Office visit, established patient (20-29 min)
Facility: The Shriners' Hospital for Children - Boston
Billing Code: 99213 (CPT)
On the higher side — 7 of 8 other MA hospitals charge less.
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 $124 (about 1.3× the $95 Medicare rate). The Shriners' Hospital for Children - Boston charges insurers about $85, or about $318 in cash — below the fair price — a good deal. Located in Boston, MA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $371 | 390% |
| Aetnamajor | $61 | 64% |
| Tufts Health Plan | $817 | 858% |
| + 3 smaller / regional plans | $61 - $3,895 |
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 The Shriners' Hospital for Children - Boston
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
- Heywood Hospital - · Gardner $102
Insurance negotiated median for the same procedure, sorted lowest first.