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Emergency Department Visit for Problem That May Not Require Health Care Professi… Cost in Massachusetts
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 30 Massachusetts hospitals. CPT 99281. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $245
📉 Low $24.00
📈 High $800
🏥 30 hospitals
🏛️ 12 with insurance contracts
🇺🇸 Medicare $11.31
Hospital comparison — Massachusetts
Sorted by cash price (lowest first). Showing top 30 of 30 hospitals.
Billed more than $245 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | UHC | Cigna | MultiPlan | Health Net | Humana | Centene |
|---|---|---|---|---|---|---|---|---|---|
| MERCY MEDICAL CENTER - SPRINGFIELD SPRINGFIELD |
$24.00 | — | — | — | — | — | — | — | — |
| STURDY MEMORIAL HOSPITAL ATTLEBORO |
$44.09 | $85.00 | $70.67 | $69.03 | $90.00 | — | — | — | $101 |
| HEYWOOD HOSPITAL GARDNER |
$95.00 | $96.90 | $126 | $1,962 | $420 | — | — | — | — |
| UMASS MEMORIAL HOSPITAL - HARRINGTON HOSPITAL SOUTH ST SOUTHBRIDGE |
$163 | — | — | — | — | — | — | — | — |
| BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD |
$172 | — | — | — | — | — | — | — | — |
| ATHOL HOSPITAL ATHOL |
$177 | $219 | $106 | $1,962 | $321 | — | — | — | — |
| BOSTON CHILDREN'S HOSPITAL BOSTON |
$196 | $118 | $111 | $117 | $167 | $180 | — | $176 | $124 |
| CAPE COD HOSPITAL HYANNIS |
$199 | $95.00 | $80.71 | $79.32 | $81.75 | $95.00 | — | — | — |
| FALMOUTH HOSPITAL FALMOUTH |
$199 | $95.00 | $83.00 | $80.12 | $90.93 | $95.00 | — | — | — |
| BOSTON MEDICAL CENTER - SOUTH BROCKTON |
$214 | — | — | — | — | — | — | — | — |
| CHARLTON MEMORIAL HOSPITAL FALL RIVER |
$241 | — | — | — | — | — | — | — | — |
| TOBEY HOSPITAL WAREHAM |
$241 | — | — | — | — | — | — | — | — |
| ST. LUKE'S HOSPITAL NEW BEDFORD |
$241 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - BRIGHTON BRIGHTON |
$243 | — | — | — | — | — | — | — | — |
| LOWELL GENERAL - SAINTS CAMPUS LOWELL |
$245 | — | — | — | — | — | — | — | — |
| SOUTH SHORE HOSPITAL SOUTH WEYMOUTH |
$270 | $101 | $79.74 | — | — | — | — | — | — |
| ST VINCENT HOSPITAL WORCESTER |
$309 | — | — | — | — | — | $20.11 | — | — |
| TUFTS MEDICAL CENTER BOSTON |
$340 | — | — | — | — | — | — | — | — |
| PAM HEALTH SPECIALTY HOSPITAL OF STOUGHTON SUMNER STREET STOUGHTON |
$341 | — | — | — | — | — | — | — | — |
| MELROSE WAKEFIELD HOSPITAL MELROSE |
$388 | — | — | — | — | — | — | — | — |
| MASS GENERAL BRIGHAM SALEM HOSPITAL SALEM |
$389 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER BOSTON |
$444 | — | — | — | — | — | — | — | — |
| UMASS MEMORIAL HEALTH ALLIANCE - CLINTON HOSPITAL HOSPITAL RD. LEOMINSTER |
$469 | — | — | — | — | — | — | — | — |
| UMASS MEMORIAL MEDICAL CENTER - MARLBOROUGH CAMPUS BELMONT STREET WORCESTER |
$484 | — | — | — | — | — | — | — | — |
| LEONARD MORSE HOSPITAL NATICK |
$570 | — | — | — | — | — | $20.11 | — | — |
| FRAMINGHAM UNION HOSPITAL FRAMINGHAM |
$570 | — | — | — | — | — | $20.11 | — | — |
| BRIGHAM AND WOMEN'S HOSPITAL BOSTON |
$586 | — | — | — | — | — | — | — | — |
| MILFORD REGIONAL MEDICAL CENTER MILFORD |
$599 | $80.40 | $90.36 | $81.00 | $394 | — | — | — | — |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL BROCKTON |
$641 | $502 | $125 | $1,505 | $145 | — | — | $105 | — |
| CHA CAMBRIDGE HOSPITAL CAMBRIDGE |
$800 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99281, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $183 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $245 for this?
That is the median of what the 30 Massachusetts hospitals above publish for Emergency department visit for problem that may not require health care professi… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99281 in Massachusetts, Medicare reimburses about $11.31 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Massachusetts range from $24.00 to $800 — that means hospital cash prices are typically 21.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit for problem that may not require health care professi… cost in Massachusetts?
- Cash prices for emergency department visit for problem that may not require health care professi… (CPT 99281) in Massachusetts range from $24.00 to $800, with a median of $245. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit for problem that may not require health care professi… in Massachusetts?
- The cheapest Massachusetts hospital published cash price for this procedure is $24.00. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit for problem that may not require health care professi… in nearby states
Other procedures in Massachusetts
Methodology. Cash prices and insurance-negotiated rates published by each Massachusetts facility under federal price transparency rules (45 CFR § 180). CPT code 99281 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.