Office visit, established patient, 30-39 minutes in Massachusetts
What Massachusetts hospitals charge for office visit, established patient, 30-39 minutes (CPT 99214). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
774
Neg. median
$167.53
Min
$20
Max
$1,261.26
Cash median
$244.07
Across 12 Massachusetts hospitals, the negotiated rate for Office visit, established patient, 30-39 minutes ranges from $20 to $1,261.26, with a median of $167.53. The interquartile range is $114.64 to $228. Cash-pay patients typically pay $244.07; gross charges median $276.
By payer in Massachusetts
Top 30 payers for Office visit, established patient, 30-39 minutes in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 7 | 64 | $145.21 |
| Blue Cross Blue Shield | 7 | 59 | $164.85 |
| Aetna | 7 | 37 | $171 |
| First Health | 5 | 12 | $217.13 |
| Cigna | 5 | 18 | $160.55 |
| Medicare | 4 | 8 | $159.17 |
| workers compensation [20501] | 4 | 4 | $98.77 |
| grants [20507] | 4 | 11 | $228 |
| tufts connectorcare [10507] | 4 | 9 | $271.41 |
| mgb mcr [10124] | 4 | 9 | $161.53 |
| CHAMPVA | 4 | 7 | $137.74 |
| Medicaid | 4 | 20 | $117.2 |
| wellpoint [11112] | 4 | 4 | $106.87 |
| institution [10406] | 4 | 53 | $193 |
| senior whole health [10110] | 4 | 7 | $170.73 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| tufts [11201] | 4 | 12 | $53.87 |
| fallon mcaid carelon hlth [29] | 4 | 11 | $228 |
| tufts us family [11203] | 4 | 7 | $159.56 |
| harvard pilgrim [10701] | 4 | 12 | $166.44 |
| connecticare [11105] | 4 | 11 | $228 |
| evernorth behavioral health [27] | 3 | 9 | $182.4 |
| Multiplan | 3 | 8 | $217.13 |
| correctional care [11003] | 3 | 10 | $159.56 |
| masshealth mcd mbhp [38] | 3 | 9 | $228 |
| fallon mcr [10105] | 3 | 7 | $167.53 |
| commonwealth care mcr [10115] | 3 | 6 | $167.53 |
| tufts dual [10111] | 3 | 6 | $159.56 |
| hne [11108] | 3 | 3 | $158.3 |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $128.61 |
Hospital comparison — Office visit, established patient, 30-39 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 | $108.23 | $550 | $550 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $160.27 | — | $539 |
| Umass Memorial Medical Center | Worcester | $167.53 | $228 | $228 |
| Marlborough Hospital | Marlborough | $167.53 | $228 | $228 |
| Harrington Memorial Hospital | Southbridge | $168.57 | $208 | $208 |
| Healthalliance-Clinton | Leominster | $169.61 | $658.5 | $658.5 |
| Beth Israel Deaconess - Plymouth | Plymouth | $323.34 | $117.48 | $564 |
| North Adams Regional Hospital | North Adams | — | $244.07 | $256.92 |
| Fairview Hospital | Great Barrington | — | $244.07 | $256.92 |
| Berkshire Medical Center | Pittsfield | — | $244.07 | $256.92 |
| Hebrew Rehabilitation Center | Roslindale | — | $159.24 | $159.24 |
| North Shore Medical Center | Salem | — | $1,385.39 | $1,385.39 |