Office visit, established patient (30-39 min)
Facility: Tufts Medical Center
Billing Code: 99214 (CPT)
A typical price — 3 charge more and 5 charge less, among the 9 MA hospitals compared.
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 $169 (about 1.2× the $136 Medicare rate). Tufts Medical Center charges insurers about $119, or about $319 in cash — below the fair price — a good deal. 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.
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 | $456 | 336% |
| Blue Cross Blue Shieldmajor | $221 - $456 | 163% |
| Aetnamajor | $144 - $440 | 106% |
| Cignamajor | $26 - $342 | 19% |
| AmeriHealth | $144 - $239 | 106% |
| AvMed | $144 - $239 | 106% |
| GEHA | $144 - $239 | 106% |
| Harvard Pilgrim | $245 - $456 | 181% |
| Tufts Health Plan | $24 - $456 | 18% |
| WellSense | $108 - $244 | 80% |
| + 110 smaller / regional plans | $101 - $554 |
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 Tufts Medical Center
Compare: Office visit, established patient (30-39 min) at other MA hospitals
- Cambridge Health Alliance · Cambridge $30
- South Shore Hospital · South Weymouth $36
- Arbour Hospital · Boston $45
- Metrowest Medical Center · Framingham $99
- St Vincent Hospital · Worcester $99
- Falmouth Hospital · Falmouth $123
- The Shriners' Hospital for Children - Boston · Boston $126
- Signature Healthcare Brockton Hospital · Brockton $131
Insurance negotiated median for the same procedure, sorted lowest first.