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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$29.7
Median
$59.37
Max
$112.02
Range multiplier
3.8×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield539$8.4$53.12$287.2534.2×
harvard pilgrim health care135$8.24$80.72$201.4924.5×
tufts health plan133$12.24$113.26$211.8417.3×
UnitedHealthcare529$13.76$68.91$220.0216.0×
Cigna523$8.24$63$220.0226.7×
First Health419$8.24$86.52$224.6527.3×
Aetna518$8.24$86.06$224.6527.3×
mvp316$8.4$41.41$171.9520.5×
Anthem BCBS213$8.24$67$173.0721.0×
mvp healthcare113$8.24$124.83$208.4425.3×
Multiplan212$27.65$134.54$224.658.1×
capital district physicians' health plan312$22.37$35.18$148.876.7×
vermont health plan111$25.51$124.14$207.288.1×
health new england110$27.65$134.54$224.658.1×
wellpath38$11.54$38.5$115.1910.0×
harvard pilgrim37$43.2$56$167.543.9×
fidelis care26$9.48$14.84$45.454.8×
VA Health35$8.24$8.6$25.383.1×
Humana35$8.08$19.6$123.6215.3×
martins point34$22.37$23.88$119.15.3×
wellsense13$7.23$8.82$132.2718.3×
ebpa13$53.9$60.2$60.21.1×
nppn13$63$63$631.0×
WellCare12$8.65$69.23$129.815.0×
magnacare12$56$56$561.0×
martin's point12$8.24$65.93$123.6215.0×
mvp health plan, inc.11$85$85$851.0×
medical corporation11$51.3$51.3$51.31.0×
veterans choice11$25.38$25.38$25.381.0×
hphc insurance company, inc.11$86$86$861.0×
amerihealth-caritas11$7.23$7.23$7.231.0×
new hampshire healthy families11$7.23$7.23$7.231.0×
st. regis11$8.24$8.24$8.241.0×
the vermont health plan11$67$67$671.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MT ASCUTNEY HOSPITAL AND HEALTH CENTWINDSORVT8$93$74$67$85.5$88
CENTRAL VERMONT HOSPITALBARREVT12$209.43$209.43$8.08$59.37$184.97
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$70$70$8.24$39.96$287.25
PORTER HOSPITALMIDDLEBURYVT15$54$54$20.2$29.7$105.36
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT18$231.6$162.12$7.23$112.02$224.65
COPLEY HOSPITAL INC.MORRISVILLEVT0$73$58.4

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.