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Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in ME
Hospitals
2
Min
$288.90
Median
$288.90
Max
$288.90
Range multiplier
1.0×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 1 | 5 | $134.90 | $257.27 | $367.83 | 2.7× |
| Aetna | 1 | 3 | $229.05 | $233.10 | $298.80 | 1.3× |
| sentara health plan | 1 | 2 | $131.22 | $205.11 | $279.00 | 2.1× |
| Cigna | 1 | 2 | $303.30 | $313.65 | $324.00 | 1.1× |
| gateway - tier 1 | 1 | 1 | $427.50 | $427.50 | $427.50 | 1.0× |
| gateway - tier 2 | 1 | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| gateway - tier 3 | 1 | 1 | $247.50 | $247.50 | $247.50 | 1.0× |
| Humana | 1 | 1 | $134.90 | $134.90 | $134.90 | 1.0× |
| vhn | 1 | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| vhn - link | 1 | 1 | $405.00 | $405.00 | $405.00 | 1.0× |
| vhn - plus | 1 | 1 | $346.50 | $346.50 | $346.50 | 1.0× |
| vhn - secondary payors | 1 | 1 | $427.50 | $427.50 | $427.50 | 1.0× |
| vhn - ultra | 1 | 1 | $279.00 | $279.00 | $279.00 | 1.0× |
| Anthem BCBS | 1 | 1 | $128.77 | $128.77 | $128.77 | 1.0× |
| connecticare | 1 | 1 | $315.00 | $315.00 | $315.00 | 1.0× |
| First Health | 1 | 1 | $134.90 | $134.90 | $134.90 | 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 | $450.00 | $157.50 | $128.77 | $288.90 | $427.50 |
| Redington-Fairview General Hospital | Skowhegan | ME | 0 | $862.00 | $646.50 | — | — | — |
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.