Office visit, established patient (20-29 min)
Facility: Falmouth Hospital
Billing Code: 99213 (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 (20-29 min) is about $102 (about 1.1× the $95 Medicare rate). Falmouth Hospital charges insurers about $74, 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
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 | $58 - $59 | 61% |
| Blue Cross Blue Shieldmajor | $62 - $191 | 65% |
| Harvard Pilgrim | $77 | 81% |
| Tufts Health Plan | $58 - $135 | 61% |
| UniCare | $164 - $870 | 172% |
| WellSense | $59 - $152 | 62% |
| + 6 smaller / regional plans | $58 - $141 |
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 Falmouth Hospital
Compare: Office visit, established patient (20-29 min) at other MA hospitals
- Cambridge Health Alliance · Cambridge $30
- South Shore Hospital · South Weymouth $36
- Arbour Hospital · Boston $45
- Metrowest Medical Center · Framingham $66
- St Vincent Hospital · Worcester $66
- Tufts Medical Center · Boston $84
- The Shriners' Hospital for Children - Boston · Boston $85
- Heywood Hospital - · Gardner $102
Insurance negotiated median for the same procedure, sorted lowest first.