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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$343.3
Median
$609.65
Max
$1,448
Range multiplier
4.2×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield537$139.69$619.66$2,973.3921.3×
UnitedHealthcare527$122.87$498.67$9,286.4975.6×
mvp319$137.67$305.95$2,426.517.6×
capital district physicians' health plan316$161.97$498.67$2,367.5914.6×
Cigna513$161.97$605.77$6,06237.4×
First Health412$161.97$1,211.46$2,686.8516.6×
harvard pilgrim health care111$161.97$1,575.65$2,355.3514.5×
Aetna511$161.97$607.51$2,626.0816.2×
wellpath310$213.4$755.19$1,738.558.1×
tufts health plan19$221.94$2,358.33$2,476.3711.2×
Anthem BCBS29$161.97$588.12$1,474.679.1×
Humana49$153.87$583.21$885.085.8×
harvard pilgrim38$193.3$1,109.11$2,528.813.1×
martins point37$161.97$498.67$1,095.536.8×
VA Health36$161.97$330.32$617.883.8×
fidelis care26$145.77$186.27$679.674.7×
Multiplan25$368.6$1,007.95$2,626.087.1×
mvp healthcare15$161.97$705.75$2,436.5715.0×
wellsense14$141.88$323.62$629.294.4×
nppn13$463.5$2,844.9$2,844.96.1×
ebpa13$396.55$2,718.46$2,718.466.9×
vermont health plan13$218.52$2,423.03$2,423.0311.1×
magnacare13$412$2,528.8$2,528.86.1×
amerihealth-caritas12$141.88$307.91$473.933.3×
martin's point12$161.97$375.05$588.123.6×
new hampshire healthy families12$141.88$307.91$473.933.3×
st. regis12$161.97$389.93$617.883.8×
veterans choice12$161.97$330.32$498.673.1×
WellCare12$170.07$393.8$617.533.6×
medical corporation12$368.6$688.28$1,007.952.7×
health new england12$2,626.08$2,626.08$2,626.081.0×
hphc insurance company, inc.11$1,464$1,464$1,4641.0×
mvp health plan, inc.11$1,432$1,432$1,4321.0×
the vermont health plan11$1,141$1,141$1,1411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$3,161$3,161$122.87$617.88$9,286.49
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT18$2,707.3$1,895.11$141.88$609.65$2,626.08
CENTRAL VERMONT HOSPITALBARREVT12$1,711.77$1,711.77$158.73$607.51$5,601.96
PORTER HOSPITALMIDDLEBURYVT16$1,061$1,061$122.87$343.3$4,070
MT ASCUTNEY HOSPITAL AND HEALTH CENTWINDSORVT8$1,574$1,259$1,140$1,448$1,495
COPLEY HOSPITAL INC.MORRISVILLEVT0$1,634$1,307.2

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.