HUHS is committed to informing its patients and prospective patients about the approximate costs of its services. In support of this commitment to price transparency, HUHS provides cost estimates upon request and publishes cost estimates for its most common healthcare services, procedures, and treatments. In addition, this webpage provides several examples of common healthcare visit scenarios and the subsequent cost of each visit.
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We are here to help! For specific price inquiries or to request a cost estimate, please contact the Patient Accounts Department by phone or email:
- Call (617) 496-8700 between 8:30am – 4:30pm EST, Monday through Friday*
- Email us at PriceEstimates@huhs.harvard.edu
*Closed from 1:00pm – 2:00pm EST daily.
Examples
Below are the four most common visit scenarios. The costs are based on estimates; see below for fee tables. These prices are subject to change.
Example One: Self-Pay
A fellow from Harvard Law School walks into Urgent Care with severe cough and congestion, requiring evaluation.
The doctor subsequently orders chest X-rays for further assessment.
Office visit for a new patient | Maximum cost: $254 |
X-ray exam of the chest (2 views) | Maximum cost: $82 |
Patient’s responsibility | $336 |
Example Two: BCBS High Deductible Health Plan – patient has NOT met their deductible
A patient presents with right knee pain, prompting the doctor to request a knee X-ray for further evaluation.
The patient has maintained good health throughout the year and has not met their deductible.
Office visit for an established patient | Maximum cost: $154 |
X-ray exam of the knee (4 views or more) | Maximum cost: $60 |
Patient’s responsibility | $214 |
Example Three: BCBS High Deductible Health Plan – patient HAS met their deductible
A patient presents with a left-hand injury from playing basketball, prompting the doctor to request a hand X-ray for further evaluation.
The patient has experienced a challenging year and has visited the doctor’s office multiple times this year. As a result, they have met their deductible and are now only responsible for a 15% coinsurance.
Office visit for an established patient | Maximum cost: $17 |
X-ray exam of the hand | Maximum cost: $8 |
Patient’s responsibility | $25 |
Example Four: BCBS HMO/POS/PPO (this example also applies to a HUGHP member with an outside PCP)
A Harvard University employee presents to HUHS Urgent Care with a sore throat, and the attending physician conducts a rapid strep test to determine if the patient has strep throat.
The patient has a BCBS HMO plan with an outside PCP. The HUHS Urgent Care unit is credentialed with BCBS, which means the patient will only be responsible for their copay. According to the patient’s BCBS insurance card, their copay for an office visit is $30.
Office visit for a new patient | Maximum cost: $30 |
Rapid strep test | Maximum cost: $0 |
Patient’s responsibility | $30 |
Glossary of Terms
- CPT: Current Procedural Terminology
- Self-Pay: If you do not have any insurance, this is the most you should expect to pay.
- Out-of-Network: Physicians, hospitals, and other health providers who do not participate in your plan’s network. Services obtained from an out-of-network provider are subject to deductibles and coinsurance.
- BCBS High Deductible Health Plan: A plan offered through BCBSMA that features lower premiums and higher deductibles. You’ll pay the full cost of all services until you reach your individual or family’s deductible before the plan begins paying according to your plan’s benefits.
- Deductible: The amount you must pay for covered health insurance before the insurance starts to pay for services.
Cost Estimates
You are considered a “new patient” if you have not been seen in the department or specialty in the last three years.
Office Visits for New Patients
Description | CPT | Self-Pay/Out-of-Network | BCBS High Deductible Health Plan |
---|---|---|---|
Low to moderate severity, includes exam and reviewing patient’s expanded history | 99202 | $166 | $87 |
Moderate severity, includes exam and reviewing patient’s detailed history | 99203 | $254 | $134 |
Moderate to high severity, includes exam and reviewing patient’s comprehensive history | 99204 | $378 | $199 |
High severity, includes exam and reviewing patient’s comprehensive history | 99205 | $498 | $262 |
Office Visits for Established Patients
Description | CPT | Self-Pay/Out-of-Network | BCBS High Deductible Health Plan |
---|---|---|---|
Minimal problem, may not require a physician | 99211 | $55 | $29 |
Limited or minor problem, includes exam and reviewing patient’s history | 99212 | $130 | $69 |
Low severity, includes exam and reviewing patient’s expanded history | 99213 | $208 | $109 |
Moderate severity, includes exam and reviewing patient’s expanded history | 99214 | $292 | $154 |
Moderate to high severity, includes exam and reviewing patient’s comprehensive history | 99215 | $409 | $215 |
Behavioral Health Services
Description | CPT | Self-Pay/Out-of-Network | BCBS High Deductible Health Plan (range*) |
---|---|---|---|
Psychiatric diagnostic evaluation | 90791 | $386 | $152 – $203 |
Psychiatric diagnostic evaluation with medical services | 90792 | $434 | n/a – $228 |
Psychotherapy, 30 minutes | 90832 | $172 | $68 – $91 |
Psychotherapy, 45 minutes | 90834 | $253 | $100 – $133 |
Psychotherapy, 1 hour | 90837 | $347 | $137 – $183 |
Psychotherapy for crisis, first hour | 90839 | $323 | $128 – $170 |
Family psychotherapy with patient, 50 minutes | 90847 | $249 | $98 – $131 |
Group psychotherapy | 90853 | $68 | $27 – $36 |
Established patient with straightforward medical decision making | 99212 | $130 | n/a – $69 |
Established patient with low level of decision making, if using time | 99213 | $208 | n/a – $109 |
Established patient with moderate level of decision making, if using time | 99214 | $292 | n/a – $154 |
Established patient with high level of medical decision making | 99215 | $409 | n/a – $215 |
Telephone medical discussion with physician, 5-10 minutes | 99441 | $104 | n/a – $55 |
Telephone medical discussion with physician, 11-20 minutes | 99442 | $166 | n/a – $87 |
Telephone medical discussion with physician, 21-30 minutes | 99443 | $234 | n/a – $123 |
Psychiatric services complicated by communication factor | 90785 | $33 | $13 – $17 |
Ultrasound
Description | CPT | Self-Pay/Out-of-Network | BCBS High Deductible Health Plan |
---|---|---|---|
EXAM PELVIC COMPLETE | 76856 | $257 | $135 |
TRANSVAGINAL NON-OB | 76830 | $293 | $154 |
EXAM OF HEAD AND NECK | 76536 | $272 | $143 |
EXAM SCROTUM | 76870 | $244 | $129 |
EXAM ABDOM COMPLETE | 76700 | $283 | $149 |
LMTD JT/FCL EVL NVASC XTR | 76882 | $156 | $82 |
EXAM ABDO BACK WALL COMP | 76770 | $264 | $139 |
EXAM PELVIC LIMITED | 76857 | $118 | $62 |
EXAM ABDO BACK WALL LIM | 76775 | $143 | $75 |
OB < 14 WKS SINGLE FETUS | 76801 | $283 | $149 |
X-Ray
Description | CPT | Self-Pay/Out-of-Network | BCBS High Deductible Health Plan |
---|---|---|---|
X-RAY EXAM CHEST 2 VIEWS | 71046 | $82 | $43 |
X-RAY EXAM KNEE 4 VIEWS OR MORE | 73564 | $113 | $60 |
X-RAY EXAM OF FOOT | 73630 | $82 | $43 |
X-RAY EXAM OF ANKLE | 73610 | $88 | $46 |
X-RAY EXAM OF SHOULDER | 73030 | $84 | $44 |
X-RAY EXAM HIP UNI 2-3 VIEWS | 73502 | $114 | $60 |
X-RAY EXAM OF FINGER(S) | 73140 | $92 | $49 |
X-RAY EXAM L-S SPINE 2/3 VWS | 72100 | $95 | $50 |
X-RAY EXAM OF WRIST | 73110 | $99 | $52 |
X-RAY EXAM OF HAND | 73130 | $89 | $47 |
X-RAY EXAM OF TOE(S) | 73660 | $70 | $37 |
X-RAY EXAM OF KNEES, STANDING VIEW OF BOTH | 73565 | $96 | $51 |
X-RAY EXAM COMPLETE ABDOMEN | 74022 | $119 | $63 |
X-RAY EXAM OF FOOT (AP + LAT) | 73620 | $68 | $36 |
X-RAY EXAM OF ELBOW | 73080 | $79 | $41 |
Vaccines
The prices listed below represent the cost of students obtaining preventive vaccines. Harvard University students enrolled in the Student Health Insurance Plan (SHIP) can receive certain preventive vaccines at no cost.