CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Southcoast Hospitals Group
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$124
about 1.1× the $118 Medicare rate · typically $84–$155
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $124 Cash price $313 Hospital's list price $626
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $446 | 379% |
| Blue Cross Blue Shieldmajor | $130 - $166 | 111% |
| Harvard Pilgrim | $421 - $518 | 358% |
| Priority Health | $376 | 320% |
| Tufts Health Plan | $262 - $412 | 223% |
| WellSense | $134 - $228 | 114% |
| + 4 smaller / regional plans | $353 - $376 |
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Southcoast Hospitals Group
Compare: New patient office visit (30-44 min) at other MA hospitals
- Lowell General Hospital · Lowell $27
- Tufts Medical Center · Boston $29
- Cambridge Health Alliance · Cambridge $31
- South Shore Hospital · South Weymouth $36
- Melrosewakefield Healthcare · Melrose $38
- The Shriners' Hospital for Children - Boston · Boston $76
- Falmouth Hospital · Falmouth $95
- Metrowest Medical Center · Framingham $100
Insurance negotiated median for the same procedure, sorted lowest first.