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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in ME

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Hospitals
3
Min
$76.7
Median
$250.38
Max
$250.38
Range multiplier
3.3×

By payer (16 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare15$145.35$222.96$318.792.2×
Aetna24$76.7$200.27$258.963.4×
sentara health plan12$141.39$191.6$241.81.7×
Cigna12$262.86$271.83$280.81.1×
gateway - tier 111$370.5$370.5$370.51.0×
gateway - tier 211$312$312$3121.0×
gateway - tier 311$214.5$214.5$214.51.0×
Humana11$145.35$145.35$145.351.0×
vhn11$312$312$3121.0×
vhn - link11$351$351$3511.0×
vhn - plus11$300.3$300.3$300.31.0×
vhn - secondary payors11$370.5$370.5$370.51.0×
vhn - ultra11$241.8$241.8$241.81.0×
Anthem BCBS11$138.75$138.75$138.751.0×
connecticare11$273$273$2731.0×
First Health11$145.35$145.35$145.351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRIDGTON HOSPITALBRIDGTONME1$334.69$103$76.7$76.7$76.7
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$390$136.5$138.75$250.38$370.5
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$1,412$1,059

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.