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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$29
Median
$84.1
Max
$87.2
Range multiplier
3.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare38$18.76$81.05$107.085.7×
Aetna24$66.68$72.28$86.981.3×
Humana22$18.76$23.88$291.5×
sentara health plan12$18.24$49.73$81.224.5×
Cigna12$88.29$91.31$94.321.1×
gateway - tier 211$104.8$104.8$104.81.0×
gateway - tier 311$72.05$72.05$72.051.0×
Medicaid11$30.31$30.31$30.311.0×
Medicare11$31$31$311.0×
vhn11$104.8$104.8$104.81.0×
vhn - link11$117.9$117.9$117.91.0×
vhn - plus11$100.87$100.87$100.871.0×
vhn - secondary payors11$124.45$124.45$124.451.0×
vhn - ultra11$81.22$81.22$81.221.0×
WellCare11$29$29$291.0×
Anthem BCBS11$17.9$17.9$17.91.0×
connecticare11$91.7$91.7$91.71.0×
First Health11$18.76$18.76$18.761.0×
gateway - tier 111$124.45$124.45$124.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CENTRAL MAINE MEDICAL CENTERLEWISTONME1$137.5$87.2$87.2$87.2
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$131$45.85$17.9$84.1$124.45
BRIDGTON HOSPITALBRIDGTONME3$137.5$42$31$53.85$90.7
RUMFORD HOSPITALRUMFORDME3$137.5$39$29$29$30.31
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$207$155.25

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.