▸ Compare · PriceTransparency
Office visit, established patient, 30-39 minutes
CPT 99214 · negotiated-rate distribution across hospitals in MA
Hospitals
12
Min
$108.23
Median
$167.53
Max
$323.34
Range multiplier
3.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 7 | 64 | $65.43 | $145.21 | $393 | 6.0× |
| Blue Cross Blue Shield | 7 | 59 | $20 | $164.85 | $1,261.26 | 63.1× |
| institution [10406] | 4 | 53 | $85.41 | $193 | $363.58 | 4.3× |
| Aetna | 7 | 37 | $58.97 | $171 | $651.56 | 11.0× |
| Medicaid | 4 | 20 | $63.69 | $117.2 | $356.72 | 5.6× |
| Cigna | 5 | 18 | $25.35 | $160.55 | $435.23 | 17.2× |
| First Health | 5 | 12 | $128.25 | $217.13 | $514.5 | 4.0× |
| tufts [11201] | 4 | 12 | $23.04 | $53.87 | $315.6 | 13.7× |
| harvard pilgrim [10701] | 4 | 12 | $166.44 | $166.44 | $166.44 | 1.0× |
| grants [20507] | 4 | 11 | $171 | $228 | $686 | 4.0× |
| connecticare [11105] | 4 | 11 | $171 | $228 | $686 | 4.0× |
| fallon mcaid carelon hlth [29] | 4 | 11 | $171 | $228 | $686 | 4.0× |
| correctional care [11003] | 3 | 10 | $85.41 | $159.56 | $161.53 | 1.9× |
| mgb mcr [10124] | 4 | 9 | $89.68 | $161.53 | $169.61 | 1.9× |
| masshealth mcd mbhp [38] | 3 | 9 | $171 | $228 | $444 | 2.6× |
| evernorth behavioral health [27] | 3 | 9 | $136.8 | $182.4 | $355.2 | 2.6× |
| tufts connectorcare [10507] | 4 | 9 | $145.28 | $271.41 | $274.77 | 1.9× |
| Multiplan | 3 | 8 | $144.75 | $217.13 | $514.5 | 3.6× |
| Medicare | 4 | 8 | $72.6 | $159.17 | $161.53 | 2.2× |
| fallon connectorcare [10503] | 2 | 8 | $58 | $151.8 | $249.56 | 4.3× |
| CHAMPVA | 4 | 7 | $85.41 | $137.74 | $163.91 | 1.9× |
| tufts us family [11203] | 4 | 7 | $85.41 | $159.56 | $161.53 | 1.9× |
| fallon mcr [10105] | 3 | 7 | $89.68 | $167.53 | $169.61 | 1.9× |
| geisinger | 1 | 7 | $65.3 | $228.54 | $589.98 | 9.0× |
| senior whole health [10110] | 4 | 7 | $91.39 | $170.73 | $172.84 | 1.9× |
| commonwealth care mcr [10115] | 3 | 6 | $89.68 | $167.53 | $323.06 | 3.6× |
| devon health | 1 | 6 | $211.68 | $528.22 | $701.68 | 3.3× |
| wellfleet [11106] | 2 | 6 | $173.7 | $205.2 | $315.9 | 1.8× |
| optum transplant [20601] | 2 | 6 | $193 | $228 | $351 | 1.8× |
| tufts dual [10111] | 3 | 6 | $85.41 | $159.56 | $161.53 | 1.9× |
| automobile [10401] | 2 | 6 | $193 | $228 | $351 | 1.8× |
| wellsense cc carelon hlth [20] | 2 | 6 | $193 | $228 | $351 | 1.8× |
| tufts mcr [10112] | 2 | 5 | $100.29 | $167.53 | $169.61 | 1.7× |
| fallon mcr supp [20202] | 2 | 5 | $100.29 | $167.53 | $169.61 | 1.7× |
| hp optum bh [32] | 2 | 5 | $171 | $444 | $686 | 4.0× |
| fallon carelon hlth [28] | 2 | 5 | $171 | $444 | $686 | 4.0× |
| workers compensation [20501] | 4 | 4 | $98.77 | $98.77 | $98.77 | 1.0× |
| eternalhealth mcr replace [10116] | 2 | 4 | $89.68 | $128.61 | $167.53 | 1.9× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $89.68 | $128.61 | $167.53 | 1.9× |
| hsno/free care [10801] | 4 | 4 | $294.3 | $672.16 | $680.81 | 2.3× |
| pennsylvania health and wellness | 1 | 4 | $68.03 | $146.58 | $278.02 | 4.1× |
| tufts mcr supp [20209] | 2 | 4 | $89.68 | $128.61 | $167.53 | 1.9× |
| wellpoint [11112] | 4 | 4 | $58.25 | $106.87 | $155.49 | 2.7× |
| occunet | 1 | 3 | $75.6 | $188.65 | $250.6 | 3.3× |
| commonwealth care alliance [10103] | 1 | 3 | $100.29 | $167.53 | $169.61 | 1.7× |
| tufts | 1 | 3 | $88.87 | $114.64 | $158.78 | 1.8× |
| hne [11108] | 3 | 3 | $158.3 | $158.3 | $288.96 | 1.8× |
| keystone first | 1 | 3 | $66.81 | $166.71 | $221.46 | 3.3× |
| innovage | 1 | 3 | $54 | $134.75 | $179 | 3.3× |
| point comfort | 1 | 3 | $86.4 | $215.6 | $286.4 | 3.3× |
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 | $564 | $117.48 | $70.14 | $323.34 | $526.38 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 30 | $686 | $686 | $23.04 | $169.61 | $686 |
| HARRINGTON MEMORIAL HOSPITAL | SOUTHBRIDGE | MA | 30 | $444 | $444 | $58.25 | $168.57 | $680.81 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 36 | $351 | $351 | $35.91 | $167.53 | $672.16 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 36 | $351 | $351 | $35.91 | $167.53 | $672.16 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 14 | $716 | — | $20.74 | $160.27 | $1,261.26 |
| WHITTIER HOSPITAL-BRADFORD | BRADFORD | MA | 14 | $550 | $550 | $20 | $108.23 | $158.78 |
| NORTH ADAMS REGIONAL HOSPITAL | NORTH ADAMS | MA | 0 | $669.95 | $636.45 | — | — | — |
| FAIRVIEW HOSPITAL | GREAT BARRINGTON | MA | 0 | $669.95 | $636.45 | — | — | — |
| BERKSHIRE MEDICAL CENTER | PITTSFIELD | MA | 0 | $669.95 | $636.45 | — | — | — |
| HEBREW REHABILITATION CENTER | ROSLINDALE | MA | 0 | $159.24 | $159.24 | — | — | — |
| NORTH SHORE MEDICAL CENTER | SALEM | MA | 0 | $1,490.03 | $1,490.03 | — | — | — |
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.