Office visit, new patient, 45-59 min in Massachusetts
What Massachusetts hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
655
Neg. median
$171
Min
$20
Max
$1,261.26
Cash median
$455
Across 11 Massachusetts hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $20 to $1,261.26, with a median of $171. The interquartile range is $148.66 to $296.66. Cash-pay patients typically pay $455; gross charges median $539.
By payer in Massachusetts
Top 30 payers for Office visit, new patient, 45-59 min in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 7 | 56 | $166.89 |
| Aetna | 7 | 32 | $276.33 |
| UnitedHealthcare | 7 | 57 | $158.78 |
| Cigna | 5 | 13 | $172.5 |
| First Health | 5 | 10 | $341.25 |
| connecticare [11105] | 4 | 9 | $455 |
| CHAMPVA | 4 | 6 | $145.39 |
| grants [20507] | 4 | 9 | $455 |
| institution [10406] | 4 | 52 | $206 |
| tufts us family [11203] | 4 | 4 | $160.55 |
| tufts connectorcare [10507] | 4 | 8 | $271.41 |
| fallon mcaid carelon hlth [29] | 4 | 9 | $455 |
| workers compensation [20501] | 4 | 4 | $150.71 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| Medicaid | 4 | 18 | $159.56 |
| mgb mcr [10124] | 4 | 8 | $164.53 |
| senior whole health [10110] | 4 | 6 | $170.73 |
| tufts [11201] | 4 | 6 | $37.71 |
| Medicare | 4 | 7 | $159.56 |
| wellpoint [11112] | 3 | 3 | $155.49 |
| Multiplan | 3 | 8 | $256.13 |
| tufts dual [10111] | 3 | 6 | $159.56 |
| harvard pilgrim [10701] | 3 | 9 | $217.03 |
| evernorth behavioral health [27] | 3 | 7 | $182.4 |
| correctional care [11003] | 3 | 10 | $159.56 |
| masshealth mcd mbhp [38] | 3 | 7 | $228 |
| commonwealth care mcr [10115] | 3 | 6 | $167.53 |
| fallon mcr [10105] | 3 | 6 | $167.53 |
| hne [11108] | 2 | 2 | $205.21 |
| fallon carelon hlth [28] | 2 | 3 | $709 |
Hospital comparison — Office visit, new patient, 45-59 min in Massachusetts
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Whittier Hospital-Bradford | Bradford | $137.88 | $550 | $550 |
| Harrington Memorial Hospital | Southbridge | $169.61 | $564 | $564 |
| Marlborough Hospital | Marlborough | $170.73 | $228 | $228 |
| Umass Memorial Medical Center | Worcester | $170.73 | $228 | $228 |
| Healthalliance-Clinton | Leominster | $172.84 | $741 | $741 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $180.74 | — | $539 |
| Beth Israel Deaconess - Plymouth | Plymouth | $399.59 | $145.18 | $697 |
| North Adams Regional Hospital | North Adams | — | $397.04 | $417.94 |
| Berkshire Medical Center | Pittsfield | — | $397.04 | $417.94 |
| Fairview Hospital | Great Barrington | — | $397.04 | $417.94 |
| North Shore Medical Center | Salem | — | $1,542.9 | $1,542.9 |