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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$54.46
Median
$83.20
Max
$280.43
Range multiplier
5.1×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare415$8.60$83.20$408.7047.5×
Anthem BCBS414$8.21$314.69$413.1950.3×
Aetna410$29.00$79.81$332.0011.4×
Humana47$8.60$77.18$83.209.7×
Cigna45$76.30$80.10$360.004.7×
Medicare33$29.00$31.00$83.202.9×
harvard pilgrim33$76.66$79.78$79.931.0×
Medicaid33$30.31$30.31$90.693.0×
sentara health plan13$8.37$82.70$310.0037.0×
community health options22$76.27$77.44$78.601.0×
WellCare22$29.00$56.10$83.202.9×
martins point11$83.20$83.20$83.201.0×
connecticare11$350.00$350.00$350.001.0×
Multiplan11$87.00$87.00$87.001.0×
Self-Pay (Cash)11$83.20$83.20$83.201.0×
workers compensation11$140.71$140.71$140.711.0×
TRICARE11$83.20$83.20$83.201.0×
vhn11$400.00$400.00$400.001.0×
vhn - link11$450.00$450.00$450.001.0×
vhn - plus11$385.00$385.00$385.001.0×
vhn - secondary payors11$475.00$475.00$475.001.0×
gateway - tier 111$475.00$475.00$475.001.0×
gateway - tier 211$400.00$400.00$400.001.0×
vhn - ultra11$310.00$310.00$310.001.0×
gateway - tier 311$275.00$275.00$275.001.0×
First Health11$8.60$8.60$8.601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Central Maine Medical CenterLewistonME15$314.69$83.00$76.27$83.20$314.69
Bridgton HospitalBridgtonME8$314.69$97.00$30.31$76.70$314.69
Rumford HospitalRumfordME10$314.69$91.00$29.00$54.46$314.69
Franklin Memorial HospitalFarmingtonME16$500.00$175.00$8.21$280.43$475.00
Redington-Fairview General HospitalSkowheganME0$156.00$117.00

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.