3 | 5 | $126.99 | $159.56 | $159.56 | 1.3× |
| fallon mcr [10105] | 3 | 5 | $133.34 | $167.53 | $169.61 | 1.3× |
| workers compensation [20501] | 4 | 4 | $188.86 | $188.86 | $188.86 | 1.0× |
| devon health | 1 | 4 | $431.20 | $652.19 | $873.18 | 2.0× |
| eternalhealth mcr replace [10116] | 2 | 4 | $133.34 | $150.44 | $167.53 | 1.3× |
| fallon connectorcare [10503] | 2 | 4 | $58.00 | $167.88 | $277.76 | 4.8× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $133.34 | $150.44 | $167.53 | 1.3× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $672.16 | $680.81 | 2.3× |
| tufts mcr supp [20209] | 2 | 4 | $133.34 | $150.44 | $167.53 | 1.3× |
| pennsylvania health and wellness | 1 | 3 | $146.93 | $170.85 | $345.98 | 2.4× |
| hp optum bh [32] | 2 | 3 | $934.00 | $1,007.00 | $1,017.00 | 1.1× |
| wellpoint [11112] | 3 | 3 | $77.02 | $155.49 | $155.49 | 2.0× |
| fallon carelon hlth [28] | 2 | 3 | $934.00 | $1,007.00 | $1,017.00 | 1.1× |
| qualcare inc | 1 | 2 | $621.31 | $641.94 | $662.57 | 1.1× |
| keystone first | 1 | 2 | $136.09 | $205.84 | $275.59 | 2.0× |
| hne [11108] | 2 | 2 | $264.29 | $264.29 | $264.29 | 1.0× |
| occunet | 1 | 2 | $154.00 | $232.93 | $311.85 | 2.0× |
| point comfort | 1 | 2 | $176.00 | $266.20 | $356.40 | 2.0× |
| fallon mcr supp [20202] | 2 | 2 | $167.53 | $168.57 | $169.61 | 1.0× |
| tufts mcr [10112] | 2 | 2 | $167.53 | $168.57 | $169.61 | 1.0× |
| amerihealth | 1 | 2 | $559.18 | $559.18 | $559.18 | 1.0× |
| fallon | 1 | 2 | $100.00 | $130.71 | $161.42 | 1.6× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Harrington Memorial Hospital | Southbridge | MA | 27 | $1,007.00 | $1,007.00 | $153.04 | $523.64 | $1,007.00 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 9 | $809.00 | $168.51 | $120.34 | $463.80 | $755.03 |
| Healthalliance-Clinton | Leominster | MA | 30 | $1,017.00 | $1,017.00 | $23.04 | $290.25 | $1,017.00 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 14 | $891.00 | — | $42.24 | $222.75 | $873.18 |
| Umass Memorial Medical Center | Worcester | MA | 36 | $586.00 | $586.00 | $35.91 | $205.20 | $672.16 |
| Marlborough Hospital | Marlborough | MA | 36 | $586.00 | $586.00 | $35.91 | $205.20 | $672.16 |
| Whittier Hospital-Bradford | Bradford | MA | 7 | $550.00 | $550.00 | $20.00 | $147.68 | $209.51 |
| North Shore Medical Center | Salem | MA | 0 | $1,914.04 | $1,914.04 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $1,188.98 | $1,129.53 | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 0 | $1,188.98 | $1,129.53 | — | — | — |
| Hebrew Rehabilitation Center | Roslindale | MA | 0 | $306.08 | $306.08 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $1,188.98 | $1,129.53 | — | — | — |
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.