▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in MA
Hospitals
13
Min
$78.35
Median
$149.00
Max
$294.10
Range multiplier
3.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 7 | 55 | $45.83 | $124.49 | $419.50 | 9.2× |
| Blue Cross Blue Shield | 7 | 55 | $13.82 | $133.49 | $478.78 | 34.6× |
| institution [10406] | 4 | 50 | $58.12 | $160.55 | $258.00 | 4.4× |
| Aetna | 7 | 32 | $39.31 | $168.92 | $494.00 | 12.6× |
| Medicaid | 4 | 19 | $49.17 | $118.56 | $256.88 | 5.2× |
| Cigna | 4 | 13 | $25.35 | $259.50 | $395.88 | 15.6× |
| harvard pilgrim [10701] | 4 | 12 | $118.02 | $118.02 | $118.02 | 1.0× |
| First Health | 5 | 11 | $111.75 | $193.50 | $370.50 | 3.3× |
| grants [20507] | 4 | 10 | $149.00 | $258.00 | $494.00 | 3.3× |
| connecticare [11105] | 4 | 10 | $149.00 | $258.00 | $494.00 | 3.3× |
| fallon mcaid carelon hlth [29] | 4 | 10 | $149.00 | $258.00 | $494.00 | 3.3× |
| correctional care [11003] | 3 | 10 | $58.12 | $159.56 | $161.53 | 2.8× |
| Multiplan | 3 | 8 | $111.75 | $182.25 | $363.00 | 3.2× |
| masshealth mcd mbhp [38] | 3 | 8 | $149.00 | $243.00 | $494.00 | 3.3× |
| evernorth behavioral health [27] | 3 | 8 | $119.20 | $194.40 | $395.20 | 3.3× |
| CHAMPVA | 4 | 7 | $58.12 | $137.74 | $163.91 | 2.8× |
| tufts connectorcare [10507] | 4 | 7 | $98.86 | $271.41 | $274.77 | 2.8× |
| geisinger | 1 | 7 | $42.00 | $212.00 | $427.66 | 10.2× |
| tufts [11201] | 4 | 7 | $23.04 | $39.51 | $351.14 | 15.2× |
| mgb mcr [10124] | 4 | 7 | $61.03 | $161.53 | $169.61 | 2.8× |
| wellsense cc carelon hlth [20] | 2 | 6 | $149.00 | $228.00 | $258.00 | 1.7× |
| Medicare | 4 | 6 | $58.12 | $159.17 | $161.53 | 2.8× |
| devon health | 1 | 6 | $141.12 | $490.00 | $508.62 | 3.6× |
| wellfleet [11106] | 2 | 6 | $134.10 | $205.20 | $232.20 | 1.7× |
| automobile [10401] | 2 | 6 | $149.00 | $228.00 | $258.00 | 1.7× |
| fallon mcr [10105] | 3 | 6 | $61.03 | $167.53 | $169.61 | 2.8× |
| tufts us family [11203] | 4 | 6 | $58.12 | $159.56 | $161.53 | 2.8× |
| senior whole health [10110] | 4 | 6 | $62.19 | $170.73 | $172.84 | 2.8× |
| optum transplant [20601] | 2 | 6 | $149.00 | $228.00 | $258.00 | 1.7× |
| tufts dual [10111] | 3 | 5 | $58.12 | $159.56 | $161.53 | 2.8× |
| commonwealth care mcr [10115] | 3 | 5 | $61.03 | $167.53 | $169.61 | 2.8× |
| workers compensation [20501] | 4 | 4 | $65.91 | $65.91 | $65.91 | 1.0× |
| eternalhealth mcr replace [10116] | 2 | 4 | $61.03 | $114.28 | $167.53 | 2.7× |
| fallon carelon hlth [28] | 2 | 4 | $403.00 | $464.00 | $494.00 | 1.2× |
| fallon connectorcare [10503] | 2 | 4 | $58.00 | $90.15 | $122.29 | 2.1× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $61.03 | $114.28 | $167.53 | 2.7× |
| hp optum bh [32] | 2 | 4 | $403.00 | $464.00 | $494.00 | 1.2× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $672.16 | $680.81 | 2.3× |
| pennsylvania health and wellness | 1 | 4 | $43.75 | $125.04 | $201.53 | 4.6× |
| tufts mcr supp [20209] | 2 | 4 | $61.03 | $114.28 | $167.53 | 2.7× |
| wellpoint [11112] | 4 | 4 | $42.29 | $75.93 | $109.56 | 2.6× |
| innovage | 1 | 3 | $36.00 | $125.00 | $129.75 | 3.6× |
| point comfort | 1 | 3 | $57.60 | $200.00 | $207.60 | 3.6× |
| hne [11108] | 3 | 3 | $116.36 | $116.36 | $262.27 | 2.3× |
| fallon mcr supp [20202] | 2 | 3 | $167.53 | $169.61 | $169.61 | 1.0× |
| keystone first | 1 | 3 | $44.54 | $154.65 | $160.53 | 3.6× |
| occunet | 1 | 3 | $50.40 | $175.00 | $181.65 | 3.6× |
| eternal health | 1 | 2 | $58.12 | $108.45 | $158.78 | 2.7× |
| commonwealth care alliance [10103] | 1 | 2 | $167.53 | $168.57 | $169.61 | 1.0× |
| wellsense mcaid carelon hlth [21] | 1 | 2 | $403.00 | $448.50 | $494.00 | 1.2× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Whittier Hospital-Bradford | Bradford | MA | 6 | $550.00 | $550.00 | $20.00 | $78.35 | $158.78 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 9 | $513.00 | $106.85 | $49.80 | $294.10 | $478.78 |
| Harrington Memorial Hospital | Southbridge | MA | 30 | $494.00 | $494.00 | $42.29 | $271.41 | $680.81 |
| Healthalliance-Clinton | Leominster | MA | 30 | $484.00 | $484.00 | $23.04 | $172.84 | $484.00 |
| Umass Memorial Medical Center | Worcester | MA | 36 | $258.00 | $258.00 | $35.91 | $149.00 | $672.16 |
| Marlborough Hospital | Marlborough | MA | 36 | $258.00 | $258.00 | $35.91 | $149.00 | $672.16 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 14 | $519.00 | — | $13.82 | $128.60 | $508.62 |
| Whittier Hospital-Westborough | Westborough | MA | 1 | $550.00 | $550.00 | $58.12 | $108.45 | $158.78 |
| Fairview Hospital | Great Barrington | MA | 0 | $418.71 | $397.77 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $418.71 | $397.77 | — | — | — |
| Hebrew Rehabilitation Center | Roslindale | MA | 0 | $108.33 | $108.33 | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | $1,342.88 | $1,342.88 | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 0 | $418.71 | $397.77 | — | — | — |
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.