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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$106.15
Median
$181.8
Max
$269.5
Range multiplier
2.5×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield543$70.28$187.62$367.835.2×
harvard pilgrim health care135$76.6$191.06$355.574.6×
tufts health plan133$100.73$217.52$373.843.7×
UnitedHealthcare532$50.2$216.51$388.277.7×
Cigna524$76.6$219.82$388.275.1×
First Health422$76.6$230.67$396.445.2×
Aetna521$76.6$230.67$396.445.2×
mvp317$65.11$144.81$273.114.2×
capital district physicians' health plan315$101.05$125.5$210.172.1×
Anthem BCBS213$76.6$124.14$222.622.9×
Multiplan212$173.85$237.27$396.442.3×
mvp healthcare112$76.6$220.14$367.834.8×
vermont health plan111$134.79$225$365.792.7×
health new england110$221.06$243.86$396.441.8×
wellpath39$100.65$129.73$226.52.3×
harvard pilgrim38$90.72$194.75$329.453.6×
Humana46$70.28$75.84$123.621.8×
fidelis care25$68.94$88.09$90.941.3×
martins point35$101.05$106.15$150.961.5×
VA Health34$76.6$76.6$101.051.3×
wellsense13$67.33$81.96$132.272.0×
ebpa13$215.86$215.86$256.411.2×
nppn13$225.9$225.9$299.71.3×
magnacare12$200.8$233.6$266.41.3×
veterans choice12$76.6$88.83$101.051.3×
WellCare12$80.43$105.12$129.81.6×
medical corporation12$173.85$189.05$204.251.2×
martin's point12$76.6$100.11$123.621.6×
amerihealth-caritas11$67.33$67.33$67.331.0×
new hampshire healthy families11$67.33$67.33$67.331.0×
st. regis11$76.6$76.6$76.61.0×
the vermont health plan11$212$212$2121.0×
mvp health plan, inc.11$267$267$2671.0×
hphc insurance company, inc.11$272$272$2721.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MT ASCUTNEY HOSPITAL AND HEALTH CENTWINDSORVT8$293$234$212$269.5$278
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT18$408.7$286.09$67.33$221.06$396.44
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$333$333$50.2$181.8$330.15
CENTRAL VERMONT HOSPITALBARREVT12$411.81$411.81$75.07$160.91$329.45
PORTER HOSPITALMIDDLEBURYVT16$253$253$65.11$106.15$241.06
COPLEY HOSPITAL INC.MORRISVILLEVT0$205$164

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.