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Emergency Department Visit with Low Level of Medical Decision Making Cost in Massachusetts
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 36 Massachusetts hospitals. CPT 99283. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $536
📉 Low $122
📈 High $2,425
🏥 36 hospitals
🏛️ 12 with insurance contracts
🇺🇸 Medicare $71.11
Hospital comparison — Massachusetts
Sorted by cash price (lowest first). Showing top 36 of 36 hospitals.
Billed more than $536 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | UHC | Cigna | MultiPlan | Health Net | Humana | Centene |
|---|---|---|---|---|---|---|---|---|---|
| BOSTON MEDICAL CENTER - SOUTH BROCKTON |
$122 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - BRIGHTON BRIGHTON |
$122 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER BOSTON |
$122 | — | — | — | — | — | — | — | — |
| HOLYOKE MEDICAL CENTER HOLYOKE |
$148 | — | — | — | — | — | — | — | — |
| STURDY MEMORIAL HOSPITAL ATTLEBORO |
$160 | $85.00 | $70.67 | $69.03 | $90.00 | — | — | — | $327 |
| MERCY MEDICAL CENTER - SPRINGFIELD SPRINGFIELD |
$174 | — | — | — | — | — | — | — | — |
| HEYWOOD HOSPITAL GARDNER |
$281 | $311 | $402 | $1,962 | $585 | — | — | — | — |
| BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD |
$331 | — | — | — | — | — | — | — | — |
| MARTHA'S VINEYARD HOSPITAL OAK BLUFFS |
$359 | — | — | — | — | — | — | — | — |
| FALMOUTH HOSPITAL FALMOUTH |
$361 | $95.00 | $83.00 | $80.12 | $90.93 | $95.00 | — | — | — |
| CAPE COD HOSPITAL HYANNIS |
$372 | $95.00 | $80.71 | $79.32 | $81.75 | $95.00 | — | — | — |
| ATHOL HOSPITAL ATHOL |
$412 | $586 | $340 | $1,962 | $802 | — | — | — | — |
| COOLEY DICKINSON HOSPITAL NORTHAMPTON |
$427 | — | — | — | — | — | — | — | — |
| ST. LUKE'S HOSPITAL NEW BEDFORD |
$454 | — | — | — | — | — | — | — | — |
| TOBEY HOSPITAL WAREHAM |
$454 | — | — | — | — | — | — | — | — |
| CHARLTON MEMORIAL HOSPITAL FALL RIVER |
$454 | — | — | — | — | — | — | — | — |
| UMASS MEMORIAL HOSPITAL - HARRINGTON HOSPITAL SOUTH ST SOUTHBRIDGE |
$499 | — | — | — | — | — | — | — | — |
| MELROSE WAKEFIELD HOSPITAL MELROSE |
$536 | — | — | — | — | — | — | — | — |
| LOWELL GENERAL - SAINTS CAMPUS LOWELL |
$560 | — | — | — | — | — | — | — | — |
| MILFORD REGIONAL MEDICAL CENTER MILFORD |
$734 | $80.40 | $293 | $81.00 | $394 | — | — | — | — |
| SOUTH SHORE HOSPITAL SOUTH WEYMOUTH |
$774 | $327 | $255 | — | — | — | — | — | — |
| TUFTS MEDICAL CENTER BOSTON |
$910 | — | — | — | — | — | — | — | — |
| MASS GENERAL BRIGHAM SALEM HOSPITAL SALEM |
$933 | — | — | — | — | — | — | — | — |
| NEWTON WELLESLEY HOSPITAL NEWTON |
$933 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S FAULKNER HOSPITAL BOSTON |
$933 | — | — | — | — | — | — | — | — |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL BROCKTON |
$987 | $1,242 | $399 | $1,505 | $456 | — | — | $329 | — |
| PAM HEALTH SPECIALTY HOSPITAL OF STOUGHTON SUMNER STREET STOUGHTON |
$1,087 | — | — | — | — | — | — | — | — |
| ST VINCENT HOSPITAL WORCESTER |
$1,165 | — | — | — | — | — | $61.34 | — | — |
| BOSTON CHILDREN'S HOSPITAL BOSTON |
$1,217 | $730 | $686 | $728 | $586 | $1,120 | — | $1,095 | $769 |
| UMASS MEMORIAL HEALTH ALLIANCE - CLINTON HOSPITAL HOSPITAL RD. LEOMINSTER |
$1,339 | — | — | — | — | — | — | — | — |
| CHA CAMBRIDGE HOSPITAL CAMBRIDGE |
$1,400 | — | — | — | — | — | — | — | — |
| MASSACHUSETTS GENERAL HOSPITAL BOSTON |
$1,409 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S HOSPITAL BOSTON |
$1,409 | — | — | — | — | — | — | — | — |
| FRAMINGHAM UNION HOSPITAL FRAMINGHAM |
$2,273 | — | — | — | — | — | $61.34 | — | — |
| LEONARD MORSE HOSPITAL NATICK |
$2,273 | — | — | — | — | — | $61.34 | — | — |
| UMASS MEMORIAL MEDICAL CENTER - MARLBOROUGH CAMPUS BELMONT STREET WORCESTER |
$2,425 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99283, 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: $522 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $536 for this?
That is the median of what the 36 Massachusetts hospitals above publish for Emergency department visit with low level of medical decision making — 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 99283 in Massachusetts, Medicare reimburses about $71.11 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Massachusetts range from $122 to $2,425 — that means hospital cash prices are typically 7.5x 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 with low level of medical decision making cost in Massachusetts?
- Cash prices for emergency department visit with low level of medical decision making (CPT 99283) in Massachusetts range from $122 to $2,425, with a median of $536. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with low level of medical decision making in Massachusetts?
- The cheapest Massachusetts hospital published cash price for this procedure is $122. 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 with low level of medical decision making in nearby states
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Methodology. Cash prices and insurance-negotiated rates published by each Massachusetts facility under federal price transparency rules (45 CFR § 180). CPT code 99283 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.