Gelfilm Absorbable 1x6 Film at Springfield Hospital

Springfield, VT

Pricing by billing methodology

Price type

Payers reporting CPT 90297 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	$737	$737	—	—	—	$737 – $737
2	Anthem medicare advantage fee schedule · outpatient	$737	$737	—	—	—	$737 – $737
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$737	$737	—	—	—	$737 – $737
4	WellCare medicare advantage fee schedule · outpatient	$759	$759	—	—	—	$759 – $759
5	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
7	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
10	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
11	Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Last updated: Aug 27, 2026

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