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Office visit, established patient, 30-39 minutes
CPT 99214 · negotiated-rate distribution across hospitals in ME
Hospitals
4
Min
$76.70
Median
$82.75
Max
$222.96
Range multiplier
2.9×
By payer (18 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 2 | 10 | $87.20 | $205.79 | $318.79 | 3.7× |
| Aetna | 3 | 8 | $76.70 | $176.96 | $258.96 | 3.4× |
| Cigna | 1 | 4 | $202.20 | $239.43 | $280.80 | 1.4× |
| sentara health plan | 1 | 3 | $100.60 | $186.00 | $241.80 | 2.4× |
| gateway - tier 3 | 1 | 2 | $165.00 | $189.75 | $214.50 | 1.3× |
| vhn - ultra | 1 | 2 | $186.00 | $213.90 | $241.80 | 1.3× |
| connecticare | 1 | 2 | $210.00 | $241.50 | $273.00 | 1.3× |
| gateway - tier 1 | 1 | 2 | $285.00 | $327.75 | $370.50 | 1.3× |
| gateway - tier 2 | 1 | 2 | $240.00 | $276.00 | $312.00 | 1.3× |
| vhn | 1 | 2 | $240.00 | $276.00 | $312.00 | 1.3× |
| vhn - link | 1 | 2 | $270.00 | $310.50 | $351.00 | 1.3× |
| vhn - plus | 1 | 2 | $231.00 | $265.65 | $300.30 | 1.3× |
| vhn - secondary payors | 1 | 2 | $285.00 | $327.75 | $370.50 | 1.3× |
| Anthem BCBS | 1 | 1 | $98.72 | $98.72 | $98.72 | 1.0× |
| Humana | 1 | 1 | $103.42 | $103.42 | $103.42 | 1.0× |
| Multiplan | 1 | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| First Health | 1 | 1 | $103.42 | $103.42 | $103.42 | 1.0× |
| community health options | 1 | 1 | $76.27 | $76.27 | $76.27 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Central Maine Medical Center | Lewiston | ME | 4 | $291.56 | — | $76.27 | $82.75 | $87.20 |
| Bridgton Hospital | Bridgton | ME | 1 | $291.56 | $90.00 | $76.70 | $76.70 | $76.70 |
| Franklin Memorial Hospital | Farmington | ME | 16 | $390.00 | $136.50 | $98.72 | $222.96 | $370.50 |
| Redington-Fairview General Hospital | Skowhegan | ME | 0 | $1,055.00 | $791.25 | — | — | — |
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.