Office visit, established patient, 40-54 min in Massachusetts
What Massachusetts hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
713
Neg. median
$217.45
Min
$20
Max
$1,261.26
Cash median
$366.7
Across 12 Massachusetts hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $20 to $1,261.26, with a median of $217.45. The interquartile range is $155.49 to $348.21. Cash-pay patients typically pay $366.7; gross charges median $386.
By payer in Massachusetts
Top 30 payers for Office visit, established patient, 40-54 min in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 7 | 56 | $191.03 |
| Aetna | 7 | 33 | $273 |
| UnitedHealthcare | 6 | 54 | $163.55 |
| First Health | 5 | 11 | $348.75 |
| workers compensation [20501] | 4 | 4 | $132.82 |
| CHAMPVA | 4 | 7 | $141.45 |
| connecticare [11105] | 4 | 10 | $424.5 |
| tufts connectorcare [10507] | 4 | 7 | $271.41 |
| tufts us family [11203] | 4 | 6 | $159.56 |
| tufts [11201] | 4 | 7 | $39.51 |
| Medicaid | 4 | 19 | $153.45 |
| harvard pilgrim [10701] | 4 | 12 | $234.32 |
| wellpoint [11112] | 4 | 4 | $109.23 |
| grants [20507] | 4 | 10 | $424.5 |
| fallon mcaid carelon hlth [29] | 4 | 10 | $424.5 |
| Medicare | 4 | 8 | $159.17 |
| institution [10406] | 4 | 51 | $228 |
| mgb mcr [10124] | 4 | 7 | $167.53 |
| senior whole health [10110] | 4 | 6 | $170.73 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| Cigna | 4 | 13 | $358 |
| evernorth behavioral health [27] | 3 | 8 | $252.8 |
| Multiplan | 3 | 8 | $267.38 |
| masshealth mcd mbhp [38] | 3 | 8 | $316 |
| correctional care [11003] | 3 | 10 | $159.56 |
| fallon mcr [10105] | 3 | 5 | $167.53 |
| commonwealth care mcr [10115] | 3 | 8 | $167.53 |
| hne [11108] | 3 | 3 | $209.72 |
| tufts dual [10111] | 3 | 6 | $159.56 |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $150.44 |
Hospital comparison — Office visit, established patient, 40-54 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 | $152.79 | $550 | $550 |
| Healthalliance-Clinton | Leominster | $172.84 | $888 | $888 |
| Umass Memorial Medical Center | Worcester | $186 | $248 | $248 |
| Marlborough Hospital | Marlborough | $186 | $248 | $248 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $222.6 | — | $716 |
| Harrington Memorial Hospital | Southbridge | $315.9 | $483 | $483 |
| Beth Israel Deaconess - Plymouth | Plymouth | $381.24 | $138.51 | $665 |
| North Adams Regional Hospital | North Adams | — | $352.98 | $371.56 |
| Fairview Hospital | Great Barrington | — | $352.98 | $371.56 |
| Berkshire Medical Center | Pittsfield | — | $352.98 | $371.56 |
| Hebrew Rehabilitation Center | Roslindale | — | $215.96 | $215.96 |
| North Shore Medical Center | Salem | — | $1,601.21 | $1,601.21 |