Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Work/dot/cdl Exam
Springfield, VT
See all hospitals reporting CPT 99455 →Price type
Springfield Hospital’s median price of $92 is 40% below the median hospital's median price ($153), higher than 31% of the 565 hospitals reporting CPT 99455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 3 | UnitedHealthcare medicare advantage fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 4 | WellCare medicare advantage fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 7 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
| 10 | Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 11 | Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
Last updated: Aug 27, 2026
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