Initial hospital care, high complexity in Massachusetts

What Massachusetts hospitals charge for initial hospital care, high complexity (CPT 99223). Rates sourced from federally-mandated machine-readable files.

Hospitals
6
Rate rows
64
Neg. median
$3,317
Min
$20.83
Max
$9,494
Cash median
$401.26

Across 6 Massachusetts hospitals, the negotiated rate for Initial hospital care, high complexity ranges from $20.83 to $9,494, with a median of $3,317. The interquartile range is $68.07 to $7,899.75. Cash-pay patients typically pay $401.26; gross charges median $422.38.

By payer in Massachusetts

Top 11 payers for Initial hospital care, high complexity in Massachusetts.

PayerHospitalsRatesMedian rate
Aetna13$8,587
amerihealth12$7,137
Blue Cross Blue Shield17$69.77
Cigna13$8,115
Emblem Health11$5,835
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, high complexity in Massachusetts

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

HospitalCityNegotiated medianCash rateGross charge
Beth Israel Deaconess - PlymouthPlymouth$3,317
Berkshire Medical CenterPittsfield$401.26$422.38
Fairview HospitalGreat Barrington$401.26$422.38
Hebrew Rehabilitation CenterRoslindale$311$311
Whittier Hospital-BradfordBradford$531.05$531.05
Whittier Hospital-WestboroughWestborough$531$531