Office visit, established patient (level 4) cost in Worcester, MA

Prices at 3 hospitals in Worcester, MA, from their machine-readable files. Here the median cash price is $519 — 168% above the US median ($194), roughly 3.8× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Umass Memorial Medical Center/university Campus Worcester, MA $228 $166 ★ 3/5 291 min
Adcare Hospital of Worcester Inc Worcester, MA $519 $99
St Vincent Hospital Worcester, MA $519 $99 ★ 2/5 206 min

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated September 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$692
Cash / self-pay
$519
Insurer-negotiated
$99
Medicare pays
$136
$286$519
Median cash $519  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $519 — about 3.8× the Medicare rate ($136). High vs Medicare. A fair cash price is usually within ~2× Medicare ($271).

💡 Asking for the cash price instead of the $692 list price could save about $173 (25%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Doctors who perform this in Worcester

Clinicians who reported the most Medicare volume for this service locally. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Richard Wholey, M.DCardiologyWorcester, MA1,974
Mohamad Bahnassi, M.D.PsychiatryWorcester, MA1,743
Jordan Eisenstock, M.D.NeurologyWorcester, MA1,538
Demian Mousad, M.DPhysical Medicine and RehabilitationWorcester, MA1,148
Philip Ayvazian, MDUrologyWorcester, MA1,065
Michael Wollin, MDUrologyWorcester, MA1,024
Oren Schaefer, M.D.Pulmonary DiseaseWorcester, MA856
Kimberly Abdow, N.P.Nurse PractitionerWorcester, MA811
Mary StanleyNurse PractitionerWorcester, MA652
Ashish Verma, MD, MRCPNephrologyWorcester, MA650
Lenka Drahoradova, AGNP-BCNurse PractitionerWorcester, MA640
David Mazin, M.D.Physical Medicine and RehabilitationWorcester, MA619

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All Office visit, established patient (level 4) prices in Massachusetts → · All Office visit, established patient (level 4) prices (national) · All hospitals in Worcester