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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$209.81
Median
$334.36
Max
$509.5
Range multiplier
2.4×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield543$126.09$369.72$649.895.2×
harvard pilgrim health care135$123.62$382.13$628.235.1×
tufts health plan133$222.43$450.76$660.53.0×
UnitedHealthcare532$94.8$408.22$6867.2×
Cigna524$127.33$408.22$6865.4×
First Health422$169.98$463.86$700.444.1×
Aetna521$148.99$482.96$700.444.7×
mvp317$144.48$278.81$525.833.6×
capital district physicians' health plan315$148.99$237$415.422.8×
Anthem BCBS213$123.62$237.97$4013.2×
Multiplan212$301.15$485.34$700.442.3×
mvp healthcare112$123.62$450.32$649.895.3×
vermont health plan111$244.38$450.01$646.282.6×
health new england110$416.81$487.72$700.441.7×
wellpath39$174.35$237.97$432.492.5×
harvard pilgrim38$201.07$360.22$629.073.1×
Humana46$123.62$164.03$173.611.4×
fidelis care25$134.09$195.48$195.481.5×
martins point35$148.99$209.81$272.991.8×
VA Health34$148.99$169.98$169.981.1×
wellsense13$132.27$149.45$181.881.4×
ebpa13$407.64$407.64$503.581.2×
nppn13$426.6$426.6$588.61.4×
magnacare12$379.2$451.2$523.21.4×
veterans choice12$148.99$159.49$169.981.1×
WellCare12$129.8$154.14$178.481.4×
medical corporation12$301.15$343.43$385.71.3×
martin's point12$123.62$146.8$169.981.4×
amerihealth-caritas11$149.45$149.45$149.451.0×
new hampshire healthy families11$149.45$149.45$149.451.0×
st. regis11$169.98$169.98$169.981.0×
the vermont health plan11$402$402$4021.0×
mvp health plan, inc.11$504$504$5041.0×
hphc insurance company, inc.11$515$515$5151.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MT ASCUTNEY HOSPITAL AND HEALTH CENTWINDSORVT8$554$443$401$509.5$526
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT18$722.1$505.47$123.62$447.24$700.44
CENTRAL VERMONT HOSPITALBARREVT12$786.34$786.34$166.58$334.36$629.07
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$654$654$94.8$329.91$647.61
PORTER HOSPITALMIDDLEBURYVT16$500$500$134.09$209.81$472.86
COPLEY HOSPITAL INC.MORRISVILLEVT0$402$321.6

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.