Hydroxyzine 25 Mg [Pre-pack #4] at Springfield Hospital

Springfield, VT

Pricing by billing methodology

Price type

Payers reporting CPT 59108 at Springfield Hospital

Negotiated rates from the hospital’s own file: 7 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Anthem anthem exchange fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
2	Anthem medicare advantage fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
4	WellCare medicare advantage fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
5	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
7	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
10	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
11	Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17

Last updated: Aug 27, 2026

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See Hydroxyzine 25 Mg [Pre-pack #4] pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.