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Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in ME
Hospitals
2
Min
$224.70
Median
$224.70
Max
$224.70
Range multiplier
1.0×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 1 | 5 | $90.02 | $200.10 | $286.09 | 3.2× |
| Aetna | 1 | 3 | $178.15 | $181.30 | $232.40 | 1.3× |
| sentara health plan | 1 | 2 | $87.57 | $152.29 | $217.00 | 2.5× |
| Cigna | 1 | 2 | $235.90 | $243.95 | $252.00 | 1.1× |
| gateway - tier 1 | 1 | 1 | $332.50 | $332.50 | $332.50 | 1.0× |
| gateway - tier 2 | 1 | 1 | $280.00 | $280.00 | $280.00 | 1.0× |
| gateway - tier 3 | 1 | 1 | $192.50 | $192.50 | $192.50 | 1.0× |
| Humana | 1 | 1 | $90.02 | $90.02 | $90.02 | 1.0× |
| vhn | 1 | 1 | $280.00 | $280.00 | $280.00 | 1.0× |
| vhn - link | 1 | 1 | $315.00 | $315.00 | $315.00 | 1.0× |
| vhn - plus | 1 | 1 | $269.50 | $269.50 | $269.50 | 1.0× |
| vhn - secondary payors | 1 | 1 | $332.50 | $332.50 | $332.50 | 1.0× |
| vhn - ultra | 1 | 1 | $217.00 | $217.00 | $217.00 | 1.0× |
| Anthem BCBS | 1 | 1 | $85.93 | $85.93 | $85.93 | 1.0× |
| connecticare | 1 | 1 | $245.00 | $245.00 | $245.00 | 1.0× |
| First Health | 1 | 1 | $90.02 | $90.02 | $90.02 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Franklin Memorial Hospital | Farmington | ME | 16 | $350.00 | $122.50 | $85.93 | $224.70 | $332.50 |
| Redington-Fairview General Hospital | Skowhegan | ME | 0 | $607.00 | $455.25 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.