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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$76.7
Median
$411.71
Max
$1,221.53
Range multiplier
15.9×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS416$29$1,748.27$2,044.6270.5×
UnitedHealthcare415$29$90.96$1,780.361.4×
Aetna411$29$366.34$1,446.1949.9×
Humana47$29$376.22$411.7114.2×
Cigna45$76.3$80.1$1,568.1620.6×
Medicare33$29$31$411.7114.2×
community health options33$76.27$78.53$78.61.0×
harvard pilgrim33$76.66$79.78$79.931.0×
Medicaid33$30.31$30.31$448.7614.8×
Multiplan33$87$90$901.0×
sentara health plan13$88.48$409.21$1,350.3615.3×
WellCare33$29$31$411.7114.2×
vhn - secondary payors11$2,069.1$2,069.1$2,069.11.0×
First Health11$90.96$90.96$90.961.0×
vhn - ultra11$1,350.36$1,350.36$1,350.361.0×
Self-Pay (Cash)11$411.71$411.71$411.711.0×
workers compensation11$696.28$696.28$696.281.0×
TRICARE11$411.71$411.71$411.711.0×
connecticare11$1,524.6$1,524.6$1,524.61.0×
vhn11$1,742.4$1,742.4$1,742.41.0×
vhn - link11$1,960.2$1,960.2$1,960.21.0×
gateway - tier 211$1,742.4$1,742.4$1,742.41.0×
gateway - tier 311$1,197.9$1,197.9$1,197.91.0×
vhn - plus11$1,677.06$1,677.06$1,677.061.0×
gateway - tier 111$2,069.1$2,069.1$2,069.11.0×
martins point11$411.71$411.71$411.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
RUMFORD HOSPITALRUMFORDME11$1,961.88$568$29$76.8$1,961.88
BRIDGTON HOSPITALBRIDGTONME11$1,961.88$608$30.31$76.7$1,961.88
CENTRAL MAINE MEDICAL CENTERLEWISTONME15$1,961.88$411$76.27$411.71$1,961.88
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$2,178$762.3$86.82$1,221.53$2,069.1
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$1,252$939

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.