CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Metrowest Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$126
about 1.1× the $118 Medicare rate · typically $65–$198
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
Below the fair price — a good deal
about $26 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $126 This hospital $100 Cash price $428 Hospital's list price $571

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 $27 Priciest $100

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $126 (about 1.1× the $118 Medicare rate). Metrowest Medical Center charges insurers about $100, or about $428 in cash — below the fair price — a good deal. Located in Framingham, MA.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Health Net $100 85%
+ 1 smaller / regional plan $100
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 115 Lincoln Street, Framingham, MA 01701
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals