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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in VT

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Hospitals
5
Min
$74.03
Median
$109.13
Max
$150.48
Range multiplier
2.0×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield442$33.78$102.19$298.748.8×
harvard pilgrim health care135$33.12$127.07$261.877.9×
tufts health plan133$33.69$152.94$275.328.2×
UnitedHealthcare432$26.60$123.05$285.9510.7×
Cigna423$33.12$119.70$285.958.6×
First Health422$33.12$158.09$291.978.8×
Aetna420$33.12$109.32$291.978.8×
mvp317$28.15$72.15$189.366.7×
capital district physicians' health plan315$52.99$82.25$163.943.1×
Multiplan213$73.24$166.25$291.974.0×
mvp healthcare113$33.12$150.48$270.908.2×
Anthem BCBS112$33.12$94.42$173.075.2×
vermont health plan111$58.97$160.65$269.404.6×
health new england110$73.24$174.12$291.974.0×
wellpath39$43.45$92.95$133.173.1×
harvard pilgrim38$38.88$137.60$193.705.0×
VA Health36$33.12$34.23$82.252.5×
Humana46$31.46$35.18$123.623.9×
martins point35$54.00$54.00$131.162.4×
fidelis care25$29.81$38.09$74.032.5×
nppn13$119.70$119.70$152.101.3×
wellsense13$29.10$35.44$132.274.5×
ebpa13$114.38$114.38$130.131.1×
magnacare12$106.40$120.80$135.201.3×
medical corporation12$75.05$120.65$166.252.2×
martin's point12$33.12$78.37$123.623.7×
veterans choice12$33.12$57.69$82.252.5×
WellCare12$34.78$82.29$129.803.7×
st. regis11$33.12$33.12$33.121.0×
new hampshire healthy families11$29.10$29.10$29.101.0×
amerihealth-caritas11$29.10$29.10$29.101.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
University Of Vermont Medical CenterBurlingtonVT17$169.00$169.00$26.60$83.05$298.74
Porter HospitalMiddleburyVT16$175.00$175.00$28.15$74.03$173.25
Brattleboro Memorial HospitalBrattleboroVT18$301.00$210.70$29.10$150.48$291.97
Central Vermont HospitalBarreVT12$242.13$242.13$32.46$109.13$203.70
Copley Hospital Inc.MorrisvilleVT0$103.00$82.40

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.