CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Brigham and Women's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$135
about 1.0× the $136 Medicare rate · typically $72–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$153
About the fair price
about $18 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $135 This hospital $153 Cash price $348 Hospital's list price $465

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 $153

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 $135 (about 1.0× the $136 Medicare rate). Brigham and Women's Hospital charges insurers about $153, or about $348 in cash — about the fair price. Located in Boston, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $150 - $414 111%
Blue Cross Blue Shieldmajor $153 113%
Aetnamajor $158 - $408 117%
Cignamajor $173 - $403 128%
Humanamajor $153 113%
Molina $148 - $150 109%
Tufts Health Plan $150 111%
+ 4 smaller / regional plans $131 - $408
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 75 Francis Street, Boston, MA 02115
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals