CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Heywood Hospital -

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$127
about 1.1× the $118 Medicare rate · typically $67–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$124
About the fair price
about $3 under the fair price · 1.1× Medicare
Medicare pays $118 Fair price $127 This hospital $124 Cash price $206 Hospital's list price $206

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 $27 Priciest $124

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

A fair price for a New patient office visit (30-44 min) is about $127 (about 1.1× the $118 Medicare rate). Heywood Hospital - charges insurers about $124, or about $206 in cash — about the fair price. Located in Gardner, MA.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $198 - $203 168%
Tufts Health Plan $32 27%
+ 1 smaller / regional plan $124

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Facility Profile & Credentials

  • Address: 242 Green Street, Gardner, MA 01440
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals