Office visit, established patient, 5 min in Massachusetts
What Massachusetts hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
740
Neg. median
$99
Min
$1.4
Max
$680.81
Cash median
$218.25
Across 11 Massachusetts hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $1.4 to $680.81, with a median of $99. The interquartile range is $27.4 to $167.53. Cash-pay patients typically pay $218.25; gross charges median $227.
By payer in Massachusetts
Top 30 payers for Office visit, established patient, 5 min in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 7 | 73 | $28.23 |
| Aetna | 6 | 41 | $76.17 |
| UnitedHealthcare | 6 | 57 | $69.26 |
| First Health | 5 | 12 | $128.63 |
| workers compensation [20501] | 4 | 4 | $22.67 |
| CHAMPVA | 4 | 7 | $137.74 |
| Cigna | 4 | 17 | $159.56 |
| connecticare [11105] | 4 | 11 | $117 |
| fallon mcaid carelon hlth [29] | 4 | 11 | $117 |
| grants [20507] | 4 | 11 | $117 |
| harvard pilgrim [10701] | 4 | 12 | $30.26 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| institution [10406] | 4 | 51 | $117 |
| Medicaid | 4 | 20 | $56.16 |
| Medicare | 4 | 6 | $159.17 |
| mgb mcr [10124] | 4 | 8 | $160.55 |
| senior whole health [10110] | 4 | 7 | $170.73 |
| tufts [11201] | 4 | 8 | $39.51 |
| tufts connectorcare [10507] | 4 | 8 | $271.41 |
| tufts us family [11203] | 4 | 7 | $159.56 |
| wellpoint [11112] | 4 | 4 | $65.75 |
| hne [11108] | 3 | 3 | $52.77 |
| fallon mcr [10105] | 3 | 7 | $167.53 |
| commonwealth care mcr [10115] | 3 | 5 | $167.53 |
| evernorth behavioral health [27] | 3 | 9 | $93.6 |
| masshealth mcd mbhp [38] | 3 | 9 | $117 |
| Multiplan | 3 | 8 | $129.38 |
| correctional care [11003] | 3 | 10 | $159.56 |
| tufts dual [10111] | 3 | 5 | $159.56 |
| fallon mcr supp [20202] | 2 | 4 | $168.57 |
Hospital comparison — Office visit, established patient, 5 min in Massachusetts
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Chestnut Hill Benevolent Association | Chestnut Hill | $22.75 | — | $34 |
| Harrington Memorial Hospital | Southbridge | $70 | $70 | $70 |
| Whittier Hospital-Bradford | Bradford | $89.39 | $550 | $550 |
| Umass Memorial Medical Center | Worcester | $99 | $117 | $117 |
| Marlborough Hospital | Marlborough | $99 | $117 | $117 |
| Healthalliance-Clinton | Leominster | $161.53 | $250 | $250 |
| Beth Israel Deaconess - Plymouth | Plymouth | $174.86 | $63.53 | $305 |
| North Adams Regional Hospital | North Adams | — | $52.25 | $55 |
| Fairview Hospital | Great Barrington | — | $52.25 | $55 |
| Berkshire Medical Center | Pittsfield | — | $52.25 | $55 |
| North Shore Medical Center | Salem | — | $786.98 | $786.98 |