CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: South Shore Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$143
about 1.1× the $136 Medicare rate · typically $69–$218
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $107 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $143 This hospital $36 Cash price $324 Hospital's list price $463

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 7 of 8 other MA hospitals charge more for the same procedure.

Cheapest $30 Priciest $131

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $143 (about 1.1× the $136 Medicare rate). South Shore Hospital charges insurers about $36, or about $324 in cash — below the fair price — a good deal. Located in South Weymouth, MA.

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 $130 96%
Blue Cross Blue Shieldmajor $130 96%
Tufts Health Plan $36 27%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 55 Fogg Road, South Weymouth, MA 02190
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals