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CPT 99203 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$106.15
Median
$181.80
Max
$269.50
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$76.60$191.06$355.574.6×
tufts health plan133$100.73$217.52$373.843.7×
UnitedHealthcare532$50.20$216.51$388.277.7×
Cigna524$76.60$219.82$388.275.1×
First Health422$76.60$230.67$396.445.2×
Aetna521$76.60$230.67$396.445.2×
mvp317$65.11$144.81$273.114.2×
capital district physicians' health plan315$101.05$125.50$210.172.1×
Anthem BCBS213$76.60$124.14$222.622.9×
Multiplan212$173.85$237.27$396.442.3×
mvp healthcare112$76.60$220.14$367.834.8×
vermont health plan111$134.79$225.00$365.792.7×
health new england110$221.06$243.86$396.441.8×
wellpath39$100.65$129.73$226.502.3×
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$76.60$76.60$101.051.3×
wellsense13$67.33$81.96$132.272.0×
ebpa13$215.86$215.86$256.411.2×
nppn13$225.90$225.90$299.701.3×
magnacare12$200.80$233.60$266.401.3×
veterans choice12$76.60$88.83$101.051.3×
WellCare12$80.43$105.12$129.801.6×
medical corporation12$173.85$189.05$204.251.2×
martin's point12$76.60$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$76.60$76.60$76.601.0×
the vermont health plan11$212.00$212.00$212.001.0×
mvp health plan, inc.11$267.00$267.00$267.001.0×
hphc insurance company, inc.11$272.00$272.00$272.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mt Ascutney Hospital And Health CentWindsorVT8$293.00$234.00$212.00$269.50$278.00
Brattleboro Memorial HospitalBrattleboroVT18$408.70$286.09$67.33$221.06$396.44
University Of Vermont Medical CenterBurlingtonVT17$333.00$333.00$50.20$181.80$330.15
Central Vermont HospitalBarreVT12$411.81$411.81$75.07$160.91$329.45
Porter HospitalMiddleburyVT16$253.00$253.00$65.11$106.15$241.06
Copley Hospital Inc.MorrisvilleVT0$205.00$164.00

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.