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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$76.70
Median
$587.61
Max
$1,859.22
Range multiplier
24.2×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS416$29.00$2,636.18$3,182.19109.7×
UnitedHealthcare415$29.00$131.81$2,709.6893.4×
Aetna411$29.00$522.85$2,201.1675.9×
Humana47$29.00$541.69$587.6120.3×
Cigna45$76.30$80.10$2,386.8031.3×
Medicare33$29.00$31.00$587.6120.3×
community health options33$76.27$78.53$78.601.0×
harvard pilgrim33$76.66$79.78$79.931.0×
Medicaid33$30.31$30.31$640.4921.1×
Multiplan33$87.00$90.00$90.001.0×
sentara health plan13$128.22$584.03$2,055.3016.0×
WellCare33$29.00$31.00$587.6120.3×
vhn - secondary payors11$3,149.25$3,149.25$3,149.251.0×
First Health11$131.81$131.81$131.811.0×
vhn - ultra11$2,055.30$2,055.30$2,055.301.0×
Self-Pay (Cash)11$587.61$587.61$587.611.0×
workers compensation11$993.77$993.77$993.771.0×
TRICARE11$587.61$587.61$587.611.0×
connecticare11$2,320.50$2,320.50$2,320.501.0×
vhn11$2,652.00$2,652.00$2,652.001.0×
vhn - link11$2,983.50$2,983.50$2,983.501.0×
gateway - tier 211$2,652.00$2,652.00$2,652.001.0×
gateway - tier 311$1,823.25$1,823.25$1,823.251.0×
vhn - plus11$2,552.55$2,552.55$2,552.551.0×
gateway - tier 111$3,149.25$3,149.25$3,149.251.0×
martins point11$587.61$587.61$587.611.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rumford HospitalRumfordME11$3,182.19$922.00$29.00$76.80$3,182.19
Bridgton HospitalBridgtonME11$3,182.19$986.00$30.31$76.70$3,182.19
Central Maine Medical CenterLewistonME15$3,182.19$587.00$76.27$587.61$2,812.13
Franklin Memorial HospitalFarmingtonME16$3,315.00$1,160.25$125.82$1,859.22$3,149.25
Redington-Fairview General HospitalSkowheganME0$1,971.00$1,478.25

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.