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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$26.6$123.05$285.9510.7×
Cigna423$33.12$119.7$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$270.98.2×
Anthem BCBS112$33.12$94.42$173.075.2×
vermont health plan111$58.97$160.65$269.44.6×
health new england110$73.24$174.12$291.974.0×
wellpath39$43.45$92.95$133.173.1×
harvard pilgrim38$38.88$137.6$193.75.0×
VA Health36$33.12$34.23$82.252.5×
Humana46$31.46$35.18$123.623.9×
martins point35$54$54$131.162.4×
fidelis care25$29.81$38.09$74.032.5×
nppn13$119.7$119.7$152.11.3×
wellsense13$29.1$35.44$132.274.5×
ebpa13$114.38$114.38$130.131.1×
magnacare12$106.4$120.8$135.21.3×
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$129.83.7×
st. regis11$33.12$33.12$33.121.0×
new hampshire healthy families11$29.1$29.1$29.11.0×
amerihealth-caritas11$29.1$29.1$29.11.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$169$169$26.6$83.05$298.74
PORTER HOSPITALMIDDLEBURYVT16$175$175$28.15$74.03$173.25
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT18$301$210.7$29.1$150.48$291.97
CENTRAL VERMONT HOSPITALBARREVT12$242.13$242.13$32.46$109.13$203.7
COPLEY HOSPITAL INC.MORRISVILLEVT0$103$82.4

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.