Ampicillin 2 Gm / Ns 100 Ml at Springfield Hospital

Springfield, VT

Pricing by billing methodology

Price type

Payers reporting CPT 78134 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	$8	$5	70%	—	$3 – $17
2	Anthem medicare advantage fee schedule · outpatient	$6	$8	$5	70%	—	$3 – $17
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$6	$8	$5	70%	—	$3 – $17
4	WellCare medicare advantage fee schedule · outpatient	$6	$8	$6	73%	—	$3 – $18
5	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$10	$14	$10	72%	—	$5 – $30
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$10	$14	$10	73%	—	$5 – $32
7	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$12	$17	$12	73%	—	$6 – $37
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$13	$18	$13	74%	—	$6 – $41
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$13	$19	$14	74%	—	$7 – $43
10	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$14	$20	$15	74%	—	$7 – $45
11	Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges	$15	$21	$15	73%	—	$7 – $47

Last updated: Aug 27, 2026

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