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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in VT

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Hospitals
5
Min
$191.36
Median
$210.80
Max
$240.89
Range multiplier
1.3×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield416$70.62$233.66$400.115.7×
UnitedHealthcare314$121.88$269.84$509.044.2×
mvp312$138.17$165.80$512.433.7×
capital district physicians' health plan37$162.51$162.55$321.852.0×
Cigna46$153.63$259.50$450.932.9×
First Health45$162.55$383.93$460.172.8×
Aetna45$162.55$162.55$460.172.8×
harvard pilgrim health care14$162.55$191.36$191.361.2×
wellpath34$213.95$249.01$282.701.3×
fidelis care24$146.29$186.93$186.931.3×
Anthem BCBS14$162.55$195.06$243.391.5×
wellsense13$142.80$142.80$173.931.2×
harvard pilgrim33$191.45$393.36$411.202.1×
Humana33$154.42$159.30$162.551.1×
martins point33$162.55$162.55$162.551.0×
tufts health plan13$267.83$267.83$267.831.0×
VA Health33$162.55$162.55$162.551.0×
amerihealth-caritas12$142.80$142.80$142.801.0×
new hampshire healthy families12$142.80$142.80$142.801.0×
nppn11$462.60$462.60$462.601.0×
st. regis11$162.55$162.55$162.551.0×
ebpa11$395.78$395.78$395.781.0×
magnacare11$411.20$411.20$411.201.0×
vermont health plan11$231.34$231.34$231.341.0×
veterans choice11$162.55$162.55$162.551.0×
WellCare11$170.68$170.68$170.681.0×
medical corporation11$369.55$369.55$369.551.0×
martin's point11$162.55$162.55$162.551.0×
Multiplan11$369.55$369.55$369.551.0×
mvp healthcare11$162.55$162.55$162.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Central Vermont HospitalBarreVT12$491.70$491.70$153.63$240.89$512.43
University Of Vermont Medical CenterBurlingtonVT17$514.00$514.00$70.62$210.80$509.04
Porter HospitalMiddleburyVT16$389.00$389.00$121.88$191.45$371.68
Brattleboro Memorial HospitalBrattleboroVT14$474.40$332.08$142.80$191.36$460.17
Copley Hospital Inc.MorrisvilleVT0$359.00$287.20

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.