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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$78.20$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$317.90$533.404.6×
First Health420$135.20$443.77$549.994.1×
Aetna418$135.20$321.94$549.994.1×
mvp317$102.00$196.90$521.005.1×
capital district physicians' health plan315$169.83$195.50$451.082.7×
Multiplan211$148.34$499.74$533.403.6×
mvp healthcare111$123.62$463.68$494.914.0×
Anthem BCBS111$123.62$176.55$299.532.4×
wellpath39$178.20$221.10$310.121.7×
vermont health plan19$189.12$461.10$492.162.6×
health new england18$321.94$505.13$533.401.7×
harvard pilgrim38$158.86$374.80$451.082.8×
Humana46$109.48$130.47$229.492.1×
VA Health36$135.20$138.75$188.941.4×
martins point35$171.82$171.82$360.862.1×
fidelis care25$121.68$155.48$170.051.4×
nppn13$351.90$351.90$481.501.4×
wellsense13$118.86$132.27$144.661.2×
ebpa13$336.26$336.26$411.951.2×
magnacare12$312.80$370.40$428.001.4×
medical corporation12$307.80$344.85$381.901.2×
martin's point12$123.62$129.41$135.201.1×
veterans choice12$135.20$162.07$188.941.4×
WellCare12$129.80$135.88$141.961.1×
st. regis11$135.20$135.20$135.201.0×
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$567.00$396.90$118.86$397.94$549.99
Central Vermont HospitalBarreVT12$563.85$563.85$117.06$310.12$560.47
University Of Vermont Medical CenterBurlingtonVT17$535.00$535.00$78.20$277.21$529.83
Porter HospitalMiddleburyVT16$411.00$411.00$114.92$188.94$397.98
Copley Hospital Inc.MorrisvilleVT0$330.00$264.00

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.