Office visit, established patient (30-39 min)
Facility: Holyoke Medical Center
Billing Code: 99214 (CPT)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
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 $143 (about 1.1× the $136 Medicare rate). Holyoke Medical Center charges insurers about $165, or about $206 in cash — above the fair price. Located in Holyoke, MA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $143. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $165 - $183 | 122% |
| Tufts Health Plan | $23 | 17% |
| UniCare | $120 | 88% |
| WellSense | $285 | 210% |
| + 2 smaller / regional plans | $228 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Holyoke Medical Center
Compare: Office visit, established patient (30-39 min) at other MA hospitals
- Cambridge Health Alliance · Cambridge $30
- South Shore Hospital · South Weymouth $36
- Arbour Hospital · Boston $45
- Metrowest Medical Center · Framingham $99
- St Vincent Hospital · Worcester $99
- Tufts Medical Center · Boston $119
- Falmouth Hospital · Falmouth $123
- The Shriners' Hospital for Children - Boston · Boston $126
Insurance negotiated median for the same procedure, sorted lowest first.