Office visit, established patient, 10-19 min in Massachusetts
What Massachusetts hospitals charge for office visit, established patient, 10-19 min (CPT 99212). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
691
Neg. median
$116
Min
$3.17
Max
$680.81
Cash median
$228
Across 11 Massachusetts hospitals, the negotiated rate for Office visit, established patient, 10-19 min ranges from $3.17 to $680.81, with a median of $116. The interquartile range is $48.62 to $172. Cash-pay patients typically pay $228; gross charges median $172.
By payer in Massachusetts
Top 30 payers for Office visit, established patient, 10-19 min in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 6 | 34 | $112.14 |
| UnitedHealthcare | 6 | 53 | $90.51 |
| Blue Cross Blue Shield | 6 | 63 | $49.06 |
| First Health | 5 | 11 | $171 |
| workers compensation [20501] | 4 | 4 | $41.58 |
| CHAMPVA | 4 | 7 | $137.74 |
| Cigna | 4 | 14 | $161.53 |
| connecticare [11105] | 4 | 10 | $200 |
| fallon mcaid carelon hlth [29] | 4 | 10 | $200 |
| grants [20507] | 4 | 10 | $200 |
| harvard pilgrim [10701] | 4 | 12 | $73.49 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| institution [10406] | 4 | 50 | $159.56 |
| Medicaid | 4 | 19 | $89.44 |
| mgb mcr [10124] | 4 | 7 | $161.53 |
| senior whole health [10110] | 4 | 6 | $170.73 |
| tufts [11201] | 4 | 7 | $39.51 |
| tufts connectorcare [10507] | 4 | 7 | $271.41 |
| tufts us family [11203] | 4 | 6 | $159.56 |
| wellpoint [11112] | 4 | 4 | $68.11 |
| tufts dual [10111] | 3 | 5 | $159.56 |
| fallon mcr [10105] | 3 | 6 | $167.53 |
| hne [11108] | 3 | 3 | $77.57 |
| Medicare | 3 | 5 | $159.56 |
| commonwealth care mcr [10115] | 3 | 7 | $167.53 |
| Multiplan | 3 | 8 | $150 |
| evernorth behavioral health [27] | 3 | 8 | $137.6 |
| masshealth mcd mbhp [38] | 3 | 8 | $172 |
| correctional care [11003] | 3 | 10 | $159.56 |
| hp optum bh [32] | 2 | 4 | $279 |
Hospital comparison — Office visit, established patient, 10-19 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 | $30.25 | — | $56.5 |
| Umass Memorial Medical Center | Worcester | $116 | $172 | $172 |
| Marlborough Hospital | Marlborough | $116 | $172 | $172 |
| Healthalliance-Clinton | Leominster | $166.89 | $279 | $279 |
| Harrington Memorial Hospital | Southbridge | $167.21 | $222 | $222 |
| Beth Israel Deaconess - Plymouth | Plymouth | $266.58 | $96.85 | $465 |
| Whittier Hospital-Bradford | Bradford | — | $550 | $550 |
| North Shore Medical Center | Salem | — | $875.27 | $875.27 |
| Berkshire Medical Center | Pittsfield | — | $106.94 | $112.57 |
| North Adams Regional Hospital | North Adams | — | $106.94 | $112.57 |
| Fairview Hospital | Great Barrington | — | $116.85 | $123 |