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Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in ME
Hospitals
3
Min
$76.70
Median
$144.45
Max
$144.45
Range multiplier
1.9×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 1 | 5 | $73.41 | $128.63 | $183.92 | 2.5× |
| Aetna | 2 | 4 | $76.70 | $115.54 | $149.40 | 1.9× |
| sentara health plan | 1 | 2 | $71.41 | $105.46 | $139.50 | 2.0× |
| Cigna | 1 | 2 | $151.65 | $156.83 | $162.00 | 1.1× |
| gateway - tier 1 | 1 | 1 | $213.75 | $213.75 | $213.75 | 1.0× |
| gateway - tier 2 | 1 | 1 | $180.00 | $180.00 | $180.00 | 1.0× |
| gateway - tier 3 | 1 | 1 | $123.75 | $123.75 | $123.75 | 1.0× |
| Humana | 1 | 1 | $73.41 | $73.41 | $73.41 | 1.0× |
| vhn | 1 | 1 | $180.00 | $180.00 | $180.00 | 1.0× |
| vhn - link | 1 | 1 | $202.50 | $202.50 | $202.50 | 1.0× |
| vhn - plus | 1 | 1 | $173.25 | $173.25 | $173.25 | 1.0× |
| vhn - secondary payors | 1 | 1 | $213.75 | $213.75 | $213.75 | 1.0× |
| vhn - ultra | 1 | 1 | $139.50 | $139.50 | $139.50 | 1.0× |
| Anthem BCBS | 1 | 1 | $70.08 | $70.08 | $70.08 | 1.0× |
| connecticare | 1 | 1 | $157.50 | $157.50 | $157.50 | 1.0× |
| First Health | 1 | 1 | $73.41 | $73.41 | $73.41 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Bridgton Hospital | Bridgton | ME | 1 | $254.06 | $78.00 | $76.70 | $76.70 | $76.70 |
| Franklin Memorial Hospital | Farmington | ME | 16 | $225.00 | $78.75 | $70.08 | $144.45 | $213.75 |
| Redington-Fairview General Hospital | Skowhegan | ME | 0 | $762.00 | $571.50 | — | — | — |
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.