▸ Compare · PriceTransparency
Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in MA
Hospitals
12
Min
$152.79
Median
$186.00
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 | $20.00 | $191.03 | $1,261.26 | 63.1× |
| UnitedHealthcare | 6 | 54 | $77.29 | $163.55 | $497.26 | 6.4× |
| institution [10406] | 4 | 51 | $120.84 | $228.00 | $490.78 | 4.1× |
| Aetna | 7 | 33 | $81.90 | $273.00 | $810.81 | 9.9× |
| Medicaid | 4 | 19 | $81.84 | $153.45 | $481.52 | 5.9× |
| Cigna | 4 | 13 | $25.35 | $358.00 | $513.18 | 20.2× |
| harvard pilgrim [10701] | 4 | 12 | $234.32 | $234.32 | $234.32 | 1.0× |
| First Health | 5 | 11 | $171.00 | $348.75 | $694.50 | 4.1× |
| fallon mcaid carelon hlth [29] | 4 | 10 | $228.00 | $424.50 | $926.00 | 4.1× |
| connecticare [11105] | 4 | 10 | $228.00 | $424.50 | $926.00 | 4.1× |
| correctional care [11003] | 3 | 10 | $126.99 | $159.56 | $224.77 | 1.8× |
| grants [20507] | 4 | 10 | $228.00 | $424.50 | $926.00 | 4.1× |
| masshealth mcd mbhp [38] | 3 | 8 | $228.00 | $316.00 | $582.00 | 2.6× |
| evernorth behavioral health [27] | 3 | 8 | $182.40 | $252.80 | $465.60 | 2.6× |
| Medicare | 4 | 8 | $107.94 | $159.17 | $161.53 | 1.5× |
| Multiplan | 3 | 8 | $171.00 | $267.38 | $694.50 | 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 | $294.00 | $701.68 | $873.18 | 3.0× |
| wellsense cc carelon hlth [20] | 2 | 6 | $228.00 | $248.00 | $465.00 | 2.0× |
| wellfleet [11106] | 2 | 6 | $205.20 | $223.20 | $418.50 | 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 | $228.00 | $248.00 | $465.00 | 2.0× |
| automobile [10401] | 2 | 6 | $228.00 | $248.00 | $465.00 | 2.0× |
| fallon mcr [10105] | 3 | 5 | $133.34 | $167.53 | $169.61 | 1.3× |
| hp optum bh [32] | 2 | 4 | $384.00 | $716.00 | $926.00 | 2.4× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $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 | $384.00 | $716.00 | $926.00 | 2.4× |
| fallon connectorcare [10503] | 2 | 4 | $58.00 | $139.21 | $220.41 | 3.8× |
| wellpoint [11112] | 4 | 4 | $62.97 | $109.23 | $155.49 | 2.5× |
| occunet | 1 | 3 | $105.00 | $250.60 | $311.85 | 3.0× |
| innovage | 1 | 3 | $75.00 | $179.00 | $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 | $120.00 | $286.40 | $356.40 | 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 | $665.00 | $138.51 | $103.56 | $381.24 | $620.64 |
| Harrington Memorial Hospital | Southbridge | MA | 30 | $582.00 | $582.00 | $62.97 | $315.90 | $680.81 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 14 | $891.00 | — | $28.80 | $222.60 | $1,261.26 |
| Umass Memorial Medical Center | Worcester | MA | 36 | $465.00 | $465.00 | $35.91 | $186.00 | $672.16 |
| Marlborough Hospital | Marlborough | MA | 36 | $465.00 | $465.00 | $35.91 | $186.00 | $672.16 |
| Healthalliance-Clinton | Leominster | MA | 30 | $926.00 | $926.00 | $23.04 | $172.84 | $926.00 |
| Whittier Hospital-Bradford | Bradford | MA | 9 | $550.00 | $550.00 | $20.00 | $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 | $1,678.60 | $1,678.60 | — | — | — |
| 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.