Mt. Ascutney Hospital and Health Center
Mt. Ascutney Hospital and Health Center in Windsor, VT publishes cash prices for 390 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Vermont median for 259 of 379 procedures and below it for 102. By typical cash price it ranks #8 of 11 Vermont hospitals and #6 of 6 hospitals in the Lebanon, NH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
289 County Road, Windsor, VT 05089 Collected Sep 28, 2026 Source price file Check a bill from this hospital (802) 674-6711
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 471302 · CMS hospital register
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Mt. Ascutney Hospital and Health Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hc Ct Scan Abdomen W/o&w Contrast | $4,155.00 | $5,194.00 | $3,664.00–$4,934.00 | 40% above | 20% |
| Abdominal X-ray, 2 views CPT 74019 Hc X-ray Abdomen 2 Views | $664.00 | $830.00 | $585.00–$789.00 | 5% above | 20% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc X-ray Ankle 3+ Vw | $589.00 | $736.00 | $519.00–$699.00 | 8% above | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Non-invasive Physiologic Study Extremity Art 2 Level | $474.00 | $592.00 | $418.00–$562.00 | 69% above | 20% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Ct Scan Upper Extremity | $2,390.00 | $2,987.00 | $2,107.00–$2,838.00 | 13% above | 20% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc X-ray Esophagus Single Contrast Study | $1,654.00 | $2,068.00 | $1,459.00–$1,965.00 | 92% above | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc Us Breast Unilateral Real Time W Image Complete | $1,698.00 | $2,122.00 | $1,497.00–$2,016.00 | 195% above | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Breast Unilateral Real Time W Image Limited | $426.00 | $533.00 | $376.00–$506.00 | 26% below | 20% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Ct Angio Abd And Pelvis W/o&w Contrast | $5,258.00 | $6,573.00 | $4,637.00–$6,244.00 | 34% above | 20% |
| CT angiography (CTA) of the head CPT 70496 Hc Ct Angio Head W/o&w Contrast, Incl Image Process | $5,663.00 | $7,079.00 | $4,994.00–$6,725.00 | 64% above | 20% |
| CT angiography (CTA) of the neck CPT 70498 Hc Ct Angio Neck W/o&w Contrast, Incl Image Process | $5,779.00 | $7,224.00 | $5,096.00–$6,863.00 | 82% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct Angio Chest W/o&w Contrast, Inc Img Process | $4,350.00 | $5,438.00 | $3,836.00–$5,166.00 | 53% above | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abdomen & Pelvis Wo Contrast Material | $4,159.00 | $5,199.00 | $3,667.00–$4,939.00 | 34% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $4,350.00 | $5,438.00 | $3,836.00–$5,166.00 | 3% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd And Pelv W/o&w Contast 1+ Regions | $4,805.00 | $6,006.00 | $4,237.00–$5,706.00 | 2% above | 20% |
| CT scan of the abdomen with contrast CPT 74160 Hc Ct Scan Abdomen Contrast | $3,036.00 | $3,795.00 | $2,677.00–$3,605.00 | 12% above | 20% |
| CT scan of the abdomen without contrast CPT 74150 Hc Ct Scan Abdomen | $2,845.00 | $3,556.00 | $2,508.00–$3,378.00 | 23% above | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial W/o Contrast Material | $2,300.00 | $2,875.00 | $2,028.00–$2,731.00 | 10% above | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $2,031.00 | $2,539.00 | $1,791.00–$2,412.00 | 8% above | 20% |
| CT scan of the head with contrast CPT 70460 Hc Ct Scan Head/brain Contrast | $2,701.00 | $3,376.00 | $2,381.00–$3,207.00 | 18% above | 20% |
| CT scan of the head without and with contrast CPT 70470 Prg Ct Scan Head/brain W/o&w Contrast | $2,771.00 | $3,464.00 | $2,444.00–$3,291.00 | at median | 20% |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Scan Head/brain W/o&w Contrast | $3,036.00 | $3,795.00 | $2,677.00–$3,605.00 | 10% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Scan Lumbar Spine | $2,478.00 | $3,098.00 | $2,185.00–$2,943.00 | 13% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Scan Cervical Spine | $2,390.00 | $2,987.00 | $2,107.00–$2,838.00 | 12% above | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $3,549.00 | $4,436.00 | $3,129.00–$4,214.00 | 37% above | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc Duplex Scan Extracranial Art Complete Bilateral Study | $870.00 | $1,087.00 | $767.00–$1,033.00 | — | 20% |
| Chest CT scan without and with contrast CPT 71270 Hc Ct Scan Thorax W/o&w Contrast | $3,504.00 | $4,380.00 | $3,090.00–$4,161.00 | 56% above | 20% |
| Chest X-ray, 2 views CPT 71046 Hc X-ray Chest 2 Views | $466.00 | $583.00 | $411.00–$554.00 | at median | 20% |
| Chest X-ray, single view CPT 71045 Hc X-ray Chest Single View | $362.00 | $453.00 | $320.00–$430.00 | at median | 20% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Hc X-ray Clavicle Complete | $506.00 | $632.00 | $446.00–$600.00 | at median | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperitoneal Real Time W Image Complete | $1,096.00 | $1,370.00 | $966.00–$1,302.00 | 52% above | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dxa Bone Density Study 1/> Sites Axial Skel | $817.00 | $1,021.00 | $720.00–$970.00 | 24% above | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Dxa Bone Density Study 1/> Sites Appendicular Skel | $228.00 | $285.00 | $201.00–$271.00 | 36% below | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Scan Thorax | $2,582.00 | $3,227.00 | $2,276.00–$3,066.00 | 17% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Scan Thorax Contrast | $2,785.00 | $3,481.00 | $2,455.00–$3,307.00 | 3% above | 20% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $638.00 | $797.00 | $562.00–$757.00 | — | 20% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $638.00 | $797.00 | $562.00–$757.00 | 20% above | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Duplex Scan Extremity Veins Complete Bilateral Study | $722.00 | $902.00 | $636.00–$857.00 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Complete W Doppler And Doppler Color Flow W Contrast | $1,838.00 | $2,298.00 | $1,621.00–$2,183.00 | 28% below | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Transthor R-t 2d W/wom-mode Complete Spec&color Doplr | $1,838.00 | $2,298.00 | $1,621.00–$2,183.00 | 28% below | 20% |
| Elbow X-ray, 2 views CPT 73070 Hc X-ray Elbow 2 Vw | $506.00 | $632.00 | $446.00–$600.00 | 25% above | 20% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Hc X-ray Elbow 3+ Vw | $630.00 | $787.00 | $555.00–$748.00 | 10% above | 20% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct Scan Orbit/sella/post Fossa/ear | $3,059.00 | $3,824.00 | $2,697.00–$3,633.00 | 38% above | 20% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hc X-ray Facial Bones 3+ Vw | $737.00 | $921.00 | $650.00–$875.00 | 19% above | 20% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc X-ray Forearm 2 Vw | $489.00 | $611.00 | $431.00–$580.00 | 5% above | 20% |
| Hand X-ray, 2 views CPT 73120 Hc X-ray Hand 2 Vw | $480.00 | $600.00 | $423.00–$570.00 | at median | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc X-ray Heel Minimum 2 Views | $489.00 | $611.00 | $431.00–$580.00 | 25% above | 20% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Prg Sleep Study Airflow Hrt Rate & O2 Sat Effort Unatt | $237.00 | $296.00 | $209.00–$281.00 | 1% below | 20% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study Airflow Hrt Rate & O2 Sat Effort Unatt | $651.00 | $814.00 | $574.00–$773.00 | 171% above | 20% |
| Knee X-ray, 3 views CPT 73562 Hc X-ray Knee 3 View | $654.00 | $817.00 | $576.00–$776.00 | 10% above | 20% |
| Knee X-ray, complete, 4 or more views CPT 73564 Hc X-ray Knee 4+ View | $747.00 | $934.00 | $659.00–$887.00 | 10% above | 20% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Ct Scan Lower Extremity | $2,390.00 | $2,987.00 | $2,107.00–$2,838.00 | 14% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdominal Real Time W Image Limited | $880.00 | $1,100.00 | $776.00–$1,045.00 | 35% above | 20% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Prg Us Lmtd Jt/fcl Eval Nonvasc Extremity Structure R-t W Image | $69.00 | $86.00 | $61.00–$82.00 | 88% below | 20% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Lmtd Jt/fcl Eval Nonvasc Extremity Structure R-t W Image | $506.00 | $632.00 | $446.00–$600.00 | 11% below | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Computed Tomography Thorax Low Dose Lung Ca Screen C- | $3,026.00 | $3,783.00 | $2,669.00–$3,594.00 | 100% above | 20% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc X-ray Tib + Fib, 2vw | $473.00 | $591.00 | $417.00–$561.00 | at median | 20% |
| MR angiography (MRA) of the head without contrast CPT 70544 Hc Mr Angio Head | $4,689.00 | $5,861.00 | $4,134.00–$5,568.00 | 35% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $4,128.00 | $5,160.00 | $3,640.00–$4,902.00 | 23% above | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Lower Extremity Joint W/o&w Contrast | $5,722.00 | $7,152.00 | $5,045.00–$6,794.00 | 21% above | 20% |
| MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen | $3,866.00 | $4,833.00 | $3,409.00–$4,591.00 | 35% above | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen W/o&w Contrast | $8,361.00 | $10,451.00 | $7,372.00–$9,928.00 | 110% above | 20% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain | $4,274.00 | $5,342.00 | $3,768.00–$5,075.00 | 31% above | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $6,065.00 | $7,581.00 | $5,348.00–$7,202.00 | 26% above | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $3,919.00 | $4,899.00 | $3,456.00–$4,654.00 | 10% above | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri Lumbar Spine W/o&w Contrast | $6,065.00 | $7,581.00 | $5,348.00–$7,202.00 | 29% above | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri Thoracic Spine | $3,919.00 | $4,899.00 | $3,456.00–$4,654.00 | 10% above | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri Cervical Spine W/o&w Contrast | $6,065.00 | $7,581.00 | $5,348.00–$7,202.00 | 27% above | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri Cervical Spine | $3,919.00 | $4,899.00 | $3,456.00–$4,654.00 | 15% above | 20% |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis W/o&w Contrast | $6,069.00 | $7,586.00 | $5,351.00–$7,207.00 | 41% above | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis | $4,249.00 | $5,311.00 | $3,746.00–$5,045.00 | 80% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Joint Upper Extremity | $4,037.00 | $5,046.00 | $3,559.00–$4,794.00 | 25% above | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc X-ray Cerv Spine 4/5 Vw | $913.00 | $1,141.00 | $805.00–$1,084.00 | 30% above | 20% |
| Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Scan Soft Tissue Neck Contrast | $3,298.00 | $4,123.00 | $2,908.00–$3,917.00 | 38% above | 20% |
| Neck soft tissue CT scan without contrast CPT 70490 Hc Ct Scan Soft Tissue Neck | $3,059.00 | $3,824.00 | $2,697.00–$3,633.00 | 48% above | 20% |
| Neck soft tissue X-ray CPT 70360 Hc X-ray Neck Soft Tissue | $473.00 | $591.00 | $417.00–$561.00 | 26% above | 20% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 Hc Computerized Ophthalmic Diag Imaging, W Interp And Report, Uni/bilateral; Retina | $62.00 | $78.00 | $55.00–$74.00 | — | 21% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 Prg Computerized Ophthalmic Diag Imaging, W Interp And Report, Uni/bilateral; Retina | $93.00 | $116.00 | $82.00–$110.00 | — | 20% |
| Pelvic CT scan without contrast CPT 72192 Hc Ct Scan Pelvis | $2,839.00 | $3,549.00 | $2,503.00–$3,372.00 | 31% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Prg Us Pelvic Nonobstetric Image Documentation Limited/f/u | $711.00 | $889.00 | $627.00–$845.00 | 13% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvic Nonobstetric Image Documentation Limited/f/u | $2,014.00 | $2,517.00 | $1,775.00–$2,391.00 | 219% above | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvic Nonobstetric Real-time Image Complete | $1,025.00 | $1,281.00 | $904.00–$1,217.00 | 52% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us Pregnant Uterus 14 Week Transabdl 1/1st Gestat | $2,003.00 | $2,504.00 | $1,766.00–$2,379.00 | 157% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Pregnant Uterus Limited 1 Or More Fetuses | $898.00 | $1,122.00 | $791.00–$1,066.00 | 43% above | 20% |
| Rib X-ray, one side, 2 views one side CPT 71100 Hc X-ray Ribs 2 Vw Unilat | $532.00 | $665.00 | $469.00–$632.00 | 1% above | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Hc X-ray Ribs, Chest 3+ Vw | $648.00 | $810.00 | $571.00–$770.00 | at median | 20% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $638.00 | $797.00 | $562.00–$757.00 | — | 20% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Hc X-ray Shoulder 2+ Vw | $511.00 | $639.00 | $451.00–$607.00 | at median | 20% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hc X-ray Sinuses 3+ Vw | $654.00 | $817.00 | $576.00–$776.00 | 41% above | 20% |
| Skull X-ray, fewer than 4 views CPT 70250 Hc X-ray Skull <4 Vw | $616.00 | $770.00 | $543.00–$732.00 | 16% above | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc X-ray Swallow Function Contrast Study | $650.00 | $813.00 | $573.00–$772.00 | 14% below | 20% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Radiologic Examination, Femur; Minimum 2 Views | $480.00 | $600.00 | $423.00–$570.00 | 13% above | 20% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Ct Scan Thoracic Spine | $2,390.00 | $2,987.00 | $2,107.00–$2,838.00 | 34% above | 20% |
| Toe X-ray, 2 or more views CPT 73660 Hc X-ray Toe(s) Minimum 2 Views | $564.00 | $705.00 | $497.00–$670.00 | 45% above | 20% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $1,029.00 | $1,286.00 | $907.00–$1,222.00 | 25% above | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Pregnant Uterus Real Time W Image Documemtation Transvag | $1,546.00 | $1,932.00 | $1,363.00–$1,835.00 | 115% above | 20% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $1,137.00 | $1,421.00 | $1,002.00–$1,350.00 | 25% above | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 Prg Us Scrotum & Contents | $800.00 | $1,000.00 | $705.00–$950.00 | 18% above | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum & Contents | $1,037.00 | $1,296.00 | $914.00–$1,231.00 | 53% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Soft Tissue Head & Neck Real Time Image Documentation | $1,025.00 | $1,281.00 | $904.00–$1,217.00 | 18% above | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Radiologic Exam Upper Gi Tract Single Contrast Study | $1,905.00 | $2,381.00 | $1,680.00–$2,262.00 | 63% above | 20% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Hc X-ray Humerus Min 2 Views | $506.00 | $632.00 | $446.00–$600.00 | at median | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Duplex Scan Extremity Veins Unilateral/limited Study | $698.00 | $873.00 | $616.00–$829.00 | 4% above | 20% |
| Wrist X-ray, 2 views CPT 73100 Hc X-ray Wrist 2 Vw | $540.00 | $675.00 | $476.00–$641.00 | 11% above | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hc X-ray Wrist 3+ Vw | $681.00 | $851.00 | $600.00–$808.00 | 17% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Radiologic Examination, Hip, Unilateral, With Pelvis When Performed; 2-3 Views | $1,047.00 | $1,309.00 | $923.00–$1,244.00 | 84% above | 20% |
| X-ray of the abdomen, 1 view CPT 74018 Hc Radiologic Exam Abdomen 1 View | $397.00 | $496.00 | $350.00–$471.00 | at median | 20% |
| X-ray of the ankle, 2 views CPT 73600 Hc X-ray Ankle 2 Vw | $495.00 | $619.00 | $437.00–$588.00 | 6% above | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 Hc X-ray Exam Of Finger(s)min 2 Views | $603.00 | $754.00 | $532.00–$716.00 | 55% above | 20% |
| X-ray of the foot, 2 views CPT 73620 Hc X-ray Foot 2 Vw | $480.00 | $600.00 | $423.00–$570.00 | 1% above | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc X-ray Foot 3+ Vw | $572.00 | $715.00 | $504.00–$679.00 | 12% above | 20% |
| X-ray of the hand, 3 or more views CPT 73130 Hc X-ray Hand 3+ Vw | $581.00 | $726.00 | $512.00–$690.00 | 15% above | 20% |
| X-ray of the knee, 1 or 2 views CPT 73560 Hc X-ray Knee 1 Or 2 View | $522.00 | $653.00 | $461.00–$620.00 | 4% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc X-ray Lumbar Spine 2/3 Vw | $714.00 | $892.00 | $629.00–$847.00 | 8% above | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $978.00 | $1,223.00 | $863.00–$1,162.00 | 16% above | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc X-ray Thoracic Spine 2 Vw | $492.00 | $615.00 | $434.00–$584.00 | 5% below | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hc X-ray Nasal Bones Minimum 3 Views | $603.00 | $754.00 | $532.00–$716.00 | 8% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc X-ray Cerv Spine 2/3 Vw | $672.00 | $840.00 | $593.00–$798.00 | 34% above | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc X-ray Pelvis 1/2 Vw | $438.00 | $547.00 | $386.00–$520.00 | at median | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc X-ray Sacrum/coccyx 2+ Vw | $511.00 | $639.00 | $451.00–$607.00 | 1% above | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hc Pch Adrenocorticotropic Hormone | $681.00 | $851.00 | $600.00–$808.00 | 77% above | 20% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Alanine Amino Transferase (Alt) | $80.00 | $100.00 | $71.00–$95.00 | 105% above | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Aspartate Aminotransferase (Ast) | $93.00 | $116.00 | $82.00–$110.00 | 48% above | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Acute Hepatitis Panel | $678.00 | $847.00 | $597.00–$805.00 | 53% above | 20% |
| Albumin blood test CPT 82040 Hc Albumin, Serum | $74.00 | $92.00 | $65.00–$87.00 | 72% above | 20% |
| Aldosterone blood test CPT 82088 Hc Pch Aldosterone, Serum | $720.00 | $900.00 | $635.00–$855.00 | 65% above | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Pch Alkaline Phosphatase-total, Iso Serum | $86.00 | $107.00 | $75.00–$102.00 | 91% above | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Alkaline Phosphatase, Serum | $86.00 | $107.00 | $75.00–$102.00 | 91% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pch Rye Grass, Ige | $73.00 | $91.00 | $64.00–$86.00 | 49% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen (Ige), Level 1 | $73.00 | $91.00 | $64.00–$86.00 | 49% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pch House Dust/greer Lab Ige | $73.00 | $91.00 | $64.00–$86.00 | 49% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pch Allergen (Lge) Level 1 | $73.00 | $91.00 | $64.00–$86.00 | 49% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pch Gerbil Epithelium, Ige, Serum | $76.00 | $95.00 | $67.00–$90.00 | 55% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pch Allergen (Lge) Level 4 | $76.00 | $95.00 | $67.00–$90.00 | 55% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Galactose Alpha 1,3 Galactose Ige | $120.00 | $150.00 | $106.00–$143.00 | 145% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha Fetoprotein Tumor Marker | $251.00 | $314.00 | $221.00–$298.00 | 115% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Pch Afp; Wih | $251.00 | $314.00 | $221.00–$298.00 | 115% above | 20% |
| Ammonia blood test CPT 82140 Hc Ammonia, Plasma | $258.00 | $322.00 | $227.00–$306.00 | 94% above | 20% |
| Amylase blood test CPT 82150 Hc Amylase | $100.00 | $125.00 | $88.00–$119.00 | 89% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Citrulline Peptide | $212.00 | $265.00 | $187.00–$252.00 | 84% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Antibody,serum | $198.00 | $248.00 | $175.00–$236.00 | 92% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Probnp | $600.00 | $750.00 | $529.00–$713.00 | 138% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Eye Culture | $125.00 | $156.00 | $110.00–$148.00 | 48% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Bone Culture | $149.00 | $186.00 | $131.00–$177.00 | 77% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Body Fluid Culture | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Tissue Culture | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Cns Culture | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Cf Sputum Culture | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Sputum Culture | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Skin Cx, Superficial | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Upper Resp Tract Cx | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Ear Culture | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Wound/abscess Cx | $154.00 | $192.00 | $135.00–$182.00 | 83% above | 20% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $149.00 | $186.00 | $131.00–$177.00 | 60% above | 20% |
| Bilirubin blood test, total CPT 82247 Hc Bilirubin Total | $85.00 | $106.00 | $75.00–$101.00 | 67% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Gross Exam+micro Level Iv | $910.00 | $1,137.00 | $802.00–$1,080.00 | 248% above | 20% |
| Blood culture for bacteria CPT 87040 Hc Blood Culture- | $136.00 | $170.00 | $120.00–$162.00 | at median | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Venipuncture | $36.00 | $45.00 | $32.00–$43.00 | 24% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Of Venous Blood By Venipuncture | $36.00 | $45.00 | $32.00–$43.00 | 24% above | 20% |
| Blood glucose (sugar) test CPT 82947 Tc Poct Assay Quantitative, Blood Glucose | $54.00 | $68.00 | $48.00–$65.00 | 32% above | 21% |
| Blood glucose (sugar) test CPT 82947 Hc Glucose, Random | $63.00 | $79.00 | $56.00–$75.00 | 54% above | 20% |
| Blood lead test CPT 83655 Tc Poct Assay Of Lead | $156.00 | $195.00 | $138.00–$185.00 | 143% above | 20% |
| Blood lead test CPT 83655 Hc Pch Heavy Metal Screen Blood; Lead | $215.00 | $269.00 | $190.00–$256.00 | 235% above | 20% |
| Blood lead test CPT 83655 Hc Pch Lead Quantitative Blood | $215.00 | $269.00 | $190.00–$256.00 | 235% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Abo-microtiter | $54.00 | $67.00 | $47.00–$64.00 | 36% below | 19% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Abo Type | $54.00 | $67.00 | $47.00–$64.00 | 36% below | 19% |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Urea Nitrogen, Serum | $61.00 | $76.00 | $54.00–$72.00 | 45% above | 20% |
| C-peptide blood test CPT 84681 Hc C Peptide | $366.00 | $458.00 | $323.00–$435.00 | 96% above | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-reactive Protein | $61.00 | $76.00 | $54.00–$72.00 | at median | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Difficile Pcr | $461.00 | $576.00 | $406.00–$547.00 | 97% above | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc Carbohydrate Antigen 19-9 | $355.00 | $444.00 | $313.00–$422.00 | 61% above | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Cancer Antigen 125 | $355.00 | $444.00 | $313.00–$422.00 | 90% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Sars-cov-2 (Covid-19) (Molecular Pathology) | $26.00 | $32.00 | $23.00–$30.00 | 75% below | 19% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Rapid Sars-cov-2 (Covid-19) Pcr (Microbiology) | $26.00 | $32.00 | $23.00–$30.00 | 75% below | 19% |
| Calcium blood test, total CPT 82310 Hc Calcium, Serum | $73.00 | $91.00 | $64.00–$86.00 | 110% above | 20% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcino-embryonic Ag Assay | $258.00 | $322.00 | $227.00–$306.00 | 37% above | 20% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella Zoster Antibody | $226.00 | $283.00 | $200.00–$269.00 | 138% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Gene Amp | $361.00 | $451.00 | $318.00–$428.00 | 197% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Tracomatis By Pcr (Thin Prep) | $361.00 | $451.00 | $318.00–$428.00 | 197% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $165.00 | $206.00 | $145.00–$196.00 | 68% above | 20% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $122.00 | $152.00 | $107.00–$144.00 | 75% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $100.00 | $125.00 | $88.00–$119.00 | 70% above | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $175.00 | $219.00 | $154.00–$208.00 | 24% above | 20% |
| Cortisol blood test, total CPT 82533 Hc Pch Salivary Cortisol | $290.00 | $363.00 | $256.00–$345.00 | 138% above | 20% |
| Cortisol blood test, total CPT 82533 Hc Cortisol, Blood | $290.00 | $363.00 | $256.00–$345.00 | 138% above | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Creatine Phosphokinase, Serum | $111.00 | $139.00 | $98.00–$132.00 | 50% above | 20% |
| Creatinine blood test CPT 82565 Hc Creatinine | $80.00 | $100.00 | $71.00–$95.00 | 78% above | 20% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cmv Ab Igg | $247.00 | $309.00 | $218.00–$294.00 | 209% above | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 Hc D-dimer, Quantitative | $166.00 | $208.00 | $147.00–$198.00 | 76% above | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Pch Es-dhea Sulfate | $322.00 | $402.00 | $284.00–$382.00 | 23% above | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dheas | $322.00 | $402.00 | $284.00–$382.00 | 23% above | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Urine Drug Screen Per Patient Encounter | $411.00 | $514.00 | $363.00–$488.00 | 147% above | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Urine Fentanyl | $411.00 | $514.00 | $363.00–$488.00 | 147% above | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Pch Alcohol Biomarkers, Urine | $411.00 | $514.00 | $363.00–$488.00 | 147% above | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Urine Drug Screen By Instrument | $411.00 | $514.00 | $363.00–$488.00 | 147% above | 20% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Profile Routine | $124.00 | $155.00 | $109.00–$147.00 | 53% above | 20% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Ebv (Vca) Ab | $207.00 | $259.00 | $183.00–$246.00 | 85% above | 20% |
| Estradiol blood test CPT 82670 Hc Estradiol, Serum | $470.00 | $588.00 | $415.00–$559.00 | 169% above | 20% |
| Estradiol blood test CPT 82670 Hc Pch Es-estradiol | $470.00 | $588.00 | $415.00–$559.00 | 169% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Pch Es-fsh | $330.00 | $413.00 | $291.00–$392.00 | 69% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Fsh Assay, Serum | $330.00 | $413.00 | $291.00–$392.00 | 69% above | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hc Fecal Calprotectin | $372.00 | $465.00 | $328.00–$442.00 | 14% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 Hc Ferritin, Serum | $224.00 | $280.00 | $198.00–$266.00 | 80% above | 20% |
| Fibrinogen blood test CPT 85384 Hc Fibrinogen Titer | $139.00 | $174.00 | $123.00–$165.00 | 109% above | 20% |
| Folate (folic acid) blood test CPT 82746 Hc Folate, Serum | $240.00 | $300.00 | $212.00–$285.00 | 111% above | 20% |
| Free T3 thyroid hormone test CPT 84481 Hc Free T3 Level | $245.00 | $306.00 | $216.00–$291.00 | 61% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Free Thyroxine (T4) | $155.00 | $194.00 | $137.00–$184.00 | 52% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Pch Assay Of Free Thyroxine, Frt4d | $155.00 | $194.00 | $137.00–$184.00 | 52% above | 20% |
| Free testosterone test CPT 84402 Hc Pch Testosterone,free | $382.00 | $478.00 | $337.00–$454.00 | 315% above | 20% |
| Free testosterone test CPT 84402 Hc Pch Es-testosterone, Free | $382.00 | $478.00 | $337.00–$454.00 | 315% above | 20% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Gamma Glutamyl Transferase | $38.00 | $47.00 | $33.00–$45.00 | 17% below | 19% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc General Health Panel | $540.00 | $675.00 | $476.00–$641.00 | 114% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Level, Post Glucola | $66.00 | $82.00 | $58.00–$78.00 | 22% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tt 3hr | $179.00 | $224.00 | $158.00–$213.00 | 19% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Gonorrhoeae By Pcr (Thin Prep) | $454.00 | $567.00 | $400.00–$539.00 | 188% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gc Gene Amp | $454.00 | $567.00 | $400.00–$539.00 | 188% above | 20% |
| H. pylori stool antigen test CPT 87338 Hc H.pylori Stool Antigen | $251.00 | $314.00 | $221.00–$298.00 | 17% above | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Quantification | $964.00 | $1,205.00 | $850.00–$1,145.00 | 160% above | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Pch Idm-anti-hiv 1 And Anti-hiv 2 (Screening) | $188.00 | $235.00 | $166.00–$223.00 | 76% above | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv Screen, 4th Generation | $342.00 | $428.00 | $302.00–$407.00 | 272% above | 20% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv, Detection And Genotyping, Head And Neck | $153.00 | $191.00 | $135.00–$181.00 | at median | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hemoglobin A1c | $166.00 | $208.00 | $147.00–$198.00 | 90% above | 20% |
| Hemoglobin blood test CPT 85018 Hc Hemoglobin, Blood | $42.00 | $53.00 | $37.00–$50.00 | 86% above | 21% |
| Hemoglobin blood test CPT 85018 Tc Poct Blood Count Hemoglobin | $100.00 | $125.00 | $88.00–$119.00 | 344% above | 20% |
| Hepatitis B core antibody test (total) CPT 86704 Hc Hepatitis B Core Ab | $215.00 | $269.00 | $190.00–$256.00 | 115% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Ab | $184.00 | $230.00 | $162.00–$219.00 | 91% above | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ag | $184.00 | $230.00 | $162.00–$219.00 | 98% above | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody | $189.00 | $236.00 | $166.00–$224.00 | 72% above | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hcv Quantification | $756.00 | $945.00 | $667.00–$898.00 | 62% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Type I Ab, Igg | $186.00 | $232.00 | $164.00–$220.00 | 69% above | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Type Ii Ab, Igg | $281.00 | $351.00 | $248.00–$333.00 | 135% above | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hc Hscrp | $184.00 | $230.00 | $162.00–$219.00 | 92% above | 20% |
| Homocysteine blood test CPT 83090 Hc Homocysteine | $298.00 | $372.00 | $262.00–$353.00 | 47% above | 20% |
| Insulin blood test CPT 83525 Hc Insulin Level | $176.00 | $220.00 | $155.00–$209.00 | 71% above | 20% |
| Iron blood test (serum iron) CPT 83540 Hc Serum Iron | $115.00 | $144.00 | $102.00–$137.00 | 64% above | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Capacity | $152.00 | $190.00 | $134.00–$181.00 | 86% above | 20% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $124.00 | $155.00 | $109.00–$147.00 | 3% above | 20% |
| LH (luteinizing hormone) test CPT 83002 Hc Pch Es-lh | $313.00 | $391.00 | $276.00–$371.00 | 95% above | 20% |
| LH (luteinizing hormone) test CPT 83002 Hc Lh Assay, Serum | $313.00 | $391.00 | $276.00–$371.00 | 95% above | 20% |
| Lactate (lactic acid) blood test CPT 83605 Hc L-lactate | $190.00 | $237.00 | $167.00–$225.00 | 67% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactic Dehydrogenase | $105.00 | $131.00 | $92.00–$124.00 | 26% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Csf,ld | $105.00 | $131.00 | $92.00–$124.00 | 26% above | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase | $82.00 | $102.00 | $72.00–$97.00 | 67% above | 20% |
| Liver function blood test panel CPT 80076 Liver function blood test | $140.00 | $175.00 | $123.00–$166.00 | 27% above | 20% |
| Lyme disease antibody test CPT 86618 Hc Pch Lyme Csf Igg With Reflex | $198.00 | $248.00 | $175.00–$236.00 | 98% above | 20% |
| Lyme disease antibody test CPT 86618 Hc Lyme Total (Screen) | $198.00 | $248.00 | $175.00–$236.00 | 98% above | 20% |
| Magnesium blood test CPT 83735 Hc Magnesium, Urine | $115.00 | $144.00 | $102.00–$137.00 | 104% above | 20% |
| Magnesium blood test CPT 83735 Hc Magnesium, Serum | $115.00 | $144.00 | $102.00–$137.00 | 104% above | 20% |
| Magnesium blood test CPT 83735 Hc Pch Magnesium, Rbc | $115.00 | $144.00 | $102.00–$137.00 | 104% above | 20% |
| Measles (rubeola) antibody test CPT 86765 Hc Rubeola Ab Igg | $219.00 | $274.00 | $193.00–$260.00 | 174% above | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hc Infectious Mono Screen, Serum | $180.00 | $225.00 | $159.00–$214.00 | 278% above | 20% |
| Mumps immunity blood test CPT 86735 Hc Mumps Antibody | $224.00 | $280.00 | $198.00–$266.00 | 104% above | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $323.00 | $404.00 | $285.00–$384.00 | 127% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $268.00 | $335.00 | $236.00–$318.00 | 99% above | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Dx Gyn Lbp Auto W/man Screen | $384.00 | $480.00 | $339.00–$456.00 | 296% above | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Scr Gyn Lbp Auto W/man Screen | $384.00 | $480.00 | $339.00–$456.00 | 296% above | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Scr Gyn Lbp Man Screen | $185.00 | $231.00 | $163.00–$219.00 | 38% above | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Dx Gyn Lbp Man Screen | $358.00 | $447.00 | $315.00–$425.00 | 167% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 Hc Parathyroid Hormone(pth Intact | $598.00 | $747.00 | $527.00–$710.00 | 139% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $106.00 | $132.00 | $93.00–$125.00 | 94% above | 20% |
| Phosphorus (phosphate) blood test CPT 84100 Hc Phosphorus, Serum | $82.00 | $103.00 | $73.00–$98.00 | 82% above | 20% |
| Potassium blood test CPT 84132 Hc Potassium | $81.00 | $101.00 | $71.00–$96.00 | 95% above | 20% |
| Progesterone blood test CPT 84144 Hc Progesterone | $368.00 | $460.00 | $324.00–$437.00 | 109% above | 20% |
| Prolactin blood test CPT 84146 Hc Prolactin Assay, Serum | $318.00 | $398.00 | $281.00–$378.00 | 121% above | 20% |
| Prolactin blood test CPT 84146 Hc Pch Macroprolactin (May) | $318.00 | $398.00 | $281.00–$378.00 | 121% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $74.00 | $92.00 | $65.00–$87.00 | 95% above | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Tc Poct Drug Test Prsmv Qual Dir Optical Obs Per Day, In Office | $40.00 | $50.00 | $35.00–$48.00 | 4% above | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Tc Poct Influenza Assay W Optic | $87.00 | $109.00 | $77.00–$104.00 | 89% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Infectious Antigen Detect W Direct Optical Obsv, Strep Grp A | $74.00 | $92.00 | $65.00–$87.00 | 10% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Tc Poct Strep A Assay W Optic | $74.00 | $92.00 | $65.00–$87.00 | 10% above | 20% |
| Renin blood test CPT 84244 Hc Pch Renin, Plasma | $389.00 | $486.00 | $343.00–$462.00 | 88% above | 20% |
| Rh blood typing CPT 86901 Hc Rh Type | $54.00 | $67.00 | $47.00–$64.00 | 11% above | 19% |
| Rh blood typing CPT 86901 Hc Rh-microtiter | $54.00 | $67.00 | $47.00–$64.00 | 11% above | 19% |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor | $101.00 | $126.00 | $89.00–$120.00 | 79% above | 20% |
| Rubella antibody test (immunity check) CPT 86762 Hc Rubella Antibody | $226.00 | $283.00 | $200.00–$269.00 | 131% above | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Esr-sedimentation Rate, Blood | $61.00 | $76.00 | $54.00–$72.00 | 45% above | 20% |
| Sodium blood test CPT 84295 Hc Sodium | $70.00 | $88.00 | $62.00–$84.00 | 56% above | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Ifob (Fit) Fecal Blood Hemoglobin; 1-3 Determinations | $187.00 | $234.00 | $165.00–$222.00 | 92% above | 20% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Pch Syphilis Conf (Tp-pa) | $186.00 | $232.00 | $164.00–$220.00 | 221% above | 20% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Syphilis Antibody | $186.00 | $232.00 | $164.00–$220.00 | 221% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Pch Syphilis Conf (Rpr) | $54.00 | $68.00 | $48.00–$65.00 | 25% below | 21% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon | $799.00 | $999.00 | $705.00–$949.00 | 302% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Pch Es-testosterone (Total) | $334.00 | $417.00 | $294.00–$396.00 | 66% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Pch Es-testosterone | $334.00 | $417.00 | $294.00–$396.00 | 66% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Pch Testosterone (Total) | $334.00 | $417.00 | $294.00–$396.00 | 66% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone, Serum | $334.00 | $417.00 | $294.00–$396.00 | 66% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Thyroid Peroxidase Antibody | $202.00 | $253.00 | $178.00–$240.00 | 68% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Pch Liver-kidney Microsomal Ab | $202.00 | $253.00 | $178.00–$240.00 | 68% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $242.00 | $303.00 | $214.00–$288.00 | 27% above | 20% |
| Total IgE blood test CPT 82785 Hc Ige, Total | $250.00 | $313.00 | $221.00–$297.00 | 198% above | 20% |
| Total cholesterol blood test CPT 82465 Hc Cholesterol | $78.00 | $98.00 | $69.00–$93.00 | 91% above | 20% |
| Total thyroxine (T4) blood test CPT 84436 Hc Total T4 | $94.00 | $118.00 | $83.00–$112.00 | 64% above | 20% |
| Total triiodothyronine (T3) blood test CPT 84480 Hc Total T3 | $260.00 | $325.00 | $229.00–$309.00 | 110% above | 20% |
| Trichomonas test (NAAT) CPT 87661 Hc Vpaneltrichomonas Vaginalis Amplif | $289.00 | $361.00 | $255.00–$343.00 | 391% above | 20% |
| Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Gene Amplification | $289.00 | $361.00 | $255.00–$343.00 | 391% above | 20% |
| Triglycerides blood test CPT 84478 Hc Triglycerides | $90.00 | $112.00 | $79.00–$106.00 | 123% above | 20% |
| Troponin test, quantitative CPT 84484 Hc Troponin T | $170.00 | $212.00 | $150.00–$201.00 | 3% above | 20% |
| Uric acid blood test CPT 84550 Hc Uric Acid, Serum | $80.00 | $100.00 | $71.00–$95.00 | 23% above | 20% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $54.00 | $68.00 | $48.00–$65.00 | 15% above | 21% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $44.00 | $55.00 | $39.00–$52.00 | 16% above | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $23.00 | $29.00 | $20.00–$28.00 | at median | 21% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Urine Culture | $81.00 | $101.00 | $71.00–$96.00 | 6% above | 20% |
| Urine microalbumin (albumin) test CPT 82043 Hc Microalbumin, Urine | $83.00 | $104.00 | $73.00–$99.00 | 65% above | 20% |
| Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Test By Visual Color Comparison Methods | $39.00 | $49.00 | $35.00–$47.00 | 1% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 Tc Poct Urine Pregnancy Test | $39.00 | $49.00 | $35.00–$47.00 | 1% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 Hc Pregnancy Test, Qual, Urine | $110.00 | $137.00 | $97.00–$130.00 | 178% above | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12 Serum | $185.00 | $231.00 | $163.00–$219.00 | 66% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D Total-25 Hydroxy | $56.00 | $70.00 | $49.00–$67.00 | 74% below | 20% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Pch 1, 25-dihydroxyvitamin D, S | $536.00 | $670.00 | $473.00–$637.00 | 54% above | 20% |
| Zinc blood test CPT 84630 Hc Pch Zinc Level | $202.00 | $252.00 | $178.00–$239.00 | 31% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Pch Hc Pchg; Wih | $209.00 | $261.00 | $184.00–$248.00 | 67% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Chorionic Gonadotropins, Serum | $209.00 | $261.00 | $184.00–$248.00 | 67% above | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Hc Chemodervate Facial/trigeminal/cervical Muscle Migraine | $509.00 | $636.00 | $449.00–$604.00 | 25% above | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion Elective Arrhythmia External | $1,508.00 | $1,885.00 | $1,330.00–$1,791.00 | 1% below | 20% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $13,727.00 | $17,159.00 | $12,104.00–$16,301.00 | 276% above | 20% |
| Cervical biopsy CPT 57500 Hc Biopsy Cervix Single/mult/excision Of Lesion | $1,478.00 | $1,848.00 | $1,304.00–$1,756.00 | 73% above | 20% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $5,602.00 | $7,003.00 | $4,940.00–$6,653.00 | 46% above | 20% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $8,053.00 | $10,066.00 | $7,101.00–$9,563.00 | 115% above | 20% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $3,062.00 | $3,827.00 | $2,700.00–$3,636.00 | 2% below | 20% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystourethroscopy | $224.00 | $280.00 | $198.00–$266.00 | 49% below | 20% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Hc Dilation & Curettage Dx &/Or Therapeutic Nonobstetric | $252.00 | $315.00 | $222.00–$299.00 | 86% below | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruction Premalignant Lesion, 1st Lesion | $61.00 | $76.00 | $54.00–$72.00 | 26% below | 20% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Tc Nurse Removal Impacted Cerumen Using Irrigation/lavage, Unilateral | $216.00 | $270.00 | $190.00–$257.00 | 117% above | 20% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Tc Removal Impacted Cerumen Using Irrigation/lavage, Unilateral | $216.00 | $270.00 | $190.00–$257.00 | 117% above | 20% |
| Earwax removal with instruments, one ear one side CPT 69210 Hc Removal Impacted Cerumen Instrumentation Unilateral | $47.00 | $59.00 | $42.00–$56.00 | 72% below | 20% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Biopsy W/wo Endocervix Biopsy Wo Dilation | $308.00 | $385.00 | $272.00–$366.00 | 31% above | 20% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Inj Dx/ther Sbst Intrlmnr Crv/thrc W Img Gdn | $1,877.00 | $2,346.00 | $1,655.00–$2,229.00 | at median | 20% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj Pv Facet Joint Lumbar/sacral Single Level | $2,318.00 | $2,897.00 | $2,044.00–$2,752.00 | at median | 20% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Sigmoidoscopy Flexible Dx W Collection Spec Br/wa If Perf | $802.00 | $1,003.00 | $708.00–$953.00 | 36% below | 20% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Colorectal Cancer Screening, Flexible Sigmoidoscopy | $802.00 | $1,003.00 | $708.00–$953.00 | 36% below | 20% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $22,075.00 | $27,594.00 | $19,465.00–$26,214.00 | 205% above | 20% |
| Hammertoe correction surgery CPT 28285 Hc Correction Hammertoe | $674.00 | $843.00 | $595.00–$801.00 | 22% below | 20% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy Internal Rubber Band Ligations | $1,228.00 | $1,535.00 | $1,083.00–$1,458.00 | 8% below | 20% |
| IUD insertion (the device itself billed separately) CPT 58300 Hc Insertion Intrauterine Device | $171.00 | $214.00 | $151.00–$203.00 | 67% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc Incision And Drainage Abscess Simple/single | $128.00 | $160.00 | $113.00–$152.00 | 72% below | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $16,088.00 | $20,110.00 | $14,186.00–$19,105.00 | 222% above | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj 1 Tendon Sheath/ligament Aponeurosis | $83.00 | $104.00 | $73.00–$99.00 | 71% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocentesis Aspiration &/Or Inj Major Jt Or Bursa Wo Us | $784.00 | $980.00 | $691.00–$931.00 | 15% above | 20% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion Drug Delivery Implant | $110.00 | $137.00 | $97.00–$130.00 | 41% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis Aspiration &/Or Inj Interm Jt Or Bursa Wo Us | $70.00 | $87.00 | $61.00–$83.00 | 75% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocentesis Aspiration &/Or Inj Small Joint/bursa | $60.00 | $75.00 | $53.00–$71.00 | 83% below | 20% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser | $2,674.00 | $3,342.00 | $2,357.00–$3,175.00 | 147% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repair Intermediate Wound S/a/t/e 2.5 Cm/< | $155.00 | $194.00 | $137.00–$184.00 | 66% below | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $2,399.00 | $2,999.00 | $2,115.00–$2,849.00 | 15% above | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $3,722.00 | $4,652.00 | $3,282.00–$4,419.00 | 52% above | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Benign Lesion Margins Except Skin Tag Trunk, Arm, Leg, 0.5 Cm/< | $110.00 | $137.00 | $97.00–$130.00 | 49% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate Partial/complete, Simple, Single | $89.00 | $111.00 | $78.00–$105.00 | 78% below | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Anes Agent &/ Steroid Greater Occipital Nerve | $263.00 | $329.00 | $232.00–$313.00 | 49% below | 20% |
| Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis Diagnosis Ther W Imaging Guidance | $321.00 | $401.00 | $283.00–$381.00 | 54% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Excision Nail Matrix Permanent Removal | $228.00 | $285.00 | $201.00–$271.00 | 75% below | 20% |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $8,423.00 | $10,529.00 | $7,427.00–$10,003.00 | 1437% above | 20% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Destruction Neurolytic Agent Parverteb Fct Sngl Lmbr/sacral | $3,078.00 | $3,847.00 | $2,714.00–$3,655.00 | 20% below | 20% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Cooled Radiofrequency Ablation, Single Facet Joint, Lumbar/sacral | $4,360.00 | $5,450.00 | $3,844.00–$5,178.00 | 14% above | 20% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $1,199.00 | $1,499.00 | $1,057.00–$1,424.00 | 57% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Incision & Removal Foreign Body Subq Tiss Simple | $118.00 | $147.00 | $104.00–$140.00 | 76% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 Hc Application Short Arm Splint Forearm-hand Static | $61.00 | $76.00 | $54.00–$72.00 | 73% below | 20% |
| Short leg splint (calf to foot) CPT 29515 Hc Application Short Leg Splint Calf Foot | $58.00 | $72.00 | $51.00–$68.00 | 83% below | 19% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Simple Repair Scalp/neck/ax/genit/trunk 2.5 Cm/< | $146.00 | $183.00 | $129.00–$174.00 | 63% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Skin Single Lesion | $99.00 | $124.00 | $87.00–$118.00 | 57% below | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Exc Lesion Malignant Trunk, Arm, Leg, 0.5 Cm/< | $162.00 | $202.00 | $142.00–$192.00 | 39% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags, Mult Fibrocutaneous Tags, Any Area; Up To And Incl 15 Lesions | $86.00 | $107.00 | $75.00–$102.00 | 56% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Simple Repair Scalp/neck/ax/genit/trunk 2.6-7.5 Cm | $158.00 | $198.00 | $140.00–$188.00 | 70% below | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Biopsy Skin Single Lesion | $38.00 | $48.00 | $34.00–$46.00 | 73% below | 21% |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis Needle/catheter Pleura W/imaging | $1,962.00 | $2,452.00 | $1,730.00–$2,329.00 | 56% above | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inj Single Or Multi Trigger Points One Or Two Muscles | $70.00 | $88.00 | $62.00–$84.00 | 88% below | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx Breast W Device 1st Lesion Ultrasound Guid | $1,350.00 | $1,687.00 | $1,190.00–$1,603.00 | 48% below | 20% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hc Egd Balloon Dilation Esophagus <30 Mm Diam | $2,158.00 | $2,697.00 | $1,902.00–$2,562.00 | 31% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $8,354.00 | $10,442.00 | $7,366.00–$9,920.00 | 164% above | 20% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Hc Esophagogastroduodenoscopy Submucosal Inj | $2,158.00 | $2,697.00 | $1,902.00–$2,562.00 | 38% above | 20% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hc Egd Removal Tumor Polyp/other Lesion Snare Tech | $2,158.00 | $2,697.00 | $1,902.00–$2,562.00 | 28% below | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $7,246.00 | $9,057.00 | $6,389.00–$8,604.00 | 152% above | 20% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Hc Vasectomy Uni/bi W Postop Semen Exams | $319.00 | $399.00 | $281.00–$379.00 | — | 20% |
| Wart removal, up to 14 warts CPT 17110 Hc Destruction Benign Lesions Up To 14 | $89.00 | $111.00 | $78.00–$105.00 | 44% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debridement Subcutaneous Tissue 20 Sq Cm/< | $275.00 | $344.00 | $243.00–$327.00 | 27% below | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Transfusion Blood/blood Components | $670.00 | $838.00 | $591.00–$796.00 | at median | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Pressurized Or Nonpressurized Inhalation Treatment | $185.00 | $231.00 | $163.00–$219.00 | 5% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tc Pressurized Or Nonpressurized Inhalation Treatment | $185.00 | $231.00 | $163.00–$219.00 | 5% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Mdi Resp Treatment | $185.00 | $231.00 | $163.00–$219.00 | 5% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Small Volume Neb Resp Tx | $185.00 | $231.00 | $163.00–$219.00 | 5% below | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 Tc Nurse Chemo Admin, Iv Infusion, Up To 1hr, Single/initial Drug | $205.00 | $256.00 | $181.00–$243.00 | 71% below | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Admin Inf Tech Up To 1 Hr 1st Drug | $205.00 | $256.00 | $181.00–$243.00 | 71% below | 20% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Hc Opthlm Svcs Medical Exam&eval Compre New Pt 1 Or More Vst | $176.00 | $220.00 | $155.00–$209.00 | — | 20% |
| Comprehensive eye exam, returning patient CPT 92014 Hc Opthlm Svcs Medical Exam&eval Compre Est Pt 1 Or More Vst | $106.00 | $132.00 | $93.00–$125.00 | — | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care First 30-74 Min | $1,554.00 | $1,943.00 | $1,371.00–$1,846.00 | 11% below | 20% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Prg Electroencephalogram W Recording Awake & Drowsy | $136.00 | $170.00 | $120.00–$162.00 | 75% below | 20% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Electroencephalogram W Recording Awake & Drowsy | $826.00 | $1,033.00 | $729.00–$981.00 | 52% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg Routine W At Least 12 Leads Tracing Only Hospital | $346.00 | $432.00 | $305.00–$410.00 | 110% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Tc Ekg Tracing Only Wo Interp & Report | $346.00 | $432.00 | $305.00–$410.00 | 110% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Emergency Department Visit May Not Req Phys/qhp | $306.00 | $382.00 | $269.00–$363.00 | 15% above | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Emergency Department Visit Straightforward Mdm | $342.00 | $427.00 | $301.00–$406.00 | 18% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Emergency Department Visit Low Mdm | $506.00 | $632.00 | $446.00–$600.00 | 31% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Emergency Department Visit Moderate Mdm | $808.00 | $1,010.00 | $712.00–$960.00 | 16% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Emergency Department Visit High Mdm | $1,297.00 | $1,621.00 | $1,143.00–$1,540.00 | 4% below | 20% |
| Eye exam, returning patient, intermediate CPT 92012 Hc Opthlm Svcs Medical Exam&eval Intermediate Est Pt | $98.00 | $123.00 | $87.00–$117.00 | — | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $190.00 | $238.00 | $168.00–$226.00 | 7% below | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $182.00 | $228.00 | $161.00–$217.00 | 3% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Infusion Hydration Initial 31 Min-1 Hour | $171.00 | $214.00 | $151.00–$203.00 | 25% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Tc Nurse Hydration, Initial, 31 Min To 1 Hr | $218.00 | $273.00 | $193.00–$259.00 | 4% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 Tc Nurse Iv Infusion, Initial, Up To 1 Hr | $58.00 | $72.00 | $51.00–$68.00 | 81% below | 19% |
| IV infusion of a medicine, first hour CPT 96365 Hc Iv Infusion Therapy/prophylaxis/dx Up To 1 Hour | $147.00 | $184.00 | $130.00–$175.00 | 53% below | 20% |
| IV push of a medicine, first drug CPT 96374 Hc Inj Therapeutic/prophylactic/dx Iv Push, 1st Drug | $132.00 | $165.00 | $116.00–$157.00 | 45% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inj Therapeutic/prophylactic/dx Subq/im | $45.00 | $56.00 | $40.00–$53.00 | 21% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tc Nurse Therapeutic Prophylactic/dx Injection Subq/im | $45.00 | $56.00 | $40.00–$53.00 | 21% below | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Evaluation | $152.00 | $190.00 | $134.00–$181.00 | 24% below | 20% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Prg Nerve Conduction Studies 7-8 Studies | $278.00 | $348.00 | $245.00–$331.00 | 16% below | 20% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Nerve Conduction Studies 7-8 Studies | $757.00 | $946.00 | $667.00–$899.00 | 128% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Therapeutic Proc 1+ Areas Ea 15 Min Neuromuscular Reeducation | $198.00 | $248.00 | $175.00–$236.00 | 54% above | 20% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $145.00 | $181.00 | $128.00–$172.00 | 26% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $222.00 | $277.00 | $195.00–$263.00 | 12% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $274.00 | $342.00 | $241.00–$325.00 | 12% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc New Pt, Sf, 15 Min | $70.00 | $88.00 | $62.00–$84.00 | 54% below | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Occupational Therapy Evaluation Low Complexity | $357.00 | $446.00 | $315.00–$424.00 | 19% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Physical Therapy Evaluation High Complexity | $521.00 | $651.00 | $459.00–$618.00 | 61% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Physical Therapy Evaluation Low Complexity | $357.00 | $446.00 | $315.00–$424.00 | 20% above | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Physical Therapy Evaluation Moderate Complexity | $432.00 | $540.00 | $381.00–$513.00 | 45% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy, One Or More Regions, Ea 15 Min | $177.00 | $221.00 | $156.00–$210.00 | 38% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $190.00 | $238.00 | $168.00–$226.00 | 51% above | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $186.00 | $233.00 | $164.00–$221.00 | 13% above | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $212.00 | $265.00 | $187.00–$252.00 | 4% above | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Hc Initial Preventive Med New Patient 65 Yrs & Older | $145.00 | $181.00 | $128.00–$172.00 | 13% below | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Hc Periodic Preventive Med Est Patient 18-39 Yrs | $106.00 | $132.00 | $93.00–$125.00 | 6% below | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Hc Periodic Preventive Med Est Patient 40-64 Yrs | $132.00 | $165.00 | $116.00–$157.00 | 2% above | 20% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Hc Periodic Preventive Med Est Patient 65 Yrs & Older | $131.00 | $164.00 | $116.00–$156.00 | 4% below | 20% |
| Psychiatric evaluation with medical services CPT 90792 Hc Psychiatric Diagnostic Eval W Medical Services | $170.00 | $212.00 | $150.00–$201.00 | 29% below | 20% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $113.00 | $141.00 | $99.00–$134.00 | at median | 20% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $150.00 | $187.00 | $132.00–$178.00 | 8% above | 20% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $226.00 | $282.00 | $199.00–$268.00 | at median | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Tobacco Use Cessation Intermediate 3-10 Min | $26.00 | $32.00 | $23.00–$30.00 | 9% below | 19% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Est Pt, High, 40 Min | $137.00 | $171.00 | $121.00–$162.00 | 52% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Est Pt, Low, 20 Min | $58.00 | $72.00 | $51.00–$68.00 | 64% below | 19% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Est Pt, Mod, 30 Min | $90.00 | $112.00 | $79.00–$106.00 | 58% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Est Pt, Sf, 10 Min | $43.00 | $54.00 | $38.00–$51.00 | 61% below | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $143.00 | $179.00 | $126.00–$170.00 | at median | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $225.00 | $281.00 | $198.00–$267.00 | 5% above | 20% |
| Speech and language evaluation CPT 92523 Hc Eval Speech Sound Product Lang Comprehension | $320.00 | $400.00 | $282.00–$380.00 | 17% below | 20% |
| Speech therapy session, individual CPT 92507 Hc Treatment Speech, Lang, Voice Communication Disorder | $360.00 | $450.00 | $317.00–$428.00 | 1% above | 20% |
| Spirometry (breathing test) CPT 94010 Prg Spirometry W/vc Expiratory Flo W/wo Mxml Voluntr Ventilation | $59.00 | $74.00 | $52.00–$70.00 | 81% below | 20% |
| Spirometry (breathing test) CPT 94010 Hc Spirometry (Without Brochodilator) Tech Only | $296.00 | $370.00 | $261.00–$352.00 | 5% below | 20% |
| Spirometry (breathing test) CPT 94010 Hc Spirometry W/vc Expiratory Flo W/wo Mxml Voluntr Ventilation | $327.00 | $409.00 | $289.00–$389.00 | 5% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Prg Bronchodilation Rspse Spmtry Pre&post-brncdilat Admn | $85.00 | $106.00 | $75.00–$101.00 | 87% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Hc Bronchodilation Rspse Spmtry Pre&post-brncdilat Admn | $378.00 | $473.00 | $334.00–$449.00 | 43% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities, Direct Pt Contact, Ea 15 Min | $206.00 | $258.00 | $182.00–$245.00 | 83% above | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy, Theraputic | $174.00 | $217.00 | $153.00–$206.00 | 21% below | 20% |
| Visual field test, extended both sides CPT 92083 Hc Visual Field Exam Unilateral Or Bilateral, Extended | $76.00 | $95.00 | $67.00–$90.00 | — | 20% |
| Visual field test, extended both sides CPT 92083 Prg Visual Field Exam, Unilateral Or Bilateral, Extended | $114.00 | $143.00 | $101.00–$136.00 | — | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Tc Influenza Vaccine, Inactivated, Adjuvanted Vaccine For Im Use | $67.00 | $84.00 | $59.00–$80.00 | 44% below | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Tc Sarscov2 Vaccine 50 Mcg/0.5 Ml For Im Use | $34.00 | $43.00 | $30.00–$41.00 | 85% below | 21% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Tc Diphtheria ,Tetanus Tox, Acellular Pertussis&polio,inact 4-6 Yrs,im | $90.00 | $113.00 | $80.00–$107.00 | 51% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Tc Influenza Virus Vaccine, Trivalent, Split, Preserv Free, .5ml Im | $26.00 | $32.00 | $23.00–$30.00 | 30% below | 19% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Tc Hpv 9 Vaccine (Gardasil), 3 Dose Sched, Im Use | $646.00 | $808.00 | $570.00–$768.00 | 5% above | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 Tc Hepatitis A Vaccine, Adult Dose, Im | $66.00 | $83.00 | $59.00–$79.00 | 21% below | 20% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Tc Hepatitis A Vaccine, Pedi/adol Dose, 2 Dose Sched, Im | $36.00 | $45.00 | $32.00–$43.00 | 3% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Tc Hepatitis B Vaccine, Adult Dose, Im | $57.00 | $71.00 | $50.00–$67.00 | 40% below | 20% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Tc Hepatitis B Vaccine, Adult 2/4 Dose Schedule, Im | $130.00 | $162.00 | $114.00–$154.00 | — | 20% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Tc Hepatitis B Vaccine, Pedi/adolescent, 3 Dose Schedule, Im | $11.00 | $14.00 | $10.00–$13.00 | 80% below | 21% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Tc Influenza Virus Vaccine, Split, Preserv Free, Enhan Immunogenicity, Im | $84.00 | $105.00 | $74.00–$100.00 | 18% below | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Tc Measles Mumps Rubella Vaccine, Live, Subcutaneous | $92.00 | $115.00 | $81.00–$109.00 | 41% below | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Tc Meningococcal Conjugate Vacc, Serogroups A,c,y,w-135, Im (Menactra) | $129.00 | $161.00 | $114.00–$153.00 | 32% below | 20% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Tc Pneumococcal Conjugate Vaccine, 13 Valent, Im | $492.00 | $615.00 | $434.00–$584.00 | 96% above | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Tc Pneumococcal Conjugate Vacc, 20-valent, Im | $492.00 | $615.00 | $434.00–$584.00 | 1% above | 20% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Tc Pneumococcal Conjugate Vaccine, 21 Valent, Im | $274.00 | $343.00 | $242.00–$326.00 | 51% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Tc Pneumococcal Polysaccharide Vacc, 23-valent, 2 Yrs+, Subq/im | $63.00 | $79.00 | $56.00–$75.00 | 47% below | 20% |
| Polio vaccine, inactivated (IPV) CPT 90713 Tc Poliovirus Vaccine, Inactivated, Subcutaneous Or Im | $65.00 | $81.00 | $57.00–$77.00 | 22% below | 20% |
| Rabies vaccine, one dose CPT 90675 Tc Rabies Vaccine, Im | $286.00 | $357.00 | $252.00–$339.00 | 32% below | 20% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Tc Hzv Zoster Vacc Recombinant Adjuvanted Im Inj | $407.00 | $509.00 | $359.00–$484.00 | at median | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tc Tetanus, Diphtheria Toxoids Adsorbed, Preservative Free, 7 Yrs+, Im | $35.00 | $44.00 | $31.00–$42.00 | 19% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tc Tetanus, Diphtheria Toxoids, Acellular Pertussis Vaccine, 7 Yrs+, Im | $36.00 | $45.00 | $32.00–$43.00 | 36% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tc Nurse Imm Admin, One Vaccine | $38.00 | $48.00 | $34.00–$46.00 | 21% below | 21% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Imm Admin Hepatitis B Vaccine | $38.00 | $48.00 | $34.00–$46.00 | 21% below | 21% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Imm Admin Influenza Vaccine | $42.00 | $52.00 | $37.00–$49.00 | 12% below | 19% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Imm Admin One Vaccine | $44.00 | $55.00 | $39.00–$52.00 | 8% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Imm Admin Pneumoccocal Vaccine | $44.00 | $55.00 | $39.00–$52.00 | 8% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Tc Nurse Imm Admin, Ea Addl Vaccine | $39.00 | $49.00 | $35.00–$47.00 | 29% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Imm Admin Ea Addl Vaccine | $39.00 | $49.00 | $35.00–$47.00 | 29% above | 20% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.