▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$30.25
Median
$166.89
Max
$266.58
Range multiplier
8.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 63 | $3.17 | $49.06 | $433.98 | 136.9× |
| UnitedHealthcare | 6 | 53 | $31.14 | $90.51 | $293.82 | 9.4× |
| institution [10406] | 4 | 50 | $31.33 | $159.56 | $228.00 | 7.3× |
| Aetna | 6 | 34 | $9.01 | $112.14 | $436.80 | 48.5× |
| Medicaid | 4 | 19 | $38.28 | $89.44 | $179.92 | 4.7× |
| Cigna | 4 | 14 | $16.50 | $161.53 | $358.84 | 21.7× |
| harvard pilgrim [10701] | 4 | 12 | $73.49 | $73.49 | $73.49 | 1.0× |
| First Health | 5 | 11 | $73.50 | $171.00 | $279.00 | 3.8× |
| grants [20507] | 4 | 10 | $98.00 | $200.00 | $346.00 | 3.5× |
| connecticare [11105] | 4 | 10 | $98.00 | $200.00 | $346.00 | 3.5× |
| correctional care [11003] | 3 | 10 | $31.33 | $159.56 | $161.53 | 5.2× |
| fallon mcaid carelon hlth [29] | 4 | 10 | $98.00 | $200.00 | $346.00 | 3.5× |
| geisinger | 1 | 9 | $13.99 | $31.20 | $395.52 | 28.3× |
| evernorth behavioral health [27] | 3 | 8 | $78.40 | $137.60 | $276.80 | 3.5× |
| devon health | 1 | 8 | $32.34 | $55.37 | $470.40 | 14.5× |
| Multiplan | 3 | 8 | $87.00 | $150.00 | $218.25 | 2.5× |
| masshealth mcd mbhp [38] | 3 | 8 | $98.00 | $172.00 | $346.00 | 3.5× |
| commonwealth care mcr [10115] | 3 | 7 | $32.90 | $167.53 | $319.11 | 9.7× |
| CHAMPVA | 4 | 7 | $31.33 | $137.74 | $163.91 | 5.2× |
| mgb mcr [10124] | 4 | 7 | $32.90 | $161.53 | $169.61 | 5.2× |
| tufts [11201] | 4 | 7 | $23.04 | $39.51 | $245.94 | 10.7× |
| tufts connectorcare [10507] | 4 | 7 | $53.29 | $271.41 | $274.77 | 5.2× |
| wellsense cc carelon hlth [20] | 2 | 6 | $116.00 | $172.00 | $228.00 | 2.0× |
| wellfleet [11106] | 2 | 6 | $104.40 | $154.80 | $205.20 | 2.0× |
| tufts us family [11203] | 4 | 6 | $31.33 | $159.56 | $161.53 | 5.2× |
| senior whole health [10110] | 4 | 6 | $33.52 | $170.73 | $172.84 | 5.2× |
| fallon mcr [10105] | 3 | 6 | $32.90 | $167.53 | $169.61 | 5.2× |
| optum transplant [20601] | 2 | 6 | $116.00 | $172.00 | $228.00 | 2.0× |
| automobile [10401] | 2 | 6 | $116.00 | $172.00 | $228.00 | 2.0× |
| pennsylvania health and wellness | 1 | 5 | $12.81 | $22.91 | $186.38 | 14.5× |
| Medicare | 3 | 5 | $31.33 | $159.56 | $161.53 | 5.2× |
| tufts dual [10111] | 3 | 5 | $31.33 | $159.56 | $161.53 | 5.2× |
| fallon carelon hlth [28] | 2 | 4 | $98.00 | $279.00 | $346.00 | 3.5× |
| eternalhealth mcr replace [10116] | 2 | 4 | $32.90 | $100.22 | $167.53 | 5.1× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $672.16 | $680.81 | 2.3× |
| hp optum bh [32] | 2 | 4 | $98.00 | $279.00 | $346.00 | 3.5× |
| occunet | 1 | 4 | $11.55 | $19.78 | $168.00 | 14.5× |
| point comfort | 1 | 4 | $13.20 | $22.60 | $192.00 | 14.5× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $32.90 | $100.22 | $167.53 | 5.1× |
| workers compensation [20501] | 4 | 4 | $41.58 | $41.58 | $41.58 | 1.0× |
| tufts mcr supp [20209] | 2 | 4 | $32.90 | $100.22 | $167.53 | 5.1× |
| fallon connectorcare [10503] | 2 | 4 | $58.00 | $69.77 | $81.53 | 1.4× |
| wellpoint [11112] | 4 | 4 | $35.73 | $68.11 | $100.49 | 2.8× |
| innovage | 1 | 4 | $8.25 | $14.13 | $120.00 | 14.5× |
| keystone first | 1 | 4 | $10.21 | $17.48 | $148.46 | 14.5× |
| tufts mcr [10112] | 2 | 3 | $167.53 | $169.61 | $169.61 | 1.0× |
| fallon mcr supp [20202] | 2 | 3 | $167.53 | $169.61 | $169.61 | 1.0× |
| hne [11108] | 3 | 3 | $77.57 | $77.57 | $225.18 | 2.9× |
| upmc health plan | 1 | 2 | $36.40 | $44.20 | $52.00 | 1.4× |
| wellsense mcaid carelon hlth [21] | 1 | 2 | $98.00 | $222.00 | $346.00 | 3.5× |
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 | $480.00 | — | $3.17 | $30.25 | $470.40 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 9 | $465.00 | $96.85 | $31.14 | $266.58 | $433.98 |
| Harrington Memorial Hospital | Southbridge | MA | 30 | $346.00 | $346.00 | $34.61 | $167.21 | $680.81 |
| Healthalliance-Clinton | Leominster | MA | 30 | $291.00 | $291.00 | $23.04 | $166.89 | $294.30 |
| Umass Memorial Medical Center | Worcester | MA | 36 | $228.00 | $228.00 | $31.33 | $116.00 | $672.16 |
| Marlborough Hospital | Marlborough | MA | 36 | $228.00 | $228.00 | $31.33 | $116.00 | $672.16 |
| Whittier Hospital-Bradford | Bradford | MA | 0 | $550.00 | $550.00 | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | $892.71 | $892.71 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $296.81 | $281.97 | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 0 | $296.81 | $281.97 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $296.81 | $281.97 | — | — | — |
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.