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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in VT

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Hospitals
5
Min
$188.94
Median
$310.12
Max
$397.94
Range multiplier
2.1×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield440$109.48$295.49$494.914.5×
UnitedHealthcare430$78.2$288.73$560.477.2×
harvard pilgrim health care129$123.62$306.31$478.413.9×
tufts health plan127$146.67$451.78$502.993.4×
Cigna421$117.06$317.9$533.44.6×
First Health420$135.2$443.77$549.994.1×
Aetna418$135.2$321.94$549.994.1×
mvp317$102$196.9$5215.1×
capital district physicians' health plan315$169.83$195.5$451.082.7×
Multiplan211$148.34$499.74$533.43.6×
mvp healthcare111$123.62$463.68$494.914.0×
Anthem BCBS111$123.62$176.55$299.532.4×
wellpath39$178.2$221.1$310.121.7×
vermont health plan19$189.12$461.1$492.162.6×
health new england18$321.94$505.13$533.41.7×
harvard pilgrim38$158.86$374.8$451.082.8×
Humana46$109.48$130.47$229.492.1×
VA Health36$135.2$138.75$188.941.4×
martins point35$171.82$171.82$360.862.1×
fidelis care25$121.68$155.48$170.051.4×
nppn13$351.9$351.9$481.51.4×
wellsense13$118.86$132.27$144.661.2×
ebpa13$336.26$336.26$411.951.2×
magnacare12$312.8$370.4$4281.4×
medical corporation12$307.8$344.85$381.91.2×
martin's point12$123.62$129.41$135.21.1×
veterans choice12$135.2$162.07$188.941.4×
WellCare12$129.8$135.88$141.961.1×
st. regis11$135.2$135.2$135.21.0×
new hampshire healthy families11$118.86$118.86$118.861.0×
amerihealth-caritas11$118.86$118.86$118.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT18$567$396.9$118.86$397.94$549.99
CENTRAL VERMONT HOSPITALBARREVT12$563.85$563.85$117.06$310.12$560.47
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$535$535$78.2$277.21$529.83
PORTER HOSPITALMIDDLEBURYVT16$411$411$114.92$188.94$397.98
COPLEY HOSPITAL INC.MORRISVILLEVT0$330$264

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.