Office visit, established patient (20-29 min)
Facility: North Adams Regional Hospital Corporation
Billing Code: 99213 (CPT)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
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 $121 (about 1.3× the $95 Medicare rate). North Adams Regional Hospital Corporation charges insurers about $126, or about $177 in cash — about the fair price. Located in North Adams, MA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $59 - $360 | 62% |
| Blue Cross Blue Shieldmajor | $50 - $356 | 53% |
| Aetnamajor | $52 - $316 | 55% |
| Cignamajor | $133 - $389 | 140% |
| CDPHP | $62 - $412 | 65% |
| MVP Health Care | $62 - $377 | 65% |
| Tufts Health Plan | $55 - $332 | 58% |
| UniCare | $96 - $272 | 101% |
| + 21 smaller / regional plans | $39 - $428 |
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 North Adams Regional Hospital Corporation
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
- Falmouth Hospital · Falmouth $74
- Tufts Medical Center · Boston $84
- The Shriners' Hospital for Children - Boston · Boston $85
Insurance negotiated median for the same procedure, sorted lowest first.