CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Lahey Hospital & Medical Center, Burlington

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$167
about 1.2× the $136 Medicare rate · typically $74–$221
modeled estimate · not a bill or quote
What this hospital charges insurers
$169
About the fair price
about $2 over the fair price · 1.2× Medicare
Medicare pays $136 Fair price $167 This hospital $169 Cash price $236 Hospital's list price $236

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 $169

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 $167 (about 1.2× the $136 Medicare rate). Lahey Hospital & Medical Center, Burlington charges insurers about $169, or about $236 in cash — about the fair price. Located in Burlington, 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 $251 185%
UniCare $113 - $169 83%
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 41 & 45 Mall Road, Burlington, MA 01803
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals