Returning patient visit, 20 min cost in Worcester, MA — inpatient
In Worcester, MA, 4 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes as an inpatient: from $71.00 to $444.00, with a median of $276.00. The lowest listed price is at Milford Regional Medical Center — $205.00 less than the median here. Across Massachusetts, the median is $140.43 at 19 hospitals.
Cash prices at 4 facilities across 4 cities for code 99213, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Apr 3, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Worcester, MA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Milford Regional Medical Center lowest Milford, MA · (508) 473-1190 Level 3 Est Pt Eval | $71.00 | $71.00 | $71.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Diabetes Ind. Training Per 30m | $87.00 | $87.00 | $87.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Level 3 Established | $94.00 | $94.00 | $94.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Level 3 31-45 Min Ind Assessme | $127.00 | $127.00 | $127.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Level 3 Visit (15 Min) | $127.00 | $127.00 | $127.00 | — | — source file |
| UMass Memorial Medical Center Worcester, MA · (508) 334-1000 Est. Pt. Labor Check 61-120 Minutes | $149.00 | $149.00 | — | — | Mar 26, 2026 source file |
| UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC Level 3 Outpatient Est Pt Visit | $228.00 | $228.00 | — | — | Mar 26, 2026 source file |
| UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC PR Bh Level 3 Outpatient Est Pt Visit | $258.00 | $258.00 | — | — | Mar 26, 2026 source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Endo Peg Tube Removal | $351.00 | $351.00 | $351.00 | — | — source file |
| UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 HC Level 3 Outpatient Est Pt Visit | $403.00 | $403.00 | — | — | Apr 3, 2026 source file |
| UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 HB Bh Medication Management Lvl 3 (20-29 Mins) | $403.00 | $403.00 | — | — | Apr 3, 2026 source file |
| HealthAlliance - Clinton Hospital Leominster, MA · (978) 466-2000 Est. Pt. Labor Check 61-120 Minutes | $444.00 | $444.00 | — | — | Mar 26, 2026 source file |
| HealthAlliance - Clinton Hospital Leominster, MA · (978) 466-2000 HC Level 3 Outpatient Est Pt Visit | $484.00 | $484.00 | — | — | Mar 26, 2026 source file |
| UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 Est. Pt. Labor Check 61-120 Minutes | $494.00 | $494.00 | — | — | Apr 3, 2026 source file |
Inpatient: lowest $71.00, median $276.00, highest $444.00 — a 6.3× difference within the same market.
As an outpatient, the same code is billed by 4 facilities here, median $276.00 — that is the price to compare if you are not being admitted.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This is an office or outpatient visit for a returning patient with low complexity decision making, or at least 20 minutes of total clinician time on the visit date. It is one of the most common visit codes, used for things like a stable chronic condition or an acute problem such as an infection.
What the price covers
The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.