How much does an Office visit, established patient cost in Massachusetts?
Office visit, established patient (level 4) · CPT 99214 · State: Massachusetts
In Massachusetts, the typical insurer-negotiated price for an Office visit, established patient (level 4) is about $155, with most between $126 and $287 ($257 cash/self-pay). Based on 37 Massachusetts hospitals — about the same as the national typical of $160. Hospital list charges run about $300 (1.9× higher).
Source: medians across 37 Massachusetts hospitals' published price files (≥5 reporting). See the national Office visit, established patient (level 4) cost for the full picture. Estimates vary by hospital, insurer, and plan.
Office visit, established patient (level 4) cost in Massachusetts — FAQs
How much does an Office visit, established patient (level 4) cost in Massachusetts?
In Massachusetts, the typical insurer-negotiated price for an Office visit, established patient (level 4) is about $155, with most between $126 and $287, based on 37 Massachusetts hospitals. That's about the same as the national typical of $160.
How much does an Office visit, established patient (level 4) cost without insurance in Massachusetts?
Cash or self-pay prices for an Office visit, established patient (level 4) in Massachusetts run around $257. Hospitals often bill the higher "list" charge first (about $300), so ask for the cash or self-pay rate.
Why is my Massachusetts hospital bill for an Office visit, established patient (level 4) so high?
Massachusetts hospital "list" charges for an Office visit, established patient (level 4) run about $300 — roughly 1.9× the $155 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.
Can I negotiate the cost of an Office visit, established patient (level 4) in Massachusetts?
Yes. If a Massachusetts hospital charged you well above the typical negotiated rate (about $155), that gap is negotiable. Upfronte audits your bill against real Massachusetts hospital pricing data and negotiates it down on your behalf — no savings, no fee.
Charged more than $155 in Massachusetts?
Upload your bill and Upfronte will check it against real Massachusetts hospital prices and negotiate overcharges. No savings, no fee.
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