CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Winchester Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$165
about 1.2× the $136 Medicare rate · typically $71–$216
modeled estimate · not a bill or quote
What this hospital charges insurers
$175
About the fair price
about $10 over the fair price · 1.3× Medicare
Medicare pays $136 Fair price $165 This hospital $175 Cash price $258 Hospital's list price $258

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 $30 Priciest $175

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 $165 (about 1.2× the $136 Medicare rate). Winchester Hospital charges insurers about $175, or about $258 in cash — about the fair price. Located in Winchester, 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 $182 - $206 134%
UniCare $113 - $169 83%
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 41 Highland Avenue, Winchester, MA 01890
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals