CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: North Adams Regional Hospital Corporation

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$152
about 1.1× the $136 Medicare rate · typically $102–$166
modeled estimate · not a bill or quote
What this hospital charges insurers
$176
Above the fair price
about $24 over the fair price · 1.3× Medicare
Medicare pays $136 Fair price $152 This hospital $176 Cash price $244 Hospital's list price $257

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 $176

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 $152 (about 1.1× the $136 Medicare rate). North Adams Regional Hospital Corporation charges insurers about $176, or about $244 in cash — above the fair price. Located in North Adams, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $152. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor $83 - $576 61%
Blue Cross Blue Shieldmajor $70 - $569 52%
Aetnamajor $73 - $506 54%
Cignamajor $209 - $623 154%
CDPHP $87 - $603 64%
MVP Health Care $87 - $603 64%
Tufts Health Plan $77 - $531 57%
UniCare $150 - $434 111%
+ 21 smaller / regional plans $55 - $636
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 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

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 71 Hospital Avenue, North Adams, MA 01247
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Critical Access Hospitals