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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in VT

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Hospitals
5
Min
$174.84
Median
$189.13
Max
$228.24
Range multiplier
1.3×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield442$79.8$194.2$364.54.6×
harvard pilgrim health care135$91.28$226.34$352.353.9×
tufts health plan133$103.82$304.52$370.453.6×
UnitedHealthcare432$57$223.54$384.756.8×
First Health424$91.28$236.46$392.854.3×
Cigna423$80.4$225.91$384.754.8×
Aetna422$91.28$228.24$392.854.3×
mvp317$75$172.53$346.74.6×
capital district physicians' health plan315$120.91$174.84$310.252.6×
Multiplan213$148.34$353.4$392.852.6×
mvp healthcare113$91.28$214.02$364.54.0×
Anthem BCBS112$91.28$127.98$220.62.4×
vermont health plan111$135.61$348.07$362.482.7×
health new england110$228.24$377.23$392.851.7×
wellpath39$120.45$156.75$226.311.9×
harvard pilgrim38$107.39$228$329.183.1×
VA Health36$91.28$93.87$174.841.9×
Humana46$79.8$90.37$123.621.5×
martins point35$122.43$122.43$174.841.4×
fidelis care25$82.15$104.97$157.361.9×
nppn13$256.5$256.5$343.81.3×
wellsense13$80.22$97.67$132.271.6×
ebpa13$245.1$245.1$294.141.2×
magnacare12$228$266.8$305.61.3×
medical corporation12$208.05$280.73$353.41.7×
martin's point12$91.28$107.45$123.621.4×
veterans choice12$91.28$133.06$174.841.9×
WellCare12$95.84$112.82$129.81.4×
st. regis11$91.28$91.28$91.281.0×
new hampshire healthy families11$80.22$80.22$80.221.0×
amerihealth-caritas11$80.22$80.22$80.221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT18$405$283.5$80.22$228.24$392.85
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$382$382$57$189.13$378.27
CENTRAL VERMONT HOSPITALBARREVT12$411.48$411.48$80.4$177.5$329.18
PORTER HOSPITALMIDDLEBURYVT16$372$372$77.59$174.84$368.28
COPLEY HOSPITAL INC.MORRISVILLEVT0$237$189.6

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.