Office visit, established patient (level 3) cost in Worcester, MA

Prices at 3 hospitals in Worcester, MA, from their machine-readable files. Here the median cash price is $442 — 187% above the US median ($154), roughly 4.6× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Umass Memorial Medical Center/university Campus Worcester, MA $228 $160 ★ 3/5 291 min —
Adcare Hospital of Worcester Inc Worcester, MA $442 $66 — — —
St Vincent Hospital Worcester, MA $442 $66 ★ 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 October 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)
$589
Cash / self-pay
$442
Insurer-negotiated
$66
Medicare pays
$95
$271$442
Median cash $442  ·  Medicare $95  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $442 — about 4.6× the Medicare rate ($95). High vs Medicare. A fair cash price is usually within ~2× Medicare ($190).

💡 Asking for the cash price instead of the $589 list price could save about $147 (25%).

Estimate what you’ll pay
Quick fill:

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
Jeffrey Mailhot, MDDermatologyWorcester, MA1,267
Jessica Cosenza, PAPhysician AssistantWorcester, MA1,233
Peter Zacharia, MDOphthalmologyWorcester, MA1,031
Steven Davis, M.D.Pulmonary DiseaseWorcester, MA979
David Lyons, M.D.CardiologyWorcester, MA832
Joseph Provost, PA-CPhysician AssistantWorcester, MA717
Paula Bellin, M.D.UrologyWorcester, MA701
Brian Hill, AGACNP-BCNurse PractitionerWorcester, MA679
Cheryl Sherrill, PA-CPhysician AssistantWorcester, MA636
Jonathon Sillman, M.D.OtolaryngologyWorcester, MA600
Steven Disegna, MDOrthopedic SurgeryWorcester, MA589
Elizabeth Mahanor, MDVascular SurgeryWorcester, MA557

Browse doctors by specialty & city →

All Office visit, established patient (level 3) prices in Massachusetts → · All Office visit, established patient (level 3) prices (national) · All hospitals in Worcester