Initial hospital care, low complexity in Massachusetts

What Massachusetts hospitals charge for initial hospital care, low complexity (CPT 99221). Rates sourced from federally-mandated machine-readable files.

Hospitals
7
Rate rows
87
Neg. median
$85
Min
$20.83
Max
$9,494
Cash median
$256.25

Across 7 Massachusetts hospitals, the negotiated rate for Initial hospital care, low complexity ranges from $20.83 to $9,494, with a median of $85. The interquartile range is $58.83 to $7,016. Cash-pay patients typically pay $256.25; gross charges median $269.74.

By payer in Massachusetts

Top 10 payers for Initial hospital care, low complexity in Massachusetts.

PayerHospitalsRatesMedian rate
Aetna13$8,587
amerihealth12$7,137
Blue Cross Blue Shield17$69.77
Cigna13$73.27
fidelis care11$25.96
First Health11$60
qualcare inc12$3,317
Self-Pay (Cash)11$20.83
UnitedHealthcare16$7,835.5
wellpoint11$1,295

Hospital comparison — Initial hospital care, low complexity in Massachusetts

Sorted by lowest negotiated median rate. Up to 100 hospitals.

HospitalCityNegotiated medianCash rateGross charge
Beth Israel Deaconess - PlymouthPlymouth$85
North Adams Regional HospitalNorth Adams$256.25$269.74
Berkshire Medical CenterPittsfield$303.03$318.98
Hebrew Rehabilitation CenterRoslindale$155$155
Whittier Hospital-BradfordBradford$267.45$267.45
Whittier Hospital-WestboroughWestborough$267$267
Fairview HospitalGreat Barrington$303.03$318.98