Doctor visits and therapy CPT 99281 Outpatient

Level 1 ER visit cost in Worcester, MA

In Worcester, MA, 4 hospitals list a cash price for emergency room visit, level 1 of 5, minor problem that may not need a doctor: from $163.00 to $599.00, with a median of $476.50. The lowest listed price is at UMass Memorial Health - Harrington Hospital — $313.50 less than the median here. Across Massachusetts, the median is $364.00 at 18 hospitals.

Cash prices at 4 facilities across 4 cities for code 99281, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Apr 3, 2026.

Lowest$163.00UMass Memorial Health - Harrington Hospital
Median$476.50half pay less
Highest$599.00in this market
Difference3.7×highest vs lowest

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.

median
Lowest $163.00Highest $599.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UMass Memorial Health - Harrington Hospital lowest Southbridge, MA · (508) 765-9771 HC Level 1 Emergency Department Visit $163.00 $163.00 — — Apr 3, 2026
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HealthAlliance - Clinton Hospital Leominster, MA · (978) 466-2000 HC Level 1 Emergency Department Visit $469.00 $469.00 — — Mar 26, 2026
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UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC Level 1 Emergency Department Visit $484.00 $484.00 — — Mar 26, 2026
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Emr dpt vst mayx req phy/qhp $599.00 $599.00 $90.36–$549.00 — —
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Emergency Service Level 1 $599.00 $599.00 $599.00 — —
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Outpatient: lowest $163.00, median $476.50, highest $599.00 — a 3.7× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $476.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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 the lowest of five emergency department visit levels, used for a minor problem that needs little care. Since 2023 this level may apply even when no physician or similar clinician needs to see the patient. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.

What the price covers

The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.