Office visit, established patient (30-39 min)
Facility: Massachusetts General Hospital
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 $139 (about 1.0× the $136 Medicare rate). Massachusetts General Hospital charges insurers about $153, or about $348 in cash — about the fair price. Located in Boston, MA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 |
|---|---|---|
| UnitedHealthcaremajor | $150 - $414 | 111% |
| Blue Cross Blue Shieldmajor | $153 | 113% |
| Aetnamajor | $158 - $408 | 117% |
| Cignamajor | $173 - $403 | 128% |
| Humanamajor | $153 | 113% |
| Molina | $150 | 111% |
| Tufts Health Plan | $145 - $401 | 107% |
| WellSense | $153 | 113% |
| + 8 smaller / regional plans | $131 - $414 |
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 Massachusetts General Hospital
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.