Office visit, established patient (20-29 min)
Facility: St Vincent Hospital
Billing Code: 99213 (CPT)
A typical price — 4 charge more and 3 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.
⚠ 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 Office visit, established patient (20-29 min) is about $101 (about 1.1× the $95 Medicare rate). St Vincent Hospital charges insurers about $66, or about $436 in cash — below the fair price — a good deal. Located in Worcester, 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
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 | $66 | 69% |
| + 1 smaller / regional plan | $66 |
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 St Vincent 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
- Falmouth Hospital · Falmouth $74
- 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.