Northeastern Vermont Regional Hospital, Inc.
Northeastern Vermont Regional Hospital, Inc. in St. Johnsbury, VT publishes cash prices for 63 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1315 Hospital Drive, St. Johnsbury, VT, 05819-9210 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W ORIN COMB | $825.00 | $1,100.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST | $825.00 | $1,100.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W ORIN COMB | $825.00 | $1,100.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS WITH CONTRAST | $825.00 | $1,100.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $399.75 | $533.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $399.75 | $533.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT LOWER ABDOMEN W/CONTRAST | $420.75 | $561.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT LOWER ABDOMEN W/CONTRAST | $420.75 | $561.00 | 25% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC BIL MAMMO | $630.75 | $841.00 | 25% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 DIAGNOSTIC BIL MAMMO | $630.75 | $841.00 | 25% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC UNI MAMMO | $525.00 | $700.00 | 25% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DIAGNOSTIC UNI MAMMO | $525.00 | $700.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/PITUIT/IAC W/O CONT | $3,003.00 | $4,004.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/PITUIT/IAC W/O CONT | $3,003.00 | $4,004.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC AND/OR BRAIN | $4,260.00 | $5,680.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC AND/OR BRAIN | $4,260.00 | $5,680.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $2,907.75 | $3,877.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $2,907.75 | $3,877.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB | $174.00 | $232.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FETAL SURVEY SCREENING | $174.00 | $232.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS, SNGL FETUS | $238.50 | $318.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB | $174.00 | $232.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FETAL SURVEY SCREENING | $174.00 | $232.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS, SNGL FETUS | $238.50 | $318.00 | 25% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMO | $566.25 | $755.00 | 25% |
| Screening mammogram, both breasts inpatient CPT 77067 SCREENING MAMMO | $566.25 | $755.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US, NON-OB ~T | $51.75 | $69.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANS VAG | $174.00 | $232.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US, NON-OB | $194.25 | $259.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US, NON-OB ~P | $207.00 | $276.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 TRANS VAGINAL US/OR | $258.00 | $344.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US, NON-OB ~T | $51.75 | $69.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANS VAG | $174.00 | $232.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US, NON-OB | $194.25 | $259.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US, NON-OB ~P | $207.00 | $276.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANS VAGINAL US/OR | $258.00 | $344.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD. COMPLETE | $174.00 | $232.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD TWO ORGANS | $174.00 | $232.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD TWO ORGANS | $174.00 | $232.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD. COMPLETE | $174.00 | $232.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 RAD. SPINE COMPLETE | $1,053.00 | $1,404.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD. SPINE COMPLETE | $1,053.00 | $1,404.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BMP (NVRH DHCC) | $134.25 | $179.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $134.25 | $179.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $134.25 | $179.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP (NVRH DHCC) | $134.25 | $179.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $32.25 | $43.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 MAYO LIPOPROTEIN METB PROFIL | $60.75 | $81.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID2A | $148.50 | $198.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID 2 NVRH DHCC | $148.50 | $198.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $32.25 | $43.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 MAYO LIPOPROTEIN METB PROFIL | $60.75 | $81.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID2A | $148.50 | $198.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID 2 NVRH DHCC | $148.50 | $198.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 V-CBC W/DIFFERENTIAL | $63.75 | $85.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBCW/DIFF (NVRH DHCC) | $117.00 | $156.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC/DIFF | $117.00 | $156.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 V-CBC W/DIFFERENTIAL | $63.75 | $85.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/DIFF | $117.00 | $156.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCW/DIFF (NVRH DHCC) | $117.00 | $156.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 UVM CBC W/PLT CLUMPS BLUE TOP | $10.50 | $14.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 FAHC CBC (HEMAGRAM) | $27.75 | $37.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $112.50 | $150.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 UVM CBC W/PLT CLUMPS BLUE TOP | $10.50 | $14.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 FAHC CBC (HEMAGRAM) | $27.75 | $37.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $112.50 | $150.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $168.75 | $225.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP (NVRH DHCC) | $168.75 | $225.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP (NVRH DHCC) | $168.75 | $225.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $168.75 | $225.00 | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $116.25 | $155.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $116.25 | $155.00 | 25% |
| Liver function blood test panel CPT 80076 LIVER PANEL | $110.25 | $147.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL | $110.25 | $147.00 | 25% |
| Obstetric blood test panel CPT 80055 PRENATAL PROFILE I | $528.00 | $704.00 | 25% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE I | $528.00 | $704.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 MAYO REFLEX PROSTATE FREE PSA | $29.25 | $39.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA TOTAL & FREE | $296.25 | $395.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 MAYO REFLEX PROSTATE FREE PSA | $29.25 | $39.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA TOTAL & FREE | $296.25 | $395.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 MAYO PROSTATE HEATH INDEX, REF | $29.25 | $39.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 MAYO PSA,ULTRASENSITIVE | $100.50 | $134.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, SCREENING NVRH | $173.25 | $231.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 UVM PSA DIAGNOSTIC | $296.25 | $395.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING NVRH DHCC | $319.50 | $426.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 UVM PSA SCREENING | $319.50 | $426.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 MAYO PROSTATE HEATH INDEX, REF | $29.25 | $39.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 MAYO PSA,ULTRASENSITIVE | $100.50 | $134.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, SCREENING NVRH | $173.25 | $231.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 UVM PSA DIAGNOSTIC | $296.25 | $395.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING NVRH DHCC | $319.50 | $426.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 UVM PSA SCREENING | $319.50 | $426.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 MAYO APTT | $7.50 | $10.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 MAYO ACTIVATED PART THROMB TIM | $22.50 | $30.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT ACTIVATED NVRH DHCC | $103.50 | $138.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO (PTT | $103.50 | $138.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 MAYO PROLONGED CLOT TIME PRO | $103.50 | $138.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $204.00 | $272.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PROTEIN C | $244.50 | $326.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 FAHC PTT | $270.75 | $361.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 MAYO APTT | $7.50 | $10.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 MAYO ACTIVATED PART THROMB TIM | $22.50 | $30.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT ACTIVATED NVRH DHCC | $103.50 | $138.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 MAYO PROLONGED CLOT TIME PRO | $103.50 | $138.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO (PTT | $103.50 | $138.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $204.00 | $272.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PROTEIN C | $244.50 | $326.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 FAHC PTT | $270.75 | $361.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 MAYO PROTHROMBIN TIME | $6.00 | $8.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 MAYO PROLONGED CLOT TIME PRO | $72.75 | $97.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $72.75 | $97.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME NVRH DHCC | $72.75 | $97.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 FAHC PROTIME | $270.75 | $361.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MAYO PROTHROMBIN TIME | $6.00 | $8.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME NVRH DHCC | $72.75 | $97.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $72.75 | $97.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MAYO PROLONGED CLOT TIME PRO | $72.75 | $97.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 FAHC PROTIME | $270.75 | $361.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (NVRH DHCC) | $224.25 | $299.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $224.25 | $299.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 UVM THYROID CASCADE | $279.00 | $372.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 MAYO TSH SENSITIVE | $300.75 | $401.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (NVRH DHCC) | $224.25 | $299.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $224.25 | $299.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 UVM THYROID CASCADE | $279.00 | $372.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 MAYO TSH SENSITIVE | $300.75 | $401.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED, W/MICR | $11.25 | $15.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED,W/MICRO | $11.25 | $15.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTOMATED,W/MICRO | $11.25 | $15.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTOMATED, W/MICR | $11.25 | $15.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 URINE ANALYSIS COMPLETE | $16.50 | $22.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 URINE ANALIYSIS COMPLETE ~G | $16.50 | $22.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 URINE ANALIYSIS COMPLETE | $16.50 | $22.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE ANALIYSIS COMPLETE | $16.50 | $22.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE ANALIYSIS COMPLETE ~G | $16.50 | $22.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE ANALYSIS COMPLETE | $16.50 | $22.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-AUTOMATED,W/O MIC | $11.25 | $15.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED,W/MICRO | $11.25 | $15.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $42.75 | $57.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINE (DIP ONLY) | $42.75 | $57.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIP (NVRH DHCC) | $42.75 | $57.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-AUTOMATED,W/O MIC | $11.25 | $15.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED,W/MICRO | $11.25 | $15.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $42.75 | $57.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE (DIP ONLY) | $42.75 | $57.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIP (NVRH DHCC) | $42.75 | $57.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 URINE MICRAL | $12.00 | $16.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 ICOTEST | $36.75 | $49.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 MAYO HEMOGLOBIN URINE | $90.00 | $120.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE MICRAL | $12.00 | $16.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ICOTEST | $36.75 | $49.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 MAYO HEMOGLOBIN URINE | $90.00 | $120.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $3,306.00 | $4,408.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVERY | $3,306.00 | $4,408.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY ~P | $489.75 | $653.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $607.50 | $810.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 LESION REMOVAL COLONOSCOPY ~P | $489.75 | $653.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 LESION REMOVAL COLONOSCOPY | $607.50 | $810.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY ~P | $436.50 | $582.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $540.00 | $720.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY ~P | $436.50 | $582.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY | $540.00 | $720.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY ~P | $365.25 | $487.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $450.00 | $600.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY ~P | $365.25 | $487.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY | $450.00 | $600.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY~P | $1,141.50 | $1,522.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $1,141.50 | $1,522.00 | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY~P | $1,141.50 | $1,522.00 | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $1,141.50 | $1,522.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR ~P | $805.50 | $1,074.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $805.50 | $1,074.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR ~P | $805.50 | $1,074.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR | $805.50 | $1,074.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY ~P | $1,042.50 | $1,390.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $1,042.50 | $1,390.00 | 25% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY/SURGERY ~P | $1,042.50 | $1,390.00 | 25% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY/SURGERY | $1,042.50 | $1,390.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ SPINE L/S W/IMAGING | $259.50 | $346.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR/SACRAL WITH IMAGING | $1,626.75 | $2,169.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INTRATHECAL BLOCK WITH US | $1,626.75 | $2,169.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ SPINE L/S W/IMAGING | $259.50 | $346.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INTRATHECAL BLOCK WITH US | $1,626.75 | $2,169.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR/SACRAL WITH IMAGING | $1,626.75 | $2,169.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ SPINE L/S W/O IMAGING | $149.25 | $199.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INTRATHECAL BLOCK | $1,460.25 | $1,947.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 LUMBAR/SACRAL W/O IMAGING | $1,460.25 | $1,947.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ SPINE L/S W/O IMAGING | $149.25 | $199.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 LUMBAR/SACRAL W/O IMAGING | $1,460.25 | $1,947.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INTRATHECAL BLOCK | $1,460.25 | $1,947.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $337.50 | $450.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL LUMBAR/SACRAL | $1,460.25 | $1,947.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S | $337.50 | $450.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL LUMBAR/SACRAL | $1,460.25 | $1,947.00 | 25% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE ~P | $236.25 | $315.00 | 25% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $270.00 | $360.00 | 25% |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE ~P | $236.25 | $315.00 | 25% |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $270.00 | $360.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $612.75 | $817.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 EXC OF CYST. FIBRO ~P | $612.75 | $817.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION | $612.75 | $817.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXC OF CYST. FIBRO ~P | $612.75 | $817.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $1,172.25 | $1,563.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY SURGERY~P | $1,172.25 | $1,563.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHOULDER ARTHROSCOPY SURGERY~P | $1,172.25 | $1,563.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $1,172.25 | $1,563.00 | 25% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $498.75 | $665.00 | 25% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS AND ADENOIDS | $498.75 | $665.00 | 25% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $2,383.50 | $3,178.00 | 25% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY ~P | $2,383.50 | $3,178.00 | 25% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY ~P | $2,383.50 | $3,178.00 | 25% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY | $2,383.50 | $3,178.00 | 25% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $2,574.00 | $3,432.00 | 25% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY ~P | $2,574.00 | $3,432.00 | 25% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY | $2,574.00 | $3,432.00 | 25% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY ~P | $2,574.00 | $3,432.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY ~P | $395.25 | $527.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $472.50 | $630.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY, BIOPSY ~P | $395.25 | $527.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $472.50 | $630.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY, DIAG ~P | $307.50 | $410.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $367.50 | $490.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY, DIAG ~P | $307.50 | $410.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $367.50 | $490.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $3,129.75 | $4,173.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC DELIVERY | $3,129.75 | $4,173.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $2,985.75 | $3,981.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBSTETRICAL CARE | $2,985.75 | $3,981.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PATIENT | $204.75 | $273.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PATIENT | $204.75 | $273.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PATIENT | $172.50 | $230.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PATIENT | $172.50 | $230.00 | 25% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $61.50 | $82.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $61.50 | $82.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT,NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT, NEW ~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT,NEW ~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW ~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW | $127.50 | $170.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 CCC | $145.50 | $194.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT | $198.00 | $264.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT,NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT, NEW~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT NEW ~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT, NEW~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPT VISIT, NEW ~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT,NEW ~P | $75.00 | $100.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT, NEW | $127.50 | $170.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 CCC | $145.50 | $194.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT | $198.00 | $264.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT,NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT, NEW~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT, NEW~P | $127.50 | $170.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW ~P | $127.50 | $170.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT,NEW ~P | $127.50 | $170.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT, NEW | $180.00 | $240.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 CCC | $207.00 | $276.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT, NEW~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT,NEW ~T | $52.50 | $70.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT NEW ~P | $127.50 | $170.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT,NEW ~P | $127.50 | $170.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT, NEW~P | $127.50 | $170.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT, NEW | $180.00 | $240.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4 CCC | $207.00 | $276.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW ~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT,NEW ~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT, NEW~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT, NEW~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT,NEW ~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW ~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT, NEW | $232.50 | $310.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT NEW~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT,NEW ~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT NEW ~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT, NEW~T | $90.00 | $120.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT NEW~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT, NEW~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT NEW ~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT,NEW ~P | $142.50 | $190.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT, NEW | $232.50 | $310.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VIST NEW AGE 18-39 | $142.50 | $190.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE VIST NEW AGE 18-39 | $142.50 | $190.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT NEW AGE 40-64 | $172.50 | $230.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE VISIT NEW AGE 40-64 | $172.50 | $230.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 PSYC 30 MIN WITH PATIENT | $60.00 | $80.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYC 30 MIN WITH PATIENT | $60.00 | $80.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 PSYC 45 MIN WITH PATIENT | $82.50 | $110.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYC 45 MIN WITH PATIENT | $82.50 | $110.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 PSYC 60 MIN WITH PATIENT | $117.75 | $157.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYC 60 MIN WITH PATIENT | $117.75 | $157.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION ~P | $142.50 | $190.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION | $142.50 | $190.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULTATION ~P | $142.50 | $190.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULTATION | $142.50 | $190.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION | $202.50 | $270.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULTATION | $202.50 | $270.00 | 25% |
Source file: https://nvrh.org/wp-content/uploads/2026/08/036013761_NORTHEASTERN-VERMONT-Regional-Hospital_standardcharges-2.csv