Office visit, new patient, 60-74 min in Massachusetts
What Massachusetts hospitals charge for office visit, new patient, 60-74 min (CPT 99205). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
615
Neg. median
$222.75
Min
$20
Max
$1,017
Cash median
$550
Across 12 Massachusetts hospitals, the negotiated rate for Office visit, new patient, 60-74 min ranges from $20 to $1,017, with a median of $222.75. The interquartile range is $159.56 to $404.5. Cash-pay patients typically pay $550; gross charges median $568.
By payer in Massachusetts
Top 30 payers for Office visit, new patient, 60-74 min in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 7 | 53 | $169.61 |
| Blue Cross Blue Shield | 7 | 44 | $227.59 |
| Aetna | 6 | 23 | $382.07 |
| First Health | 5 | 10 | $439.5 |
| Medicare | 4 | 7 | $158.78 |
| workers compensation [20501] | 4 | 4 | $188.86 |
| CHAMPVA | 4 | 6 | $161.42 |
| institution [10406] | 4 | 49 | $228 |
| tufts connectorcare [10507] | 4 | 6 | $271.41 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| Cigna | 4 | 9 | $445.5 |
| tufts us family [11203] | 4 | 6 | $159.56 |
| senior whole health [10110] | 4 | 6 | $170.73 |
| connecticare [11105] | 4 | 9 | $586 |
| tufts [11201] | 4 | 6 | $37.71 |
| Medicaid | 4 | 18 | $177.46 |
| fallon mcaid carelon hlth [29] | 4 | 9 | $586 |
| mgb mcr [10124] | 4 | 6 | $164.53 |
| grants [20507] | 4 | 9 | $586 |
| wellpoint [11112] | 3 | 3 | $155.49 |
| Multiplan | 3 | 8 | $320.25 |
| harvard pilgrim [10701] | 3 | 9 | $286.19 |
| evernorth behavioral health [27] | 3 | 7 | $214.4 |
| correctional care [11003] | 3 | 10 | $159.56 |
| fallon mcr [10105] | 3 | 5 | $167.53 |
| commonwealth care mcr [10115] | 3 | 8 | $167.53 |
| masshealth mcd mbhp [38] | 3 | 7 | $268 |
| tufts dual [10111] | 3 | 5 | $159.56 |
| hne [11108] | 2 | 2 | $264.29 |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $150.44 |
Hospital comparison — Office visit, new patient, 60-74 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 | $147.68 | $550 | $550 |
| Marlborough Hospital | Marlborough | $205.2 | $268 | $268 |
| Umass Memorial Medical Center | Worcester | $205.2 | $268 | $268 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $222.75 | — | $665.5 |
| Healthalliance-Clinton | Leominster | $290.25 | $975.5 | $975.5 |
| Beth Israel Deaconess - Plymouth | Plymouth | $463.8 | $168.51 | $809 |
| Harrington Memorial Hospital | Southbridge | $523.64 | $1,007 | $1,007 |
| North Adams Regional Hospital | North Adams | — | $491.09 | $516.94 |
| North Shore Medical Center | Salem | — | $1,665.52 | $1,665.52 |
| Hebrew Rehabilitation Center | Roslindale | — | $306.08 | $306.08 |
| Fairview Hospital | Great Barrington | — | $491.09 | $516.94 |
| Berkshire Medical Center | Pittsfield | — | $491.09 | $516.94 |