▸ Compare · PriceTransparency
Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in MA
Hospitals
12
Min
$152.79
Median
$186
Max
$381.24
Range multiplier
2.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 56 | $20 | $191.03 | $1,261.26 | 63.1× |
| UnitedHealthcare | 6 | 54 | $77.29 | $163.55 | $497.26 | 6.4× |
| institution [10406] | 4 | 51 | $120.84 | $228 | $490.78 | 4.1× |
| Aetna | 7 | 33 | $81.9 | $273 | $810.81 | 9.9× |
| Medicaid | 4 | 19 | $81.84 | $153.45 | $481.52 | 5.9× |
| Cigna | 4 | 13 | $25.35 | $358 | $513.18 | 20.2× |
| harvard pilgrim [10701] | 4 | 12 | $234.32 | $234.32 | $234.32 | 1.0× |
| First Health | 5 | 11 | $171 | $348.75 | $694.5 | 4.1× |
| fallon mcaid carelon hlth [29] | 4 | 10 | $228 | $424.5 | $926 | 4.1× |
| connecticare [11105] | 4 | 10 | $228 | $424.5 | $926 | 4.1× |
| correctional care [11003] | 3 | 10 | $126.99 | $159.56 | $224.77 | 1.8× |
| grants [20507] | 4 | 10 | $228 | $424.5 | $926 | 4.1× |
| masshealth mcd mbhp [38] | 3 | 8 | $228 | $316 | $582 | 2.6× |
| evernorth behavioral health [27] | 3 | 8 | $182.4 | $252.8 | $465.6 | 2.6× |
| Medicare | 4 | 8 | $107.94 | $159.17 | $161.53 | 1.5× |
| Multiplan | 3 | 8 | $171 | $267.38 | $694.5 | 4.1× |
| commonwealth care mcr [10115] | 3 | 8 | $133.34 | $167.53 | $319.11 | 2.4× |
| mgb mcr [10124] | 4 | 7 | $133.34 | $167.53 | $169.61 | 1.3× |
| CHAMPVA | 4 | 7 | $126.99 | $141.45 | $163.91 | 1.3× |
| geisinger | 1 | 7 | $93.66 | $303.58 | $734.18 | 7.8× |
| tufts [11201] | 4 | 7 | $23.04 | $39.51 | $413.69 | 18.0× |
| tufts connectorcare [10507] | 4 | 7 | $216.01 | $271.41 | $274.77 | 1.3× |
| devon health | 1 | 6 | $294 | $701.68 | $873.18 | 3.0× |
| wellsense cc carelon hlth [20] | 2 | 6 | $228 | $248 | $465 | 2.0× |
| wellfleet [11106] | 2 | 6 | $205.2 | $223.2 | $418.5 | 2.0× |
| tufts us family [11203] | 4 | 6 | $126.99 | $159.56 | $161.53 | 1.3× |
| tufts dual [10111] | 3 | 6 | $126.99 | $159.56 | $161.53 | 1.3× |
| senior whole health [10110] | 4 | 6 | $135.88 | $170.73 | $172.84 | 1.3× |
| optum transplant [20601] | 2 | 6 | $228 | $248 | $465 | 2.0× |
| automobile [10401] | 2 | 6 | $228 | $248 | $465 | 2.0× |
| fallon mcr [10105] | 3 | 5 | $133.34 | $167.53 | $169.61 | 1.3× |
| hp optum bh [32] | 2 | 4 | $384 | $716 | $926 | 2.4× |
| hsno/free care [10801] | 4 | 4 | $294.3 | $672.16 | $680.81 | 2.3× |
| eternalhealth mcr replace [10116] | 2 | 4 | $133.34 | $150.44 | $167.53 | 1.3× |
| pennsylvania health and wellness | 1 | 4 | $97.56 | $197.26 | $345.98 | 3.5× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $133.34 | $150.44 | $167.53 | 1.3× |
| workers compensation [20501] | 4 | 4 | $132.82 | $132.82 | $132.82 | 1.0× |
| tufts mcr supp [20209] | 2 | 4 | $133.34 | $150.44 | $167.53 | 1.3× |
| fallon carelon hlth [28] | 2 | 4 | $384 | $716 | $926 | 2.4× |
| fallon connectorcare [10503] | 2 | 4 | $58 | $139.21 | $220.41 | 3.8× |
| wellpoint [11112] | 4 | 4 | $62.97 | $109.23 | $155.49 | 2.5× |
| occunet | 1 | 3 | $105 | $250.6 | $311.85 | 3.0× |
| innovage | 1 | 3 | $75 | $179 | $222.75 | 3.0× |
| fallon mcr supp [20202] | 2 | 3 | $167.53 | $169.61 | $169.61 | 1.0× |
| tufts mcr [10112] | 2 | 3 | $167.53 | $169.61 | $169.61 | 1.0× |
| point comfort | 1 | 3 | $120 | $286.4 | $356.4 | 3.0× |
| hne [11108] | 3 | 3 | $209.72 | $209.72 | $378.77 | 1.8× |
| keystone first | 1 | 3 | $92.79 | $221.46 | $275.59 | 3.0× |
| tufts | 1 | 3 | $130.84 | $152.79 | $158.78 | 1.2× |
| cca | 1 | 2 | $107.94 | $133.36 | $158.78 | 1.5× |
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 | $665 | $138.51 | $103.56 | $381.24 | $620.64 |
| HARRINGTON MEMORIAL HOSPITAL | SOUTHBRIDGE | MA | 30 | $582 | $582 | $62.97 | $315.9 | $680.81 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 14 | $891 | — | $28.8 | $222.6 | $1,261.26 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 36 | $465 | $465 | $35.91 | $186 | $672.16 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 36 | $465 | $465 | $35.91 | $186 | $672.16 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 30 | $926 | $926 | $23.04 | $172.84 | $926 |
| WHITTIER HOSPITAL-BRADFORD | BRADFORD | MA | 9 | $550 | $550 | $20 | $152.79 | $189.05 |
| NORTH ADAMS REGIONAL HOSPITAL | NORTH ADAMS | MA | 0 | $822.59 | $781.46 | — | — | — |
| BERKSHIRE MEDICAL CENTER | PITTSFIELD | MA | 0 | $822.59 | $781.46 | — | — | — |
| FAIRVIEW HOSPITAL | GREAT BARRINGTON | MA | 0 | $822.59 | $781.46 | — | — | — |
| NORTH SHORE MEDICAL CENTER | SALEM | MA | 0 | $1,678.6 | $1,678.6 | — | — | — |
| HEBREW REHABILITATION CENTER | ROSLINDALE | MA | 0 | $215.96 | $215.96 | — | — | — |
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.