University of Vermont Medical Center
University of Vermont Medical Center in Burlington, VT publishes cash prices for 414 common procedures listed here, from its own machine-readable price file updated Oct 12, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Vermont median for 244 of 393 procedures and below it for 109. By typical cash price it ranks #7 of 11 Vermont hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
111 Colchester Avenue, Burlington, VT 05401 Collected Oct 14, 2026 Source price file Check a bill from this hospital (802) 847-0000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 470003 · CMS hospital register NPI 1568419976
The price file shows no self-pay discount
For 561 of the 561 prices listed here, the cash price in University of Vermont Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
University of Vermont Medical 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 ABDOMEN W/O & W/CONTRAST MATERIAL | $3,981.00 | $3,981.00 | $178.02–$3,918.90 | 34% above | — |
| Abdominal X-ray, 2 views CPT 74019 HC - RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $632.00 | $632.00 | $106.34–$622.14 | at median | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC - RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $577.00 | $577.00 | $88.05–$568.00 | 6% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC - NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $279.00 | $279.00 | $78.12–$274.65 | 1% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC - CT UPPER EXTREMITY W/O CONTRAST MATERIAL | $2,270.00 | $2,270.00 | $106.34–$2,234.59 | 7% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC - RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $851.00 | $851.00 | $178.02–$837.72 | 1% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC - BONE &/JOINT IMAGING WHOLE BODY | $2,162.00 | $2,162.00 | $401.83–$2,128.27 | 8% above | — |
| Breast ultrasound, complete, one breast CPT 76641 HC - US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $925.00 | $925.00 | $106.34–$910.57 | 61% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC - US BREAST UNI REAL TIME WITH IMAGE LIMITED | $773.00 | $773.00 | $88.05–$760.94 | 34% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC - CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG | $7,333.00 | $7,333.00 | $357.13–$7,218.61 | 87% above | — |
| CT angiography (CTA) of the head CPT 70496 HC - CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | $4,125.00 | $4,125.00 | $178.02–$4,060.65 | 19% above | — |
| CT angiography (CTA) of the neck CPT 70498 HC - CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | $4,219.00 | $4,219.00 | $178.02–$4,153.18 | 33% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC - CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $4,313.00 | $4,313.00 | $178.02–$4,245.72 | 51% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC - CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $3,593.00 | $3,593.00 | $357.13–$3,536.95 | 59% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC - CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $257.00 | $257.00 | $71.96–$252.99 | 61% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC - CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | $4,836.00 | $4,836.00 | $241.72–$4,760.56 | 55% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC - CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $5,096.00 | $5,096.00 | $357.13–$5,016.50 | 20% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC - CT ABDOMEN & PELVIS W/WO CONTRAST 1/> BODY RE | $7,619.00 | $7,619.00 | $357.13–$7,500.14 | 62% above | — |
| CT scan of the abdomen with contrast CPT 74160 HC - CT ABDOMEN W/CONTRAST MATERIAL | $3,342.00 | $3,342.00 | $178.02–$3,289.86 | 23% above | — |
| CT scan of the abdomen without contrast CPT 74150 HC - CT ABDOMEN W/O CONTRAST MATERIAL | $2,619.00 | $2,619.00 | $106.34–$2,578.14 | 13% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC - CT MAXILLOFACIAL W/O CONTRAST MATERIAL | $2,920.00 | $2,920.00 | $106.34–$2,874.45 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC - CT HEAD/BRAIN W/O CONTRAST MATERIAL | $2,915.00 | $2,915.00 | $106.34–$2,869.53 | 56% above | — |
| CT scan of the head with contrast CPT 70460 HC - CT HEAD/BRAIN W/CONTRAST MATERIAL | $2,720.00 | $2,720.00 | $178.02–$2,677.57 | 19% above | — |
| CT scan of the head without and with contrast CPT 70470 HC - CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | $3,361.00 | $3,361.00 | $178.02–$3,308.57 | 21% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC - CT LUMBAR SPINE W/O CONTRAST MATERIAL | $2,677.00 | $2,677.00 | $106.34–$2,635.24 | 23% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC - CT CERVICAL SPINE W/O CONTRAST MATERIAL | $2,834.00 | $2,834.00 | $106.34–$2,789.79 | 33% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC - CT PELVIS W/CONTRAST MATERIAL | $3,508.00 | $3,508.00 | $178.02–$3,453.28 | 36% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $1,398.00 | $1,398.00 | $241.72–$1,391.78 | — | — |
| Chest CT scan without and with contrast CPT 71270 HC - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ | $2,245.00 | $2,245.00 | $178.02–$2,245.00 | at median | — |
| Chest X-ray, 2 views CPT 71046 HC - RADIOLOGIC EXAM CHEST 2 VIEWS | $465.00 | $465.00 | $88.05–$457.75 | at median | — |
| Chest X-ray, single view CPT 71045 HC - RADIOLOGIC EXAM CHEST SINGLE VIEW PORTABLE | $449.00 | $449.00 | $88.05–$442.00 | 24% above | — |
| Chest X-ray, single view CPT 71045 HC - RADIOLOGIC EXAM CHEST SINGLE VIEW | $449.00 | $449.00 | $88.05–$442.00 | 24% above | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC - RADEX CLAVICLE COMPLETE | $534.00 | $534.00 | $88.05–$525.67 | 6% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC - US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | $969.00 | $969.00 | $106.34–$953.88 | 34% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC - US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $766.00 | $766.00 | $214.48–$766.00 | 30% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $2,478.00 | $2,478.00 | $106.34–$2,439.34 | 12% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | $3,590.00 | $3,590.00 | $178.02–$3,534.00 | 32% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $682.00 | $682.00 | $190.96–$671.36 | — | — |
| Diagnostic mammogram, one breast CPT 77065 HC - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $536.00 | $536.00 | $150.08–$527.64 | 1% above | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC - DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $1,033.00 | $1,033.00 | $241.72–$1,028.53 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC - DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $1,460.00 | $1,460.00 | $241.72–$1,453.60 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D W CONTRAST | $2,807.00 | $2,807.00 | $548.30–$2,796.65 | 10% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $2,807.00 | $2,807.00 | $548.30–$2,796.65 | 10% above | — |
| Elbow X-ray, 2 views CPT 73070 HC - RADEX ELBOW 2 VIEWS | $477.00 | $477.00 | $88.05–$469.56 | 18% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC - RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $599.00 | $599.00 | $88.05–$589.66 | 5% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC - CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | $2,404.00 | $2,404.00 | $106.34–$2,366.50 | 8% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | $620.00 | $620.00 | $106.34–$610.33 | at median | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC - RADEX FOREARM 2 VIEWS | $533.00 | $533.00 | $88.05–$524.69 | 15% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC - HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $2,673.00 | $2,673.00 | $401.83–$2,631.30 | 54% above | — |
| Hand X-ray, 2 views CPT 73120 HC - RADEX HAND 2 VIEWS | $487.00 | $487.00 | $106.34–$479.40 | 1% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC - RADEX CALCANEUS MINIMUM 2 VIEWS | $386.00 | $386.00 | $88.05–$379.98 | 1% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC - SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | $533.00 | $533.00 | $149.24–$529.63 | 122% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC - POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $6,856.00 | $6,856.00 | $946.96–$6,831.01 | 6% above | — |
| Knee X-ray, 3 views CPT 73562 HC - RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $614.00 | $614.00 | $88.05–$604.42 | 4% above | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC - RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | $734.00 | $734.00 | $106.34–$722.55 | 8% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC - CT LOWER EXTREMITY W/O CONTRAST MATERIAL | $2,265.00 | $2,265.00 | $106.34–$2,229.67 | 9% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC - US ABDOMINAL REAL TIME W/IMAGE LIMITED | $893.00 | $893.00 | $106.34–$879.07 | 37% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC - US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $579.00 | $579.00 | $106.34–$569.97 | 2% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC - COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $2,885.00 | $2,885.00 | $106.34–$2,839.99 | 91% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC - RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | $546.00 | $546.00 | $88.05–$537.48 | 15% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC - MRA HEAD W/O CONTRST MATERIAL | $3,766.00 | $3,766.00 | $241.72–$3,707.25 | 8% above | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC - MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $5,194.00 | $5,194.00 | $1,454.32–$5,112.97 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC - MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $3,909.00 | $3,909.00 | $241.72–$3,848.02 | 16% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC - MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $5,720.00 | $5,720.00 | $357.13–$5,630.77 | 21% above | — |
| MRI of the abdomen without contrast CPT 74181 HC - MRI ABDOMEN W/O CONTRAST MATERIAL | $4,179.00 | $4,179.00 | $241.72–$4,113.81 | 46% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC - MRI ABDOMEN W/O & W/CONTRAST MATERIAL | $4,984.00 | $4,984.00 | $357.13–$4,906.25 | 25% above | — |
| MRI of the brain, no contrast dye CPT 70551 HC - MRI QUICK BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,053.00 | $2,053.00 | $241.72–$3,833.44 | 37% below | — |
| MRI of the brain, no contrast dye CPT 70551 HC - MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $4,105.00 | $4,105.00 | $241.72–$4,040.96 | 26% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC - MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $6,039.00 | $6,039.00 | $357.13–$5,944.79 | 26% above | — |
| MRI of the lower back, no contrast dye CPT 72148 HC - MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $4,173.00 | $4,173.00 | $241.72–$4,107.90 | 17% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC - MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | $6,117.00 | $6,117.00 | $357.13–$6,021.57 | 30% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC - MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | $4,266.00 | $4,266.00 | $241.72–$4,199.45 | 20% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC - MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $6,143.00 | $6,143.00 | $357.13–$6,047.17 | 28% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $4,331.00 | $4,331.00 | $241.72–$4,263.44 | 27% above | — |
| MRI of the pelvis without and with contrast CPT 72197 HC - MRI PELVIS W/O & W/CONTRAST MATERIAL | $4,946.00 | $4,946.00 | $357.13–$4,868.84 | 15% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC - MRI PELVIS W/O CONTRAST MATERIAL, LIMITED | $1,209.00 | $1,209.00 | $241.72–$3,892.26 | 49% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC - MRI PELVIS W/O CONTRAST MATERIAL | $4,168.00 | $4,168.00 | $241.72–$4,102.98 | 76% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC - MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $3,990.00 | $3,990.00 | $241.72–$3,927.76 | 24% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC - RADEX SPINE CERVICAL 4 OR 5 VIEWS | $700.00 | $700.00 | $106.34–$689.08 | at median | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC - CT SOFT TISSUE NECK W/CONTRAST MATERIAL | $2,872.00 | $2,872.00 | $178.02–$2,827.20 | 20% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC - CT SOFT TISSUE NECK W/O CONTRAST MATERIAL | $2,408.00 | $2,408.00 | $106.34–$2,370.44 | 17% above | — |
| Neck soft tissue X-ray CPT 70360 HC - RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $374.00 | $374.00 | $88.05–$368.17 | at median | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC - MYOCARDIAL SPECT MULTIPLE STUDIES | $6,070.00 | $6,070.00 | $1,305.48–$5,975.31 | 100% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC - PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $7,542.00 | $7,542.00 | $1,458.59–$7,424.34 | 12% above | — |
| Pelvic CT scan without contrast CPT 72192 HC - CT PELVIS W/O CONTRAST MATERIAL | $2,593.00 | $2,593.00 | $106.34–$2,552.55 | 20% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC - US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $774.00 | $774.00 | $106.34–$761.93 | 23% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC - US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $971.00 | $971.00 | $106.34–$955.85 | 44% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC - US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $725.00 | $725.00 | $106.34–$725.00 | 5% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC - US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | $779.00 | $779.00 | $106.34–$766.85 | at median | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC - US PREGNANT UTERUS LIMITED 1/> FETUSES | $626.00 | $626.00 | $106.34–$616.23 | at median | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC - RADEX RIBS UNILATERAL 2 VIEWS | $528.00 | $528.00 | $88.05–$519.76 | at median | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC - RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | $532.00 | $532.00 | $106.34–$523.70 | 18% below | — |
| Screening mammogram, both breasts both sides CPT 77067 HC - SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $725.00 | $725.00 | $203.00–$713.69 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC - RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $615.00 | $615.00 | $88.05–$605.41 | 20% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | $428.00 | $428.00 | $88.05–$428.00 | 8% below | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC - RADIOLOGIC EXAMINATION SKULL <4 VIEWS | $531.00 | $531.00 | $106.34–$522.72 | at median | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC - POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $6,254.00 | $6,254.00 | $946.96–$6,230.70 | 7% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $2,481.00 | $2,481.00 | $548.30–$2,471.69 | 8% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG W CONTRAST | $2,481.00 | $2,481.00 | $548.30–$2,471.69 | 8% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC - RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $918.00 | $918.00 | $178.02–$903.68 | 22% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC - RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $616.00 | $616.00 | $88.05–$606.39 | 46% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC - CT THORACIC SPINE W/O CONTRAST MATERIAL | $2,616.00 | $2,616.00 | $106.34–$2,575.19 | 47% above | — |
| Toe X-ray, 2 or more views CPT 73660 HC - RADEX TOE MINIMUM 2 VIEWS | $343.00 | $343.00 | $88.05–$337.65 | 12% below | — |
| Transvaginal pelvic ultrasound CPT 76830 HC - US TRANSVAGINAL | $1,037.00 | $1,037.00 | $106.34–$1,020.82 | 26% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC - US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | $720.00 | $720.00 | $106.34–$708.77 | at median | — |
| Ultrasound of the abdomen, complete CPT 76700 HC - US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $1,465.00 | $1,465.00 | $106.34–$1,442.15 | 61% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC - US SCROTUM & CONTENTS | $825.00 | $825.00 | $106.34–$812.13 | 22% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC - US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | $872.00 | $872.00 | $106.34–$858.40 | at median | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC - RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $1,141.00 | $1,141.00 | $178.02–$1,123.20 | 2% below | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC - RADEX HUMERUS MINIMUM 2 VIEWS | $525.00 | $525.00 | $88.05–$516.81 | 4% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC - DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | $1,201.00 | $1,201.00 | $106.34–$1,195.61 | 78% above | — |
| Wrist X-ray, 2 views CPT 73100 HC - RADEX WRIST 2 VIEWS | $485.00 | $485.00 | $88.05–$477.43 | at median | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC - RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $583.00 | $583.00 | $88.05–$573.91 | at median | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC - RADEX HIP WITH PELVIS 2-3 VIEWS | $601.00 | $601.00 | $88.05–$591.62 | 6% above | — |
| X-ray of the abdomen, 1 view CPT 74018 HC - RADIOLOGIC EXAM ABDOMEN 1 VIEW | $427.00 | $427.00 | $88.05–$420.34 | 8% above | — |
| X-ray of the ankle, 2 views CPT 73600 HC - RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $486.00 | $486.00 | $88.05–$478.42 | 4% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC - RADEX FINGR MINIMUM 2 VIEWS | $440.00 | $440.00 | $88.05–$433.14 | 13% above | — |
| X-ray of the foot, 2 views CPT 73620 HC - RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $478.00 | $478.00 | $88.05–$470.54 | 1% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC - RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $571.00 | $571.00 | $88.05–$562.09 | 12% above | — |
| X-ray of the hand, 3 or more views CPT 73130 HC - RADEX HAND MINIMUM 3 VIEWS | $559.00 | $559.00 | $88.05–$550.28 | 11% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC - RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | $506.00 | $506.00 | $88.05–$498.11 | 1% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC - RADEX SPINE LUMBOSACRAL 2/3 VIEWS | $673.00 | $673.00 | $106.34–$662.50 | 1% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $849.00 | $849.00 | $106.34–$835.76 | 1% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC - RADEX SPINE THORACIC 2 VIEWS | $632.00 | $632.00 | $106.34–$622.14 | 22% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $592.00 | $592.00 | $88.05–$582.76 | 6% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC - RADEX SPINE CERVICAL 2 OR 3 VIEWS | $510.00 | $510.00 | $88.05–$502.04 | 1% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC - RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | $522.00 | $522.00 | $106.34–$513.86 | 19% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC - RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | $567.00 | $567.00 | $88.05–$558.15 | 12% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC - ADRENOCORTICOTROPIC HORMONE ACTH | $374.00 | $374.00 | $38.62–$374.00 | 3% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC - ALT (SGPT) 4 | $31.00 | $31.00 | $5.30–$31.00 | 21% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC - TRANSFERASE ASPARTATE AMINO AST SGOT | $31.00 | $31.00 | $5.18–$31.00 | 51% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC - ACUTE HEPATITIS PANEL | $491.00 | $491.00 | $47.63–$491.00 | 11% above | — |
| Albumin blood test CPT 82040 HC - SERUM ALBUMIN, LYINDX | $34.00 | $34.00 | $4.95–$34.00 | 21% below | — |
| Albumin blood test CPT 82040 HC - ALBUMIN | $34.00 | $34.00 | $4.95–$34.00 | 21% below | — |
| Aldosterone blood test CPT 82088 HC - ALDOSTERONE, SERUM | $559.00 | $559.00 | $40.75–$559.00 | 28% above | — |
| Aldosterone blood test CPT 82088 HC - ALDOSTERONE, URINE | $559.00 | $559.00 | $40.75–$559.00 | 28% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC - ALK PHOS, SERUM | $32.00 | $32.00 | $5.18–$32.00 | 29% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC - ALKALINE PHOSPHATASE | $32.00 | $32.00 | $5.18–$32.00 | 29% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST PISTACHIO | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - SCALLOP, IGE | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - ALLERGEN SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EACH ALLERGEN | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST YEL JACKET | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - ALLERGEN SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EACH ADDTL | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST YEL HORNET | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - OYSTER, IGE | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST ALLERGAN | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST CLAM | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST HONEYBEE | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST PAPER WASP | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST PINE NUT | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - RAST WH FACE HORNET | $49.00 | $49.00 | $5.22–$49.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC - ALLERGEN SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, RAST MULT ALLERGEN | $83.00 | $83.00 | $5.22–$81.64 | 69% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC - AFP, SINGLE MARKER SCREEN, MATERNAL | $117.00 | $117.00 | $16.77–$117.00 | at median | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC - AFP TUMOR MARKER | $117.00 | $117.00 | $16.77–$117.00 | at median | — |
| Ammonia blood test CPT 82140 HC - ASSAY OF AMMONIA | $132.00 | $132.00 | $14.57–$132.00 | at median | — |
| Amylase blood test CPT 82150 HC - AMYLASE | $50.00 | $50.00 | $6.48–$50.00 | 5% below | — |
| Amylase blood test CPT 82150 HC - AMYLASE, FLUID | $50.00 | $50.00 | $6.48–$50.00 | 5% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC - CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $149.00 | $149.00 | $12.95–$149.00 | 29% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC - CYCLIC CITRULLINATED PEPTIDE (CCP) ANTIBODY | $149.00 | $149.00 | $12.95–$149.00 | 29% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC - ANTINUCLEAR ANTIBODIES ANA | $90.00 | $90.00 | $12.09–$90.00 | 13% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC - NATRIURETIC PEPTIDE | $162.00 | $162.00 | $39.26–$162.00 | 36% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC - STERILITY CULT M | $72.00 | $72.00 | $8.62–$72.00 | 15% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC - PHARYNGITIS CULTURE | $72.00 | $72.00 | $8.62–$72.00 | 15% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC - BACT CULT-ROUTINE | $72.00 | $72.00 | $8.62–$72.00 | 15% below | — |
| Basic metabolic panel (blood test) CPT 80048 HC - BASIC METABOLIC PANEL CALCIUM TOTAL | $70.00 | $70.00 | $8.46–$105.00 | 25% below | — |
| Bilirubin blood test, total CPT 82247 HC - BILIRUBIN TOTAL | $30.00 | $30.00 | $5.02–$30.00 | 41% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC - SKIN TISSUE LEVEL 4 P | $93.00 | $93.00 | $26.04–$154.00 | 64% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC - CELL BLOCK LEVEL IV | $125.00 | $125.00 | $35.00–$154.00 | 52% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC - BONE MARROW BX P | $125.00 | $125.00 | $35.00–$154.00 | 52% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC - CLOT CELL BLOCK | $125.00 | $125.00 | $35.00–$154.00 | 52% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC - PROSTATE BIOPSY IV | $125.00 | $125.00 | $35.00–$154.00 | 52% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC - SURG TISSUE LEVEL 4 P | $125.00 | $125.00 | $35.00–$154.00 | 52% below | — |
| Blood culture for bacteria CPT 87040 HC - CULTURE, BLOOD BM | $103.00 | $103.00 | $10.32–$107.00 | 24% below | — |
| Blood culture for bacteria CPT 87040 HC - STERILITY CULTURE, STEM CELL | $103.00 | $103.00 | $10.32–$107.00 | 24% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC - SAMPLE COLLECTION, VENIPUNCTURE | $29.00 | $29.00 | $7.87–$35.00 | at median | — |
| Blood glucose (sugar) test CPT 82947 HC - POCT GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $24.00 | $24.00 | $3.93–$30.00 | 41% below | — |
| Blood glucose (sugar) test CPT 82947 HC - GLUC TOL 2HR FASTING | $24.00 | $24.00 | $3.93–$30.00 | 41% below | — |
| Blood glucose (sugar) test CPT 82947 HC - GLUCOSE | $24.00 | $24.00 | $3.93–$30.00 | 41% below | — |
| Blood lead test CPT 83655 HC - LEAD BL00D | $49.00 | $49.00 | $12.11–$49.00 | 24% below | — |
| Blood lead test CPT 83655 HC - LEAD URINE | $49.00 | $49.00 | $12.11–$49.00 | 24% below | — |
| Blood lead test CPT 83655 HC - ASSAY OF LEAD | $49.00 | $49.00 | $12.11–$49.00 | 24% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC - BLOOD ABO | $44.00 | $44.00 | $2.99–$146.72 | 48% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC - ABO TYPE-ARC | $44.00 | $44.00 | $2.99–$146.72 | 48% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC - CORD BLOOD ROUTINE ABO | $44.00 | $44.00 | $2.99–$146.72 | 48% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC - UREA NITROGEN DIALYSATE | $31.00 | $31.00 | $3.95–$32.00 | 26% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC - BUN POST-DIALYSIS | $31.00 | $31.00 | $3.95–$32.00 | 26% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC - UREA NITROGEN | $31.00 | $31.00 | $3.95–$32.00 | 26% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC - BUN PRE-DIALYSIS | $31.00 | $31.00 | $3.95–$32.00 | 26% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC - POCT ASSAY OF UREA NITROGEN QUANTITATIVE | $31.00 | $31.00 | $3.95–$32.00 | 26% below | — |
| C-peptide blood test CPT 84681 HC - ASSAY OF C-PEPTIDE | $225.00 | $225.00 | $20.81–$225.00 | 21% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC - C-REACTIVE PROTEIN | $48.00 | $48.00 | $5.18–$50.00 | 21% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC - CLOSTRIDIUM DIFFICILE | $339.00 | $339.00 | $37.27–$339.00 | 45% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | $243.00 | $243.00 | $20.81–$243.00 | 10% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 | $119.00 | $119.00 | $20.81–$119.00 | 36% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC - COVID-19 UVMMC AMPLIFIED PROBE HOLOGIC | $105.00 | $105.00 | $29.40–$105.00 | at median | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC - COVID-19 AMPLIFIED PROBE CEPHEID | $105.00 | $105.00 | $29.40–$105.00 | at median | — |
| Calcium blood test, total CPT 82310 HC - CALCIUM,URINE,RANDOM | $32.00 | $32.00 | $5.16–$32.00 | 8% below | — |
| Calcium blood test, total CPT 82310 HC - CALCIUM TOTAL | $32.00 | $32.00 | $5.16–$32.00 | 8% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC - CARCINOEMBRYONIC ANTIGEN | $136.00 | $136.00 | $18.96–$194.00 | 28% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC - CEA, PANCREATIC CYST FLUID | $194.00 | $194.00 | $18.96–$194.00 | 3% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC - ANTIBODY VARICELLA-ZOSTER | $95.00 | $95.00 | $12.88–$95.00 | at median | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC - CHLAMYDIA TRAC, MISC SITES, RNA | $72.00 | $72.00 | $20.16–$88.00 | 41% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC - CHLAMYDIA TRACH AMP PROBE | $72.00 | $72.00 | $20.16–$88.00 | 41% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC - LIPOEL LIPID PANEL | $77.00 | $77.00 | $13.39–$103.00 | 21% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC - LIPID PROFILE | $77.00 | $77.00 | $13.39–$103.00 | 21% below | — |
| Complete blood count (CBC) with differential CPT 85025 HC - AUTOMATED DIFFERENTIAL ADD | $40.00 | $40.00 | $7.77–$53.00 | 42% below | — |
| Complete blood count (CBC) with differential CPT 85025 HC - BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $40.00 | $40.00 | $7.77–$53.00 | 42% below | — |
| Complete blood count (CBC), no differential CPT 85027 HC - HEMAGRAM | $35.00 | $35.00 | $6.47–$50.00 | 41% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC - COMPREHENSIVE METABOLIC PANEL | $80.00 | $80.00 | $10.56–$123.00 | 43% below | — |
| Cortisol blood test, total CPT 82533 HC - CORTISOL, STIM 30 MIN | $122.00 | $122.00 | $16.30–$122.00 | at median | — |
| Cortisol blood test, total CPT 82533 HC - SALIVA CORTISOL | $122.00 | $122.00 | $16.30–$122.00 | at median | — |
| Cortisol blood test, total CPT 82533 HC - CORTISOL | $122.00 | $122.00 | $16.30–$122.00 | at median | — |
| Cortisol blood test, total CPT 82533 HC - CORTISOL, STIM BASELINE | $122.00 | $122.00 | $16.30–$122.00 | at median | — |
| Cortisol blood test, total CPT 82533 HC - CORTISOL, STIM 60 MIN | $122.00 | $122.00 | $16.30–$122.00 | at median | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC - CREATINE KINASE TOTAL | $41.00 | $41.00 | $6.51–$41.00 | 45% below | — |
| Creatinine blood test CPT 82565 HC - POCT CREATININE BLOOD | $27.00 | $27.00 | $5.12–$33.00 | 40% below | — |
| Creatinine blood test CPT 82565 HC - CREATININE BLOOD | $27.00 | $27.00 | $5.12–$33.00 | 40% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC - CMV IGG | $89.00 | $89.00 | $14.39–$89.00 | 11% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC - FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $97.00 | $97.00 | $10.18–$97.00 | 3% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC - DEHYDROEPIANDROSTERONE-SULFATE | $261.00 | $261.00 | $22.23–$261.00 | at median | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC - PRESCRIPT/OTC, URINE | $149.00 | $149.00 | $21.35–$149.00 | 10% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC - MECONIUM DRUG SCREEN | $149.00 | $149.00 | $21.35–$149.00 | 10% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC - PRESCRIPT/OTC, SERUM | $149.00 | $149.00 | $21.35–$149.00 | 10% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC - TOXICOLOGY DRUG SCREEN PRESUMPTIVE | $149.00 | $149.00 | $21.35–$149.00 | 10% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC - SEDATIVE HYPNOTIC PANEL, U | $291.00 | $291.00 | $21.35–$286.23 | 75% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC - ELECTROLYTE PANEL | $46.00 | $46.00 | $7.01–$48.00 | 43% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC - EBV IGM | $264.00 | $264.00 | $18.14–$264.00 | 136% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC - EBV IGG | $264.00 | $264.00 | $18.14–$264.00 | 136% above | — |
| Estradiol blood test CPT 82670 HC - ASSAY OF ESTRADIOL | $172.00 | $172.00 | $27.94–$172.00 | 2% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC - GONADOTROPIN FOLLICLE STIMULATING HORMONE | $106.00 | $106.00 | $18.58–$106.00 | 46% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC - CALPROTECTIN, FECAL | $292.00 | $292.00 | $19.63–$292.00 | 10% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC - ASSAY OF CALPROTECTIN FECAL | $292.00 | $292.00 | $19.63–$292.00 | 10% below | — |
| Ferritin blood test (iron stores) CPT 82728 HC - ASSAY OF FERRITIN | $105.00 | $105.00 | $13.63–$109.00 | 16% below | — |
| Fibrinogen blood test CPT 85384 HC - FIBRINOGEN ACTIVITY | $60.00 | $60.00 | $9.72–$60.00 | 10% below | — |
| Fibrinogen blood test CPT 85384 HC - FIBRINOGEN ACT HEP | $60.00 | $60.00 | $9.72–$60.00 | 10% below | — |
| Fibrinogen blood test CPT 85384 HC - FIBRINOGEN | $60.00 | $60.00 | $9.72–$60.00 | 10% below | — |
| Folate (folic acid) blood test CPT 82746 HC - ASSAY OF FOLIC ACID SERUM | $92.00 | $92.00 | $14.70–$92.00 | 19% below | — |
| Free T3 thyroid hormone test CPT 84481 HC - ASSAY OF TRIIODOTHYRONINE T3 FREE | $125.00 | $125.00 | $16.94–$125.00 | 18% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC - ASSAY OF FREE THYROXIN | $65.00 | $65.00 | $9.02–$87.00 | 36% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC - ASSAY OF GLUTAMYLTRASE GAMMA | $34.00 | $34.00 | $7.20–$34.00 | 26% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC - GENERAL HEALTH PANEL | $233.00 | $233.00 | $65.24–$255.00 | 8% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC - GLUC TOL 2HR POST GLUCOSE | $30.00 | $30.00 | $4.75–$30.00 | 45% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC - GLUCOSE 1HR GESTATIONAL SCREEN | $30.00 | $30.00 | $4.75–$30.00 | 45% below | — |
| Glucose tolerance test, 3 samples CPT 82951 HC - GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $105.00 | $105.00 | $12.87–$105.00 | 30% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC - GC AMP PROBE | $72.00 | $72.00 | $20.16–$88.00 | 54% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC - NEISSERIA GONOR, MISC SITES, RNA | $72.00 | $72.00 | $20.16–$88.00 | 54% below | — |
| H. pylori stool antigen test CPT 87338 HC - H PYLORI STOOL ANTIGEN | $313.00 | $313.00 | $14.38–$313.00 | 46% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC - HIV 1 RNA QUANT | $410.00 | $410.00 | $85.10–$410.00 | 11% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC - HIV 1 QUANT WITH REFLEX | $410.00 | $410.00 | $85.10–$410.00 | 11% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC - HIV 1/2 | $98.00 | $98.00 | $13.71–$98.00 | 8% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC - HIV-1 ANTIGEN(S) WITH HIV-1 AND HIV-2 ANTIBODIES | $98.00 | $98.00 | $24.08–$98.00 | 7% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC - POCT GLYCOSYLATED HEMOGLOBIN | $9.71 | $9.71 | $2.72–$93.00 | 89% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC - HEMOGLOBIN A1C | $60.00 | $60.00 | $9.71–$93.00 | 31% below | — |
| Hemoglobin blood test CPT 85018 HC - HEMOGLOBIN-OSAT | $26.00 | $26.00 | $2.37–$26.00 | 15% above | — |
| Hemoglobin blood test CPT 85018 HC - HEMOGLOBIN | $26.00 | $26.00 | $2.37–$26.00 | 15% above | — |
| Hemoglobin blood test CPT 85018 HC - POCT BLOOD COUNT HEMOGLOBIN | $26.00 | $26.00 | $2.37–$26.00 | 15% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HC - HEPATITIS B TOTAL CORE ANTIBODY | $100.00 | $100.00 | $12.05–$100.00 | at median | — |
| Hepatitis B core antibody test (total) CPT 86704 HC - HEP B CORE AB,TOTAL | $100.00 | $100.00 | $12.05–$100.00 | at median | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC - HEPATITIS B SURF ANTIBODY HBSAB | $105.00 | $105.00 | $10.74–$105.00 | 9% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC - IAAD IA HEPATITIS B SURFACE ANTIGEN | $96.00 | $96.00 | $10.33–$96.00 | 4% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC - HEPATITIS B SURFACE ANTIGEN | $96.00 | $96.00 | $10.33–$96.00 | 4% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC - HEPATITIS C ANTIBODY | $102.00 | $102.00 | $14.27–$106.00 | 7% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC - HEPATITIS C AB W/ REFLEX TO PCR | $102.00 | $102.00 | $14.27–$106.00 | 7% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC - IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $458.00 | $458.00 | $42.84–$458.00 | 2% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC - ANTIBODY HERPES SMPLX TYPE 1 | $110.00 | $110.00 | $13.19–$110.00 | at median | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC - ANTIBODY HERPES SMPLX TYPE 2 | $122.00 | $122.00 | $19.35–$122.00 | 2% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC - C-REACTIVE PROTEIN HIGH SENSITIVITY | $96.00 | $96.00 | $12.95–$96.00 | at median | — |
| Homocysteine blood test CPT 83090 HC - HOMOCYSTEINE | $201.00 | $201.00 | $17.92–$201.00 | 1% below | — |
| Insulin blood test CPT 83525 HC - ASSAY OF INSULIN TOTAL | $106.00 | $106.00 | $11.43–$106.00 | 3% above | — |
| Iron blood test (serum iron) CPT 83540 HC - IRON SERUM | $70.00 | $70.00 | $6.47–$110.00 | at median | — |
| Iron blood test (serum iron) CPT 83540 HC - IRON LIVER TISSUE | $110.00 | $110.00 | $6.47–$110.00 | 57% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC - IRON BINDING CAPACITY | $49.00 | $49.00 | $8.74–$51.00 | 40% below | — |
| Kidney function blood test panel CPT 80069 HC - RENAL FUNCTION PANEL | $187.00 | $187.00 | $8.68–$187.00 | 56% above | — |
| LH (luteinizing hormone) test CPT 83002 HC - GONADOTROPIN LUTEINIZING HORMONE | $112.00 | $112.00 | $18.52–$112.00 | 30% below | — |
| Lactate (lactic acid) blood test CPT 83605 HC - ASSAY OF LACTATE | $104.00 | $104.00 | $11.57–$108.00 | 9% below | — |
| Lactate (lactic acid) blood test CPT 83605 HC - POCT ASSAY OF LACTATE | $104.00 | $104.00 | $11.57–$108.00 | 9% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC - LDH CSF | $33.00 | $33.00 | $6.04–$33.00 | 60% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC - LDH | $33.00 | $33.00 | $6.04–$33.00 | 60% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC - LIPASE, FLUID | $36.00 | $36.00 | $6.89–$37.00 | 27% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC - ASSAY OF LIPASE | $36.00 | $36.00 | $6.89–$37.00 | 27% below | — |
| Liver function blood test panel CPT 80076 HC - HEPATIC FUNCTION PANEL | $117.00 | $117.00 | $8.17–$117.00 | 6% above | — |
| Lyme disease antibody test CPT 86618 HC - LYME CNS INFECTION IGG SCREEN, CSF | $100.00 | $100.00 | $17.03–$125.00 | at median | — |
| Lyme disease antibody test CPT 86618 HC - LYME DISEASE AB, CSF | $100.00 | $100.00 | $17.03–$125.00 | at median | — |
| Lyme disease antibody test CPT 86618 HC - LYME AB | $100.00 | $100.00 | $17.03–$125.00 | at median | — |
| Magnesium blood test CPT 83735 HC - ASSAY OF MAGNESIUM | $45.00 | $45.00 | $6.70–$47.00 | 20% below | — |
| Magnesium blood test CPT 83735 HC - MAGNESIUM URINE | $45.00 | $45.00 | $6.70–$47.00 | 20% below | — |
| Measles (rubeola) antibody test CPT 86765 HC - RUBEOLA IGM | $109.00 | $109.00 | $12.88–$109.00 | 36% above | — |
| Measles (rubeola) antibody test CPT 86765 HC - RUBEOLA ANTIBODY | $109.00 | $109.00 | $12.88–$109.00 | 36% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC - HETEROPHILE ANTIBODIES SCREEN | $62.00 | $62.00 | $5.18–$62.00 | 30% above | — |
| Mumps immunity blood test CPT 86735 HC - MUMPS AB, IGM, S | $151.00 | $151.00 | $13.05–$151.00 | 37% above | — |
| Mumps immunity blood test CPT 86735 HC - MUMPS ANTIBODY IGG | $151.00 | $151.00 | $13.05–$151.00 | 37% above | — |
| Obstetric blood test panel CPT 80055 HC - PRENATAL PANEL | $312.00 | $312.00 | $47.81–$312.00 | 7% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC - FREE PSA, PHI | $167.00 | $167.00 | $18.39–$167.00 | 17% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $108.00 | $108.00 | $18.39–$108.00 | 20% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - DIAGNOSTIC PROSTATIC SPEC AG | $108.00 | $108.00 | $18.39–$108.00 | 20% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - PROSTATIC SPEC AG SCREEN | $108.00 | $108.00 | $18.39–$108.00 | 20% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC - PROSTATE SPECIFIC AG, PHI | $108.00 | $108.00 | $18.39–$108.00 | 20% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC - PAP THIN PRP DX IMAGE ASSTD | $83.00 | $83.00 | $23.24–$83.00 | 14% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC - THIN PREP, IMAGE ASSISTED | $83.00 | $83.00 | $23.24–$83.00 | 14% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC - SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED IN PRESERVATIVE | $83.00 | $83.00 | $20.26–$83.00 | 38% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC - THINPREP DIAGNOSTIC-MC | $83.00 | $83.00 | $20.26–$83.00 | 38% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC - PTH INTACT | $234.00 | $234.00 | $41.28–$234.00 | 6% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC - PTH INTACT INTRAOPERATIVE | $234.00 | $234.00 | $41.28–$234.00 | 6% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC - THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $40.00 | $40.00 | $6.01–$42.00 | 27% below | — |
| Phosphorus (phosphate) blood test CPT 84100 HC - ASSAY OF PHOSPHORUS INORGANIC | $29.00 | $29.00 | $4.74–$31.00 | 36% below | — |
| Potassium blood test CPT 84132 HC - POCT POTASSIUM | $35.00 | $35.00 | $4.76–$35.00 | 16% below | — |
| Potassium blood test CPT 84132 HC - POTASSIUM | $35.00 | $35.00 | $4.76–$35.00 | 16% below | — |
| Progesterone blood test CPT 84144 HC - ASSAY OF PROGESTERONE | $145.00 | $145.00 | $20.86–$145.00 | 18% below | — |
| Prolactin blood test CPT 84146 HC - ASSAY OF PROLACTIN | $144.00 | $144.00 | $19.38–$144.00 | at median | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC - PROTIME, LUPUS CASCADE REFLEX | $38.00 | $38.00 | $4.29–$40.00 | at median | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC - PROTHROMBIN TIME | $38.00 | $38.00 | $4.29–$40.00 | at median | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC - POCT DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $38.00 | $38.00 | $10.64–$38.00 | 1% below | — |
| Renin blood test CPT 84244 HC - ASSAY OF RENIN | $263.00 | $263.00 | $21.99–$263.00 | 27% above | — |
| Rh blood typing CPT 86901 HC - CORD BLOOD ROUTINE RH | $42.00 | $42.00 | $2.99–$44.00 | 13% below | — |
| Rh blood typing CPT 86901 HC - BLOOD RH FACTOR | $42.00 | $42.00 | $2.99–$44.00 | 13% below | — |
| Rh blood typing CPT 86901 HC - RH TYPE-ARC | $42.00 | $42.00 | $2.99–$44.00 | 13% below | — |
| Rheumatoid factor (RF) test CPT 86431 HC - RHEUMATOID FACTOR QUANTITATIVE | $60.00 | $60.00 | $5.67–$60.00 | 6% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC - ANTIBODY RUBELLA | $117.00 | $117.00 | $14.39–$117.00 | 19% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC - SEDIMENTATION RATE RBC AUTOMATED | $42.00 | $42.00 | $2.70–$42.00 | at median | — |
| Sodium blood test CPT 84295 HC - POCT SODIUM | $35.00 | $35.00 | $4.81–$35.00 | 22% below | — |
| Sodium blood test CPT 84295 HC - SODIUM | $35.00 | $35.00 | $4.81–$35.00 | 22% below | — |
| Stool ova and parasites exam CPT 87177 HC - OVA & PARASITES EXAM | $130.00 | $130.00 | $8.90–$130.00 | 28% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC - FECAL OCCULT BLOOD TEST, IMMUNOASSAY, 1-3 SIMULTANEOUS | $125.00 | $125.00 | $15.92–$125.00 | 28% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC - FECAL OCCULT BLOOD TEST, IMMUNOASSAY, DIAGNOSTIC | $125.00 | $125.00 | $15.92–$125.00 | 28% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC - SYPHILLIS TEST,QUAL | $58.00 | $58.00 | $13.24–$58.00 | at median | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC - SYPHILIS SEROLOGY | $58.00 | $58.00 | $13.24–$58.00 | at median | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC - NEUROSYPHILIS IGG AB INDEX WITH VDRL | $58.00 | $58.00 | $13.24–$58.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC - RAPID PLASMA REAGIN | $140.00 | $140.00 | $4.27–$140.00 | 94% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC - QUANTIFERON, TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $208.00 | $208.00 | $58.24–$208.00 | 5% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC - ASSAY OF TESTOSTERONE TOTAL | $164.00 | $164.00 | $25.81–$164.00 | 18% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC - THYROPEROXIDASE - ANTIBODY | $69.00 | $69.00 | $14.55–$69.00 | 43% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC - MICROSOMAL ANTIBODIES EACH | $69.00 | $69.00 | $14.55–$69.00 | 43% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC - ASSAY OF THYROID STIMULATING HORMONE TSH | $100.00 | $100.00 | $16.80–$130.00 | 47% below | — |
| Total IgE blood test CPT 82785 HC - ASSAY OF GAMMAGLOBULIN IGE | $106.00 | $106.00 | $16.46–$106.00 | 26% above | — |
| Total cholesterol blood test CPT 82465 HC - CHOLESTEROL, FLUID | $33.00 | $33.00 | $4.35–$33.00 | 19% below | — |
| Total cholesterol blood test CPT 82465 HC - CHOLESTEROL | $33.00 | $33.00 | $4.35–$33.00 | 19% below | — |
| Total thyroxine (T4) blood test CPT 84436 HC - T4 | $82.00 | $82.00 | $6.87–$82.00 | 43% above | — |
| Total thyroxine (T4) blood test CPT 84436 HC - THYROXINE FREE AND TOTAL | $82.00 | $82.00 | $6.87–$82.00 | 43% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC - ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | $86.00 | $86.00 | $14.18–$86.00 | 31% below | — |
| Transferrin blood test CPT 84466 HC - ASSAY OF TRANSFERRIN | $94.00 | $94.00 | $12.76–$94.00 | 5% below | — |
| Trichomonas test (NAAT) CPT 87661 HC - TRICHOMONAS VAGINALIS, AMPLIFIED PROBE | $67.00 | $67.00 | $18.76–$87.00 | 14% above | — |
| Triglycerides blood test CPT 84478 HC - TRIGLYCERIDES, FLUID | $34.00 | $34.00 | $5.74–$34.00 | 16% below | — |
| Triglycerides blood test CPT 84478 HC - TRIGLYCERIDES | $34.00 | $34.00 | $5.74–$34.00 | 16% below | — |
| Troponin test, quantitative CPT 84484 HC - ASSAY OF TROPONIN QUANTITATIVE | $165.00 | $165.00 | $12.47–$172.00 | at median | — |
| Uric acid blood test CPT 84550 HC - ASSAY OF BLOOD/URIC ACID | $33.00 | $33.00 | $4.52–$33.00 | 49% below | — |
| Urinalysis with microscope exam, automated CPT 81001 HC - URINALYSIS, CHEMICAL AND SEDIMENT, AUTOMATED | $38.00 | $38.00 | $3.17–$47.00 | 19% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC - URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $38.00 | $38.00 | $2.25–$38.00 | at median | — |
| Urine culture for bacteria, with colony count CPT 87086 HC - CULTURE URINE QUANT | $75.00 | $75.00 | $8.07–$92.00 | 2% below | — |
| Urine microalbumin (albumin) test CPT 82043 HC - MICROALBUMIN, URINE | $50.00 | $50.00 | $5.78–$60.00 | 1% below | — |
| Urine pregnancy test, read by color change CPT 81025 HC - POCT URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $65.00 | $65.00 | $3.22–$65.00 | 65% above | — |
| Urine pregnancy test, read by color change CPT 81025 HC - PREG TEST | $65.00 | $65.00 | $3.22–$65.00 | 65% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC - CYANOCOBALAMIN VITAMIN B-12 | $81.00 | $81.00 | $15.08–$100.00 | 27% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC - 25 OH VIT D TOTAL | $115.00 | $115.00 | $29.60–$140.00 | 46% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC - 25 OH VIT D2D3 | $115.00 | $115.00 | $29.60–$140.00 | 46% below | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC - 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $352.00 | $352.00 | $38.50–$352.00 | 1% above | — |
| Zinc blood test CPT 84630 HC - ZINC, PLASMA | $176.00 | $176.00 | $11.39–$176.00 | 14% above | — |
| Zinc blood test CPT 84630 HC - ASSAY OF ZINC | $176.00 | $176.00 | $11.39–$176.00 | 14% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC - HCG BETA | $70.00 | $70.00 | $15.05–$102.00 | 44% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC - CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $308.00 | $308.00 | $86.24–$507.74 | 25% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC - BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID | $5,762.00 | $5,762.00 | $1,613.36–$5,672.11 | 94% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC - CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $467.00 | $467.00 | $130.76–$459.71 | at median | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC - CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $752.00 | $752.00 | $210.56–$740.27 | 93% above | — |
| Cardiac catheterization with coronary angiogram CPT 93458 HC - CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $11,857.00 | $11,857.00 | $3,216.41–$11,812.87 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $2,119.00 | $2,119.00 | $593.32–$2,109.89 | 39% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC - COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $61,018.00 | $61,018.00 | $17,085.04–$60,066.12 | — | — |
| Cervical biopsy CPT 57500 HC - BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $908.00 | $908.00 | $254.24–$1,523.51 | 6% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC - CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $2,136.00 | $2,136.00 | $598.08–$3,457.70 | 24% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC - CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $783.00 | $783.00 | $219.24–$770.79 | 45% above | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC - COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $3,538.00 | $3,538.00 | $990.64–$3,482.81 | — | — |
| Colonoscopy with polyp removal CPT 45385 HC - COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $4,031.00 | $4,031.00 | $1,128.68–$3,968.12 | 5% above | — |
| Colonoscopy with tissue sample CPT 45380 HC - COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $3,825.00 | $3,825.00 | $1,071.00–$3,765.33 | 2% above | — |
| Colonoscopy, diagnostic CPT 45378 HC - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD SCREENING HIGH RISK | $3,338.00 | $3,338.00 | $911.71–$3,285.93 | 7% above | — |
| Colonoscopy, diagnostic CPT 45378 HC - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $3,338.00 | $3,338.00 | $911.71–$3,285.93 | 7% above | — |
| Colonoscopy, diagnostic CPT 45378 HC - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD SCREENING LOW RISK | $3,338.00 | $3,338.00 | $911.71–$3,285.93 | 7% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC - COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | $1,285.00 | $1,285.00 | $304.19–$1,264.95 | 493% above | — |
| Coronary stent placement, one artery CPT 92928 HC - PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS | $17,252.00 | $17,252.00 | $4,830.56–$19,095.22 | — | — |
| Coronary stent placement, one artery CPT 92928 HC - PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS W/DES | $17,252.00 | $17,252.00 | $4,830.56–$19,095.22 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC - CYSTOURETHROSCOPY | $2,114.00 | $2,114.00 | $591.92–$2,114.00 | 383% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC - DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $3,315.00 | $3,315.00 | $928.20–$5,354.52 | 80% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC - DESTRUCTION PREMALIGNANT LESION 1ST | $277.00 | $277.00 | $77.56–$331.88 | 234% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC - TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $531.00 | $531.00 | $148.68–$892.10 | 51% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC - REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $62.00 | $62.00 | $17.36–$97.58 | 38% below | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC - REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $251.00 | $251.00 | $59.40–$247.08 | 51% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC - ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $210.00 | $210.00 | $58.80–$334.41 | 11% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC - NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $2,078.00 | $2,078.00 | $581.84–$2,045.58 | 11% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC - INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | $496.00 | $496.00 | $138.88–$546.36 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $2,577.00 | $2,577.00 | $721.56–$2,536.80 | 11% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC - DIAGNOSTIC SIGMOIDOSCOPY FLX W/COLLJ SPEC BR/WA IF PFRMD | $2,482.00 | $2,482.00 | $694.96–$2,443.28 | 98% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC - COLORECTAL CANCER SCREENING, FLEXIBLE SIGMOIDOSCOPY | $2,482.00 | $2,482.00 | $694.96–$2,443.28 | 98% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC - HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $1,341.00 | $1,341.00 | $375.48–$1,538.23 | at median | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HC - HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $4,434.00 | $4,434.00 | $1,241.52–$4,591.22 | 15% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC - CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $627.00 | $627.00 | $175.56–$617.22 | 68% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC - INSERTION INTRAUTERINE DEVICE IUD | $842.00 | $842.00 | $210.08–$828.86 | 63% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC - INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $597.00 | $597.00 | $167.16–$587.69 | 29% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC - INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $421.00 | $421.00 | $117.88–$507.74 | 47% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC - ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $822.00 | $822.00 | $230.16–$809.18 | 21% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC - INSERTION DRUG IMPLANT DEVICE | $313.00 | $313.00 | $87.64–$308.12 | 68% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC - ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $722.00 | $722.00 | $202.16–$710.74 | 159% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC - ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $610.00 | $610.00 | $170.80–$600.48 | 70% above | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC - POST-CATARACT LASER SURGERY | $1,083.00 | $1,083.00 | $303.24–$1,186.94 | at median | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $971.00 | $971.00 | $271.88–$955.85 | 114% above | — |
| Left heart catheterization, diagnostic CPT 93452 HC - L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $3,354.00 | $3,354.00 | $939.12–$5,362.47 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC - NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $2,078.00 | $2,078.00 | $581.84–$2,045.58 | at median | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC - NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,401.00 | $2,401.00 | $672.28–$2,363.54 | 37% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC - NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $2,445.00 | $2,445.00 | $684.60–$2,406.86 | at median | — |
| Lumpectomy (partial mastectomy) CPT 19301 HC - MASTECTOMY PARTIAL | $3,971.00 | $3,971.00 | $1,111.88–$6,476.51 | 8% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC - TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $5,261.00 | $5,261.00 | $1,473.08–$5,354.52 | 15% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC - EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< | $734.00 | $734.00 | $205.52–$1,171.32 | 242% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC - EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $734.00 | $734.00 | $205.52–$1,171.32 | 101% above | — |
| Nail removal (partial or complete), one nail CPT 11730 HC - AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $458.00 | $458.00 | $128.24–$450.86 | 12% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC - INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $1,065.00 | $1,065.00 | $295.19–$1,048.39 | 108% above | — |
| Pacemaker implant (dual chamber) CPT 33208 HC - INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $24,863.00 | $24,863.00 | $6,961.64–$24,475.14 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC - INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT W/HIS BUNDLE | $24,863.00 | $24,863.00 | $6,961.64–$24,475.14 | — | — |
| Paracentesis with imaging guidance CPT 49083 HC - ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $1,555.00 | $1,555.00 | $435.40–$1,530.74 | 121% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC - EXCISION NAIL MATRIX PERMANENT REMOVAL | $1,199.00 | $1,199.00 | $335.72–$1,180.30 | 31% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC - DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $4,602.00 | $4,602.00 | $1,288.56–$4,530.21 | 20% above | — |
| Removal of a breast lump, open surgery CPT 19120 HC - EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $3,971.00 | $3,971.00 | $1,111.88–$6,476.51 | 41% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC - INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $1,002.00 | $1,002.00 | $280.56–$986.37 | 104% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC - LITHOTRIPSY XTRCORP SHOCK WAVE | $17,048.00 | $17,048.00 | $3,448.97–$16,985.13 | at median | — |
| Short arm cast (elbow to hand) CPT 29075 HC - APPLICATION CAST ELBOW FINGER SHORT ARM | $401.00 | $401.00 | $112.28–$462.64 | 1% below | — |
| Short arm splint (forearm and hand) CPT 29125 HC - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $414.00 | $414.00 | $115.92–$407.54 | 86% above | — |
| Short leg cast (below the knee) CPT 29405 HC - APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $556.00 | $556.00 | $155.68–$547.33 | 54% above | — |
| Short leg splint (calf to foot) CPT 29515 HC - APPLICATION SHORT LEG SPLINT CALF FOOT | $431.00 | $431.00 | $120.68–$424.28 | 27% above | — |
| 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 2.5CM/< | $597.00 | $597.00 | $167.16–$587.69 | 50% above | — |
| Skin biopsy, punch, one lesion CPT 11104 HC - PUNCH BIOPSY SKIN SINGLE LESION | $417.00 | $417.00 | $116.76–$672.42 | 82% above | — |
| Skin tag removal, up to 15 tags CPT 11200 HC - RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $208.00 | $208.00 | $58.24–$331.88 | 6% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC - DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,293.00 | $1,293.00 | $362.04–$1,272.83 | 53% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $597.00 | $597.00 | $167.16–$587.69 | 12% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $597.00 | $597.00 | $167.16–$587.69 | 30% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC - TANGENTIAL BIOPSY SKIN SINGLE LESION | $451.00 | $451.00 | $126.28–$672.42 | 217% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC - THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,982.00 | $1,982.00 | $554.96–$1,951.08 | 58% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $886.00 | $886.00 | $248.08–$872.18 | 54% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC - BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID | $4,861.00 | $4,861.00 | $1,361.08–$4,785.17 | 88% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC - EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $4,130.00 | $4,130.00 | $1,156.40–$4,065.57 | 31% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC - EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,165.00 | $3,165.00 | $886.20–$3,152.79 | at median | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC - ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $978.00 | $978.00 | $273.84–$1,500.24 | 38% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC - EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $3,941.00 | $3,941.00 | $1,103.48–$3,879.52 | 32% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC - EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $2,813.00 | $2,813.00 | $787.64–$2,769.12 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,174.00 | $3,174.00 | $888.72–$3,162.14 | 10% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC - EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $6,053.00 | $6,053.00 | $1,694.84–$10,041.85 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC - DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | $1,368.00 | $1,368.00 | $383.04–$1,368.00 | 261% above | — |
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 | $1,217.00 | $1,217.00 | $340.76–$1,198.01 | 82% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC - PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $273.00 | $273.00 | $76.44–$362.20 | 41% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $996.00 | $996.00 | $278.88–$980.46 | 42% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC - COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ | $197.00 | $197.00 | $55.16–$212.84 | 83% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC - CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $3,138.00 | $3,138.00 | $842.61–$3,126.04 | 79% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC - ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $1,153.00 | $1,153.00 | $238.11–$1,147.52 | 113% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC - ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $70.00 | $70.00 | $19.60–$97.58 | 58% below | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC - ELECTROCONVULSIVE THERAPY | $469.00 | $469.00 | $131.32–$1,420.44 | — | — |
| 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 | $302.00 | $302.00 | $84.56–$2,386.00 | 13% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC - EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | $644.00 | $644.00 | $158.36–$2,386.00 | 54% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC - EMERGENCY DEPARTMENT VISIT LOW MDM | $971.00 | $971.00 | $271.88–$5,105.00 | 33% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC - EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,528.00 | $1,528.00 | $425.82–$5,748.48 | 58% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC - EMERGENCY DEPARTMENT VISIT HIGH MDM | $2,388.00 | $2,388.00 | $613.10–$9,286.49 | 77% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $325.00 | $325.00 | $91.00–$357.17 | 61% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC - FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS NON-MD | $278.00 | $278.00 | $77.84–$499.29 | 36% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC - FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS NON-MD | $265.00 | $265.00 | $74.20–$293.60 | 50% above | — |
| Group psychotherapy session CPT 90853 HC - GROUP PSYCHOTHERAPY | $75.00 | $75.00 | $21.00–$168.04 | 10% above | — |
| Group psychotherapy session CPT 90853 HC - IOP GROUP PSYCHOTHERAPY | $75.00 | $75.00 | $21.00–$168.04 | 10% above | — |
| Group psychotherapy session CPT 90853 HC - PHP GROUP PSYCHOTHERAPY | $75.00 | $75.00 | $21.00–$168.04 | 10% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $525.00 | $525.00 | $147.00–$516.81 | 130% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $590.00 | $590.00 | $165.20–$580.80 | 88% above | — |
| IV push of a medicine, first drug CPT 96374 HC - THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $352.00 | $352.00 | $98.56–$351.82 | 48% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $184.00 | $184.00 | $13.36–$181.13 | 224% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC - PSYCHIATRIC DIAGNOSTIC EVALUATION NON-MD | $469.00 | $469.00 | $131.32–$461.68 | 135% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC - NERVE CONDUCTION STUDIES 7-8 STUDIES | $2,253.00 | $2,253.00 | $411.49–$2,244.54 | 578% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC - PT THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | $101.00 | $101.00 | $28.28–$118.00 | 22% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC - OT THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | $101.00 | $101.00 | $28.28–$118.00 | 22% below | — |
| New patient office visit, about 30 minutes CPT 99203 HC - OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $251.00 | $251.00 | $70.28–$247.08 | 28% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC - OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $363.00 | $363.00 | $101.64–$357.34 | 45% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC - OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $474.00 | $474.00 | $132.72–$466.61 | 52% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC - OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | $169.00 | $169.00 | $47.32–$166.36 | 11% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC - MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $29.00 | $29.00 | $8.12–$74.29 | 48% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC - OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $301.00 | $301.00 | $64.00–$296.30 | at median | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC - PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $298.00 | $298.00 | $64.00–$363.82 | 8% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC - PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $298.00 | $298.00 | $64.00–$293.35 | at median | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC - PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $298.00 | $298.00 | $64.00–$293.35 | at median | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC - PT MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | $91.00 | $91.00 | $25.48–$118.00 | 29% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC - OT MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | $91.00 | $91.00 | $25.48–$118.00 | 29% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC - OT THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $94.00 | $94.00 | $26.32–$118.00 | 25% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC - PT THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $94.00 | $94.00 | $26.32–$118.00 | 25% below | — |
| Psychotherapy session, 30 minutes CPT 90832 HC - PSYCHOTHERAPY W/PATIENT 30 MINUTES NON-MD | $213.00 | $213.00 | $59.64–$293.60 | 88% above | — |
| Psychotherapy session, 45 minutes CPT 90834 HC - PSYCHOTHERAPY W/PATIENT 45 MINUTES NON-MD | $281.00 | $281.00 | $78.68–$293.60 | 102% above | — |
| Psychotherapy session, 60 minutes CPT 90837 HC - PSYCHOTHERAPY W/PATIENT 60 MINUTES | $414.00 | $414.00 | $115.92–$407.54 | 83% above | — |
| Psychotherapy session, 60 minutes CPT 90837 HC - PSYCHOTHERAPY W/PATIENT 60 MINUTES NON-MD | $414.00 | $414.00 | $115.92–$407.54 | 83% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC - TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $32.00 | $32.00 | $8.96–$61.98 | 12% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC - OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN | $391.00 | $391.00 | $109.48–$384.90 | 37% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC - OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $204.00 | $204.00 | $57.12–$204.00 | 26% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC - OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $285.00 | $285.00 | $79.80–$280.55 | 34% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC - OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN | $133.00 | $133.00 | $37.24–$133.00 | 20% above | — |
| Speech and language evaluation CPT 92523 HC - SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $465.00 | $465.00 | $64.00–$457.75 | 21% above | — |
| Speech therapy session, individual CPT 92507 HC - SLP TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND | $211.00 | $211.00 | $59.08–$207.71 | 41% below | — |
| Spirometry (breathing test) CPT 94010 HC - SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | $467.00 | $467.00 | $130.76–$459.71 | 49% above | — |
| Spirometry before and after a bronchodilator CPT 94060 HC - BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $831.00 | $831.00 | $232.68–$818.04 | 26% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC - PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $109.00 | $109.00 | $30.52–$118.00 | 3% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC - OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $109.00 | $109.00 | $30.52–$118.00 | 3% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC - PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $387.00 | $387.00 | $108.36–$385.71 | 75% above | — |
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 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $211.39 | $211.39 | $59.19–$207.92 | 76% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $211.39 | $211.39 | $59.19–$179.89 | — | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $357.61 | $357.61 | $100.13–$351.75 | 61% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $357.61 | $357.61 | $100.13–$304.33 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUB-Q SOLUTION | $681.60 | $681.60 | $190.85–$670.97 | 124% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUB-Q SOLUTION | $681.60 | $681.60 | $190.85–$580.04 | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 15 LF-48 MCG-5 LF/0.5 ML IM SYRINGE | $230.11 | $230.11 | $64.43–$226.52 | 25% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 15 LF-48 MCG-5 LF/0.5 ML IM SYRINGE | $230.11 | $230.11 | $64.43–$195.82 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(ACELL)T-POLIO VACC-PF 10MCG-25LF-25MCG-10LF-40-8-32 IM SYRING | $256.57 | $256.57 | $71.84–$252.57 | 242% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(ACELL)T-POLIO VACC-PF 10MCG-25LF-25MCG-10LF-40-8-32 IM SYRING | $256.57 | $256.57 | $71.84–$218.34 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $62.78 | $62.78 | $12.67–$61.75 | 70% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $62.78 | $62.78 | $17.58–$53.43 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $970.21 | $970.21 | $230.21–$955.07 | 57% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $970.21 | $970.21 | $271.66–$825.65 | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A & B VIRUS VACCINE (PF) 720 ELISA UNIT-20 MCG/ML IM SYRINGE | $385.05 | $385.05 | $107.81–$379.04 | 113% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A & B VIRUS VACCINE (PF) 720 ELISA UNIT-20 MCG/ML IM SYRINGE | $385.05 | $385.05 | $107.81–$327.68 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRINGE | $83.54 | $83.54 | $23.39–$144.30 | at median | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION | $83.54 | $83.54 | $23.39–$144.30 | at median | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRINGE | $83.54 | $83.54 | $23.39–$71.09 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION | $83.54 | $83.54 | $23.39–$71.09 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $122.88 | $122.88 | $34.41–$120.96 | 230% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $122.88 | $122.88 | $34.41–$104.57 | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $498.23 | $498.23 | $139.50–$490.06 | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $498.23 | $498.23 | $139.50–$423.99 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $84.35 | $84.35 | $23.62–$82.97 | 55% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $84.35 | $84.35 | $23.62–$71.78 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOXOID/PF 10 MCG IM | $54.34 | $54.34 | $14.08–$53.49 | 37% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOXOID/PF 10 MCG IM | $54.34 | $54.34 | $15.22–$46.24 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $336.82 | $336.82 | $94.31–$331.57 | 117% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $336.82 | $336.82 | $94.31–$286.63 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $426.68 | $426.68 | $119.47–$420.02 | 125% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $426.68 | $426.68 | $119.47–$363.10 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $658.51 | $658.51 | $184.38–$648.24 | 62% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $658.51 | $658.51 | $184.38–$560.39 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $895.74 | $895.74 | $250.81–$968.59 | 83% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $895.74 | $895.74 | $250.81–$762.27 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE, IPV 40 UNIT-8 UNIT-32 UNIT/0.5 ML IM OR SUB-Q INJECT | $143.12 | $143.12 | $0.01–$140.89 | 71% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE, IPV 40 UNIT-8 UNIT-32 UNIT/0.5 ML IM OR SUB-Q INJECT | $143.12 | $143.12 | $40.07–$121.80 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,507.04 | $1,507.04 | $421.97–$1,483.53 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,507.04 | $1,507.04 | $421.97–$1,282.49 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $1,769.29 | $1,769.29 | $459.66–$1,741.69 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $1,769.29 | $1,769.29 | $495.40–$1,505.67 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $1,009.38 | $1,009.38 | $282.63–$993.63 | 102% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $1,009.38 | $1,009.38 | $282.63–$858.98 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC 2.5 UNIT IM KIT | $355.10 | $355.10 | $0.01–$472.83 | 16% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $355.10 | $355.10 | $0.01–$472.83 | 16% below | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC 2.5 UNIT IM KIT | $355.10 | $355.10 | $99.43–$302.19 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $355.10 | $355.10 | $99.43–$302.19 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSPENSION | $730.46 | $730.46 | $141.40–$719.06 | 80% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSPENSION | $730.46 | $730.46 | $204.53–$621.62 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOXOID/PF 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $42.30 | $42.30 | $11.84–$58.12 | 2% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOXOID/PF 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $42.30 | $42.30 | $11.84–$36.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $45.07 | $45.07 | $0.01–$59.22 | 20% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL),TETANUS VAC-PF 2 LF-(5-3-5MCG)-5 LF/0.5 ML IM SUSP | $45.07 | $45.07 | $0.01–$59.22 | 20% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $45.07 | $45.07 | $12.62–$38.35 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL),TETANUS VAC-PF 2 LF-(5-3-5MCG)-5 LF/0.5 ML IM SUSP | $45.07 | $45.07 | $12.62–$38.35 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $531.81 | $531.81 | $148.91–$523.51 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $531.81 | $531.81 | $148.91–$452.57 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC - ADMINISTRATION OF HEPATITIS B VACCINE | $68.00 | $68.00 | $19.04–$119.10 | 42% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC - ADMINISTRATION OF PNEUMOCOCCAL VACCINE | $68.00 | $68.00 | $19.04–$119.10 | 42% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC - ADMINISTRATION OF INFLUENZA VIRUS VACCINE | $68.00 | $68.00 | $19.04–$119.10 | 42% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC - IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $68.00 | $68.00 | $19.04–$119.10 | 42% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC - IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $34.00 | $34.00 | $9.52–$33.47 | 12% above | — |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Vermont | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC - EXTRACT ERUPTED TOOTH/EXPOSD ROOT (ELEV +/- FORCEPS REMVL | $1,734.00 | $1,734.00 | $485.52–$1,706.95 | — | — |
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.
Source file: https://www.uvmhealth.org/sites/default/files/030219309_university-of-vermont-medical-center-inc_standardcharges.csv