CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: UMass Memorial Health - Harrington Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$148
about 1.1× the $136 Medicare rate · typically $79–$181
modeled estimate · not a bill or quote
What this hospital charges insurers
$166
About the fair price
about $18 over the fair price · 1.2× Medicare
Medicare pays $136 Fair price $148 This hospital $166 Cash price $208 Hospital's list price $208

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $30 Priciest $166

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $148 (about 1.1× the $136 Medicare rate). UMass Memorial Health - Harrington Hospital charges insurers about $166, or about $208 in cash — about the fair price. Located in Southbridge, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $100 - $444 74%
Blue Cross Blue Shieldmajor $58 - $205 43%
Aetnamajor $100 - $444 74%
Cignamajor $96 - $345 71%
Harvard Pilgrim $166 122%
Tufts Health Plan $96 - $316 71%
WellSense $171 - $444 126%
+ 12 smaller / regional plans $96 - $681
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 South Street, Southbridge, MA 01550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals