CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Falmouth Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$129
about 1.1× the $118 Medicare rate · typically $85–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
Below the fair price — a good deal
about $34 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $129 This hospital $95 Cash price $87 Hospital's list price $204

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

On the higher side — 6 of 8 other MA hospitals charge less.

Cheapest $27 Priciest $100

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 $129 (about 1.1× the $118 Medicare rate). Falmouth Hospital charges insurers about $95, or about $87 in cash — below the fair price — a good deal. Located in Falmouth, 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 $73 62%
Blue Cross Blue Shieldmajor $77 - $286 65%
Harvard Pilgrim $95 81%
UniCare $870 740%
WellSense $188 160%
+ 3 smaller / regional plans $72 - $174

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 67 & 100 Ter Heun Drive, Falmouth, MA 02540
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals