Office visit, established patient (20-29 min)
Facility: Emerson Hospital -
Billing Code: 99213 (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 (20-29 min) is about $113 (about 1.2× the $95 Medicare rate). Emerson Hospital - charges insurers about $115, or about $117 in cash — about the fair price. Located in W Concord, 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
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 | $117 - $156 | 123% |
| Blue Cross Blue Shieldmajor | $29 - $121 | 30% |
| Aetnamajor | $100 | 105% |
| Cignamajor | $143 | 150% |
| + 1 smaller / regional plan | $217 |
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 Emerson Hospital -
Compare: Office visit, established patient (20-29 min) at other MA hospitals
- Cambridge Health Alliance · Cambridge $30
- South Shore Hospital · South Weymouth $36
- Arbour Hospital · Boston $45
- Metrowest Medical Center · Framingham $66
- St Vincent Hospital · Worcester $66
- Falmouth Hospital · Falmouth $74
- Tufts Medical Center · Boston $84
- The Shriners' Hospital for Children - Boston · Boston $85
Insurance negotiated median for the same procedure, sorted lowest first.