Patient Cost Estimates

HUHS is committed to informing its patients and prospective patients about the approximate costs of its services.

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In support of this commitment to price transparency, HUHS provides cost estimates upon request and publishes cost estimates for its most common health care services, procedures, and treatments. In addition, this webpage provides several examples of common health care visit scenarios and the subsequent cost of each visit.  

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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 patientMaximum cost: $252
X-ray exam of the chest (2 views)
Maximum cost: $82
Patient’s responsibility
$334

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 patientMaximum cost: $152
X-ray exam of the knee (4 views or more)
Maximum cost: $59
Patient’s responsibility
$211

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 patientMaximum 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 patientMaximum 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.