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Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in ME
Hospitals
2
Min
$375.57
Median
$375.57
Max
$375.57
Range multiplier
1.0×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 1 | 5 | $178.04 | $334.44 | $478.18 | 2.7× |
| Aetna | 1 | 3 | $297.77 | $303.03 | $388.44 | 1.3× |
| sentara health plan | 1 | 2 | $173.18 | $267.94 | $362.7 | 2.1× |
| Cigna | 1 | 2 | $394.29 | $407.75 | $421.2 | 1.1× |
| gateway - tier 1 | 1 | 1 | $555.75 | $555.75 | $555.75 | 1.0× |
| gateway - tier 2 | 1 | 1 | $468 | $468 | $468 | 1.0× |
| gateway - tier 3 | 1 | 1 | $321.75 | $321.75 | $321.75 | 1.0× |
| Humana | 1 | 1 | $178.04 | $178.04 | $178.04 | 1.0× |
| vhn | 1 | 1 | $468 | $468 | $468 | 1.0× |
| vhn - link | 1 | 1 | $526.5 | $526.5 | $526.5 | 1.0× |
| vhn - plus | 1 | 1 | $450.45 | $450.45 | $450.45 | 1.0× |
| vhn - secondary payors | 1 | 1 | $555.75 | $555.75 | $555.75 | 1.0× |
| vhn - ultra | 1 | 1 | $362.7 | $362.7 | $362.7 | 1.0× |
| Anthem BCBS | 1 | 1 | $169.94 | $169.94 | $169.94 | 1.0× |
| connecticare | 1 | 1 | $409.5 | $409.5 | $409.5 | 1.0× |
| First Health | 1 | 1 | $178.04 | $178.04 | $178.04 | 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 | $585 | $204.75 | $169.94 | $375.57 | $555.75 |
| REDINGTON-FAIRVIEW GENERAL HOSPITAL | SKOWHEGAN | ME | 0 | $1,107 | $830.25 | — | — | — |
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.