Promethazine 25 Mg / Ml Vial at Springfield Hospital

Springfield, VT

Pricing by billing methodology

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How this price compares nationally

Springfield Hospital’s median price of $7 is 41% below the median hospital's median price ($11), higher than 11% of the 9 hospitals reporting CPT 64109. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64109 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	$3	$3	—	—	—	$3 – $3
2	Anthem medicare advantage fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
4	WellCare medicare advantage fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
5	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
7	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
10	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
11	Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8

Last updated: Aug 27, 2026

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