Office visit, established patient, 20-29 minutes in Massachusetts
What Massachusetts hospitals charge for office visit, established patient, 20-29 minutes (CPT 99213). Rates sourced from federally-mandated machine-readable files.
Hospitals
13
Rate rows
722
Neg. median
$161.53
Min
$13.82
Max
$680.81
Cash median
$258
Across 13 Massachusetts hospitals, the negotiated rate for Office visit, established patient, 20-29 minutes ranges from $13.82 to $680.81, with a median of $161.53. The interquartile range is $109.67 to $255.3. Cash-pay patients typically pay $258; gross charges median $410.86.
By payer in Massachusetts
Top 30 payers for Office visit, established patient, 20-29 minutes in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 7 | 55 | $124.49 |
| Aetna | 7 | 32 | $168.92 |
| Blue Cross Blue Shield | 7 | 55 | $133.49 |
| First Health | 5 | 11 | $193.5 |
| workers compensation [20501] | 4 | 4 | $65.91 |
| grants [20507] | 4 | 10 | $258 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| mgb mcr [10124] | 4 | 7 | $161.53 |
| senior whole health [10110] | 4 | 6 | $170.73 |
| wellpoint [11112] | 4 | 4 | $75.93 |
| Cigna | 4 | 13 | $259.5 |
| tufts connectorcare [10507] | 4 | 7 | $271.41 |
| harvard pilgrim [10701] | 4 | 12 | $118.02 |
| tufts us family [11203] | 4 | 6 | $159.56 |
| fallon mcaid carelon hlth [29] | 4 | 10 | $258 |
| CHAMPVA | 4 | 7 | $137.74 |
| connecticare [11105] | 4 | 10 | $258 |
| Medicaid | 4 | 19 | $118.56 |
| tufts [11201] | 4 | 7 | $39.51 |
| Medicare | 4 | 6 | $159.17 |
| institution [10406] | 4 | 50 | $160.55 |
| evernorth behavioral health [27] | 3 | 8 | $194.4 |
| Multiplan | 3 | 8 | $182.25 |
| tufts dual [10111] | 3 | 5 | $159.56 |
| correctional care [11003] | 3 | 10 | $159.56 |
| commonwealth care mcr [10115] | 3 | 5 | $167.53 |
| masshealth mcd mbhp [38] | 3 | 8 | $243 |
| hne [11108] | 3 | 3 | $116.36 |
| fallon mcr [10105] | 3 | 6 | $167.53 |
| hp optum bh [32] | 2 | 4 | $464 |
Hospital comparison — Office visit, established patient, 20-29 minutes in Massachusetts
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Whittier Hospital-Bradford | Bradford | $78.35 | $550 | $550 |
| Whittier Hospital-Westborough | Westborough | $108.45 | $550 | $550 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $128.6 | — | $500 |
| Umass Memorial Medical Center | Worcester | $149 | $228 | $228 |
| Marlborough Hospital | Marlborough | $149 | $228 | $228 |
| Healthalliance-Clinton | Leominster | $172.84 | $464 | $464 |
| Harrington Memorial Hospital | Southbridge | $271.41 | $448.5 | $448.5 |
| Beth Israel Deaconess - Plymouth | Plymouth | $294.1 | $106.85 | $513 |
| Fairview Hospital | Great Barrington | — | $176.62 | $185.92 |
| Hebrew Rehabilitation Center | Roslindale | — | $108.33 | $108.33 |
| North Shore Medical Center | Salem | — | $1,214.26 | $1,214.26 |
| Berkshire Medical Center | Pittsfield | — | $176.62 | $185.92 |
| North Adams Regional Hospital | North Adams | — | $176.62 | $185.92 |