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PricedCare

Established patient office visit (about 40 minutes) in Boston, MA-NH costs $130 to $414. Here's every hospital's price.

6 hospitals in the Boston-Cambridge-Newton, MA-NH metro area publish a cash price for established patient office visit (about 40 minutes) (CPT 99215). We read their files every month so you don't have to.

Across the Boston-Cambridge-Newton, MA-NH metro area, 6 hospitals list a cash price for established patient office visit (about 40 minutes) (CPT 99215). The lowest is $130 at Signature Healthcare Brockton Hospital, the median is $215 and the highest is $414 at Tufts Medical Center. The most expensive hospital lists 3.2 times the cheapest for the same code.

The Boston, MA-NH median of $215 is 22% below the national median of $275 across 391 US hospitals with a cash price for this code.

7 of these hospitals also publish the rates they negotiated with insurers, from $10 to $986. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between January 2026 and April 2026. 34 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$130
lowest cash price in Boston, MA-NH
Signature Healthcare Brockton Hospital · 30 mi
$85 below the median
$215
median cash price
6 hospitals
3.2×
highest ÷ lowest
same procedure, same metro
6/41
hospitals with a cash price
34 don't · see who

Sorted by cash price

Hospital facility fee only
1
Signature Healthcare Brockton Hospital

Brockton · 30 mi · File Jan 2026

$130
list $186 · lowest of 10 lines
2
Boston Medical Center-Brighton

Brighton · 13 mi · File Mar 2026

$163
list $361 · lowest of 2 lines
3
Cambridge Health Alliance

Cambridge · 11 mi · File Mar 2026

$215
list $215 · lowest of 3 lines
4
Lowell General Hospital

Lowell · 19 mi · File Apr 2026

$285
list $407 · lowest of 3 lines
5
Franciscan Children's Hospital & Rehab Center

Brighton · 13 mi · File Apr 2026

$360
list $450
6
Boston Medical Center

Boston · 13 mi · File Mar 2026

$402
list $893 · lowest of 2 lines
7
Tufts Medical Center

Boston · 12 mi · File Apr 2026

$414
list $592 · lowest of 3 lines
1

What's in the price

The hospital facility fee for CPT 99215. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 99215, in writing, and whether it covers facility, physician and anesthesia."

About established patient office visit (about 40 minutes)

CPT 99215 is the highest level of office visit for an established patient: around 40 minutes, high complexity, usually a serious problem or several chronic conditions reviewed at once. It is billed for follow-up visits that involve significant decisions, not for routine check-ins.

What the price covers

When a hospital lists this code, it is the price at a hospital-owned clinic, which may add a facility fee to the clinician's fee. Tests and procedures during the visit are separate.

Established-patient levels

  • 99212: about 10 minutes, straightforward
  • 99213: about 20 minutes, low complexity (the most common visit)
  • 99214: about 30 minutes, moderate complexity
  • 99215: about 40 minutes, high complexity (this page)

Most follow-ups are 99213 or 99214. If you are routinely billed 99215 for short visits, ask why.

Why prices vary

Facility fees at hospital-owned practices are the main reason the same visit costs more at some places. Cash prices are often well below gross charges.

Questions to ask

  • What is the self-pay price for 99215, and is there a facility fee?
  • Which level is typically billed for my follow-ups?
  • What is billed separately?

Hospitals in Boston, MA-NH without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask