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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in VT

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Hospitals
5
Min
$143.68
Median
$155.33
Max
$169.87
Range multiplier
1.2×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield416$48.07$165.71$299.766.2×
UnitedHealthcare314$91.39$201.89$380.854.2×
mvp312$103.56$124.27$347.983.4×
capital district physicians' health plan37$121.83$121.85$241.232.0×
Cigna46$110.20$186.13$306.212.8×
First Health45$121.83$269.18$327.252.7×
Aetna45$121.83$121.83$322.532.6×
harvard pilgrim health care14$121.83$144.45$144.451.2×
wellpath34$160.60$176.84$211.751.3×
fidelis care24$109.65$140.10$140.101.3×
Anthem BCBS14$121.83$146.20$183.721.5×
wellsense13$107.05$107.05$130.361.2×
harvard pilgrim33$143.68$266.36$308.002.1×
Humana33$115.74$119.39$121.831.1×
martins point33$121.83$121.83$121.831.0×
tufts health plan13$180.80$180.80$180.801.0×
VA Health33$121.83$121.83$121.831.0×
amerihealth-caritas12$107.05$107.05$107.051.0×
new hampshire healthy families12$107.05$107.05$107.051.0×
nppn11$346.50$346.50$346.501.0×
st. regis11$121.83$121.83$121.831.0×
ebpa11$296.45$296.45$296.451.0×
magnacare11$308.00$308.00$308.001.0×
vermont health plan11$164.07$164.07$164.071.0×
veterans choice11$121.83$121.83$121.831.0×
WellCare11$127.92$127.92$127.921.0×
medical corporation11$277.40$277.40$277.401.0×
martin's point11$121.83$121.83$121.831.0×
Multiplan11$277.40$277.40$277.401.0×
mvp healthcare11$121.83$121.83$121.831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Central Vermont HospitalBarreVT12$332.95$332.95$110.20$169.87$347.98
University Of Vermont Medical CenterBurlingtonVT17$385.00$385.00$48.07$155.33$380.85
Brattleboro Memorial HospitalBrattleboroVT14$332.50$232.75$107.05$144.45$322.53
Porter HospitalMiddleburyVT16$292.00$292.00$91.39$143.68$278.08
Copley Hospital Inc.MorrisvilleVT0$243.00$194.40

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.