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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in VT

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Hospitals
5
Min
$91.09
Median
$102.54
Max
$121.25
Range multiplier
1.3×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield416$34.9$118.81$190.755.5×
UnitedHealthcare314$57.76$128.04$241.534.2×
mvp312$65.25$86$256.573.9×
capital district physicians' health plan37$76.77$77.01$152.012.0×
Cigna46$66.38$124.98$225.783.4×
First Health45$76.77$199.82$239.493.1×
Aetna45$76.77$76.77$239.493.1×
harvard pilgrim health care14$76.77$91.59$91.591.2×
wellpath34$101.2$120.84$1361.3×
fidelis care24$69.09$88.29$88.291.3×
Anthem BCBS14$76.77$92.13$116.481.5×
wellsense13$67.46$67.46$82.141.2×
harvard pilgrim33$91.09$195.2$197.822.2×
Humana33$72.93$75.23$76.771.1×
martins point33$76.77$76.77$76.771.0×
tufts health plan13$133.54$133.54$133.541.0×
VA Health33$76.77$76.77$76.771.0×
amerihealth-caritas12$67.46$67.46$67.461.0×
new hampshire healthy families12$67.46$67.46$67.461.0×
nppn11$219.6$219.6$219.61.0×
st. regis11$76.77$76.77$76.771.0×
ebpa11$187.88$187.88$187.881.0×
magnacare11$195.2$195.2$195.21.0×
vermont health plan11$117.63$117.63$117.631.0×
veterans choice11$76.77$76.77$76.771.0×
WellCare11$80.61$80.61$80.611.0×
medical corporation11$174.8$174.8$174.81.0×
martin's point11$76.77$76.77$76.771.0×
Multiplan11$174.8$174.8$174.81.0×
mvp healthcare11$76.77$76.77$76.771.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT14$246.9$172.83$67.46$91.59$239.49
PORTER HOSPITALMIDDLEBURYVT16$184$184$57.76$91.09$176.36
CENTRAL VERMONT HOSPITALBARREVT12$247.27$247.27$66.38$121.25$256.57
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$244$244$34.9$102.54$241.53
COPLEY HOSPITAL INC.MORRISVILLEVT0$180$144

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.