How much does an Office visit, new patient cost in Massachusetts?
Office visit, new patient (level 4) · CPT 99204 · State: Massachusetts
In Massachusetts, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $184, with most between $144 and $310 ($396 cash/self-pay). Based on 36 Massachusetts hospitals — 15% lower than the national typical of $216. Hospital list charges run about $398 (2.2× higher).
Source: medians across 36 Massachusetts hospitals' published price files (≥5 reporting). See the national Office visit, new patient (level 4) cost for the full picture. Estimates vary by hospital, insurer, and plan.
Office visit, new patient (level 4) cost in Massachusetts — FAQs
How much does an Office visit, new patient (level 4) cost in Massachusetts?
In Massachusetts, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $184, with most between $144 and $310, based on 36 Massachusetts hospitals. That's 15% lower than the national typical of $216.
How much does an Office visit, new patient (level 4) cost without insurance in Massachusetts?
Cash or self-pay prices for an Office visit, new patient (level 4) in Massachusetts run around $396. Hospitals often bill the higher "list" charge first (about $398), so ask for the cash or self-pay rate.
Why is my Massachusetts hospital bill for an Office visit, new patient (level 4) so high?
Massachusetts hospital "list" charges for an Office visit, new patient (level 4) run about $398 — roughly 2.2× the $184 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, new patient (level 4) in Massachusetts?
Yes. If a Massachusetts hospital charged you well above the typical negotiated rate (about $184), 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 $184 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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