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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in VT

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Hospitals
5
Min
$115.62
Median
$139.76
Max
$186.24
Range multiplier
1.6×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield442$57.12$159.12$416.887.3×
harvard pilgrim health care135$62.03$167.04$402.986.5×
tufts health plan133$67.59$239.47$423.696.3×
UnitedHealthcare432$40.80$144.78$440.0410.8×
Cigna423$51.29$167.73$440.048.6×
First Health422$62.03$194.52$449.307.2×
Aetna420$62.03$186.24$449.307.2×
mvp317$52.73$115.62$229.274.3×
capital district physicians' health plan315$85.86$115.62$205.162.4×
Multiplan213$140.60$233.70$449.303.2×
mvp healthcare113$62.03$172.80$416.886.7×
Anthem BCBS112$62.03$114.10$252.314.1×
vermont health plan111$95.56$246.04$414.564.3×
health new england110$147.83$266.65$449.303.0×
wellpath39$81.40$122.97$156.391.9×
harvard pilgrim38$72.95$178.87$227.473.1×
VA Health36$62.03$63.49$115.621.9×
Humana46$57.12$61.41$123.622.2×
martins point35$87.09$87.09$143.101.6×
fidelis care25$55.83$71.33$104.061.9×
nppn13$183.60$183.60$243.001.3×
wellsense13$54.52$66.37$132.272.4×
ebpa13$175.44$175.44$207.901.2×
magnacare12$163.20$189.60$216.001.3×
medical corporation12$140.60$187.15$233.701.7×
martin's point12$62.03$92.83$123.622.0×
veterans choice12$62.03$88.83$115.621.9×
WellCare12$65.13$97.47$129.802.0×
st. regis11$62.03$62.03$62.031.0×
new hampshire healthy families11$54.52$54.52$54.521.0×
amerihealth-caritas11$54.52$54.52$54.521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Brattleboro Memorial HospitalBrattleboroVT18$463.20$324.24$54.52$186.24$449.30
Central Vermont HospitalBarreVT12$284.34$284.34$51.29$139.76$227.47
University Of Vermont Medical CenterBurlingtonVT17$270.00$270.00$40.80$134.57$276.19
Porter HospitalMiddleburyVT16$246.00$246.00$52.73$115.62$243.54
Copley Hospital Inc.MorrisvilleVT0$167.00$133.60

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.