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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$236.82
Median
$421.94
Max
$902.50
Range multiplier
3.8×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield537$93.60$430.38$1,901.9020.3×
UnitedHealthcare527$84.74$346.86$5,748.4867.8×
mvp319$95.03$210.74$1,634.9917.2×
capital district physicians' health plan316$111.80$346.86$1,514.4813.5×
Cigna513$111.80$591.00$6,062.0054.2×
First Health412$111.80$900.96$1,750.3715.7×
harvard pilgrim health care111$111.80$1,050.22$1,569.9214.0×
Aetna511$111.80$420.01$1,750.3715.7×
wellpath310$147.40$524.81$1,112.107.5×
tufts health plan19$150.75$1,571.90$1,650.5810.9×
Anthem BCBS29$111.80$408.47$982.918.8×
Humana49$106.21$405.06$566.165.3×
harvard pilgrim38$133.31$825.08$1,617.6012.1×
martins point37$111.80$346.86$847.807.6×
VA Health36$111.80$229.33$429.143.8×
fidelis care26$100.62$128.57$472.054.7×
Multiplan25$254.60$701.10$1,750.376.9×
mvp healthcare15$111.80$490.17$1,624.0514.5×
wellsense14$97.95$224.40$437.074.5×
nppn13$319.50$1,819.80$1,819.805.7×
ebpa13$273.35$1,738.92$1,738.926.4×
vermont health plan13$140.71$1,615.03$1,615.0311.5×
magnacare13$284.00$1,617.60$1,617.605.7×
amerihealth-caritas12$97.95$213.56$329.163.4×
martin's point12$111.80$260.14$408.473.7×
new hampshire healthy families12$97.95$213.56$329.163.4×
st. regis12$111.80$270.47$429.143.8×
veterans choice12$111.80$229.33$346.863.1×
WellCare12$117.39$273.15$428.903.7×
medical corporation12$254.60$477.85$701.102.8×
health new england12$1,750.37$1,750.37$1,750.371.0×
hphc insurance company, inc.11$912.00$912.00$912.001.0×
mvp health plan, inc.11$893.00$893.00$893.001.0×
the vermont health plan11$711.00$711.00$711.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mt Ascutney Hospital And Health CentWindsorVT8$981.00$785.00$710.00$902.50$932.00
University Of Vermont Medical CenterBurlingtonVT17$2,022.00$2,022.00$84.74$429.14$6,062.00
Central Vermont HospitalBarreVT12$1,324.69$1,324.69$109.56$421.94$5,601.96
Brattleboro Memorial HospitalBrattleboroVT18$1,804.50$1,263.15$97.95$420.01$1,750.37
Porter HospitalMiddleburyVT16$738.00$738.00$84.74$236.82$4,070.00
Copley Hospital Inc.MorrisvilleVT0$1,198.00$958.40

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.