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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
$29.00
Median
$84.10
Max
$87.20
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$29.001.5×
sentara health plan12$18.24$49.73$81.224.5×
Cigna12$88.29$91.31$94.321.1×
gateway - tier 211$104.80$104.80$104.801.0×
gateway - tier 311$72.05$72.05$72.051.0×
Medicaid11$30.31$30.31$30.311.0×
Medicare11$31.00$31.00$31.001.0×
vhn11$104.80$104.80$104.801.0×
vhn - link11$117.90$117.90$117.901.0×
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$29.00$29.00$29.001.0×
Anthem BCBS11$17.90$17.90$17.901.0×
connecticare11$91.70$91.70$91.701.0×
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$137.50$87.20$87.20$87.20
Franklin Memorial HospitalFarmingtonME16$131.00$45.85$17.90$84.10$124.45
Bridgton HospitalBridgtonME3$137.50$42.00$31.00$53.85$90.70
Rumford HospitalRumfordME3$137.50$39.00$29.00$29.00$30.31
Redington-Fairview General HospitalSkowheganME0$207.00$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.