Erythromycin 250mg Pp-base at Springfield Hospital

Springfield, VT

Pricing by billing methodology

Price type

Payers reporting CPT 74630 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	$5	$5	—	—	—	$5 – $5
2	Anthem medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
4	WellCare medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
5	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
7	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
8	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
9	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
10	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
11	Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12

Last updated: Aug 27, 2026

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