▸ Hospital · VT · CCN 471302

Mt Ascutney Hospital

289 COUNTY ROAD, WINDSOR, VT, 471302

Compliance grade

97/100

Rates published

2,796

last crawl 2026-05-22

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All VT hospitals JSON

Source MRF: https://secure.claraprice.net/price-transparency/5fcd5b479a/machine-readable/51-0194237_mt.-ascutney-hospital-and-health-center_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychotherapy 30 minutes	CPT	90832	8	$229	$183	$166	$210.5	$218
Psychotherapy 45 minutes	CPT	90834	8	$303	$242	$219	$279	$288
Psychotherapy 60 minutes	CPT	90837	8	$457	$366	$331	$420.5	$434
emergency
ED visit level 1	CPT	99281	8	$371	$297	$269	$341.5	$352
ED visit level 2	CPT	99282	8	$415	$332	$300	$382	$394
ED visit level 3	CPT	99283	8	$614	$491	$445	$565	$583
ED visit level 4	CPT	99284	8	$981	$785	$710	$902.5	$932
ED visit level 5	CPT	99285	8	$1,574	$1,259	$1,140	$1,448	$1,495
Critical care, first hour	CPT	99291	8	$1,886	$1,509	$1,365	$1,735	$1,792
imaging
CT head without contrast	CPT	70450	8	$2,813	$2,250	$1,785	$2,317	$2,672
CT head with contrast	CPT	70460	8	$3,645	$2,916	$2,373	$3,081.5	$3,463
CT head with and without contrast	CPT	70470	8	$4,494	$3,595	$2,667	$3,463	$4,269
CT neck with contrast	CPT	70491	8	$4,397	$3,518	$2,898	$3,763	$4,177
MRI brain without contrast	CPT	70551	8	$7,130	$5,704	$3,755	$5,044.5	$6,774
MRI brain with contrast	CPT	70552	8	$7,841	$6,273	$4,143	$5,556.5	$7,449
MRI brain with and without contrast	CPT	70553	8	$9,760	$7,808	$5,329	$7,029	$9,272
Chest X-ray single view	CPT	71045	8	$440	$352	$319	$404.5	$418
Chest X-ray 2 views	CPT	71046	8	$601	$481	$410	$530.5	$571
Chest X-ray 3 views	CPT	71047	8	$748	$598	$542	$688.5	$711
CT chest without contrast	CPT	71250	8	$3,639	$2,911	$2,268	$2,945	$3,457
CT chest with contrast	CPT	71260	8	$4,537	$3,630	$2,447	$3,248	$4,310
CT chest with and without contrast	CPT	71270	8	$5,709	$4,567	$3,078	$4,086	$5,424
MRI chest without contrast	CPT	71550	8	$7,917	$6,334	$4,168	$5,600.5	$7,521
MRI chest with and without contrast	CPT	71552	8	$11,668	$9,334	$6,145	$8,255.5	$11,085
Lumbosacral spine X-ray	CPT	72100	8	$866	$693	$627	$796.5	$823
CT cervical spine without contrast	CPT	72125	8	$3,669	$2,935	$2,100	$2,726	$3,486
CT thoracic spine without contrast	CPT	72128	8	$3,661	$2,929	$2,100	$2,726	$3,478
CT lumbar spine without contrast	CPT	72131	8	$3,808	$3,046	$2,639	$3,390	$3,618
MRI cervical spine without contrast	CPT	72141	8	$6,214	$4,971	$3,443	$4,511.5	$5,903
MRI thoracic spine without contrast	CPT	72146	8	$6,325	$5,060	$3,443	$4,548.5	$6,009
MRI lumbar spine without contrast	CPT	72148	8	$6,313	$5,050	$3,443	$4,544.5	$5,997
MRI lumbar spine with and without contrast	CPT	72149	8	$5,486	$4,389	$3,972	$5,047	$5,212
MRI cervical spine with and without contrast	CPT	72156	8	$9,591	$7,673	$5,329	$6,972.5	$9,111
MRI lumbar spine with contrast	CPT	72158	8	$9,569	$7,655	$5,329	$6,965	$9,091
CT pelvis without contrast	CPT	72192	8	$3,446	$2,757	$2,495	$3,170.5	$3,274
CT pelvis with contrast	CPT	72193	8	$4,307	$3,446	$3,118	$3,962.5	$4,092
Shoulder X-ray	CPT	73030	8	$620	$496	$449	$570.5	$589
Humerus X-ray	CPT	73060	8	$614	$491	$445	$565	$583
Hand X-ray 3 views	CPT	73130	8	$1,408	$1,126	$510	$844.5	$1,338
MRI upper extremity joint without contrast	CPT	73221	8	$7,236	$5,789	$3,547	$5,620.5	$6,874
MRI upper extremity joint with and without contrast	CPT	73223	8	$10,167	$8,134	$5,039	$7,943.5	$9,659
Knee X-ray 1-2 views	CPT	73560	8	$1,266	$1,013	$459	$759.5	$1,203
Ankle X-ray 3 views	CPT	73610	8	$715	$572	$150	$357.5	$679
MRI lower extremity joint without contrast	CPT	73721	8	$6,886	$5,509	$3,627	$4,872.5	$6,542
MRI lower extremity joint with and without contrast	CPT	73723	8	$9,548	$7,638	$5,027	$6,755	$9,071
CT abdomen without contrast	CPT	74150	8	$3,452	$2,762	$2,475	$3,160.5	$3,279
CT abdomen with contrast	CPT	74160	8	$4,929	$3,943	$2,667	$3,534.5	$4,683
CT abdomen with and without contrast	CPT	74170	8	$6,766	$5,413	$3,651	$4,845	$6,428
CT abdomen and pelvis without contrast	CPT	74176	8	$5,048	$4,038	$1,730	$2,962.5	$4,796
CT abdomen and pelvis with contrast	CPT	74177	8	$5,280	$4,224	$3,299	$4,283.5	$5,016
CT abdomen and pelvis with and without contrast	CPT	74178	8	$6,027	$4,822	$466	$4,780	$5,726
MRI abdomen without contrast	CPT	74181	8	$6,229	$4,983	$3,397	$4,483.5	$5,918
MRI abdomen with and without contrast	CPT	74183	8	$10,147	$8,118	$7,346	$9,335.5	$9,640
Abdominal ultrasound complete	CPT	76700	8	$1,380	$1,104	$999	$1,269.5	$1,311
Abdominal ultrasound limited	CPT	76705	8	$1,068	$854	$773	$982.5	$1,015
Retroperitoneal ultrasound complete	CPT	76770	8	$1,330	$1,064	$963	$1,223.5	$1,264
Obstetric ultrasound first trimester	CPT	76801	8	$2,431	$1,945	$1,760	$2,236.5	$2,309
Obstetric ultrasound after first trimester	CPT	76805	8	$1,529	$1,223	$1,107	$1,406.5	$1,453
Transvaginal ultrasound	CPT	76830	8	$1,249	$999	$904	$1,149.5	$1,187
Pelvic ultrasound complete	CPT	76856	8	$1,244	$995	$901	$1,144.5	$1,182
Scrotal ultrasound	CPT	76870	8	$1,258	$1,006	$911	$1,157.5	$1,195
Diagnostic mammography unilateral	CPT	77065	8	$774	$619	$560	$712	$735
Diagnostic mammography bilateral	CPT	77066	8	$774	$619	$560	$712	$735
Screening mammography bilateral	CPT	77067	8	$774	$619	$560	$712	$735
EKG complete	CPT	93000	8	$908	$726	$310	$441.5	$863
EKG tracing only	CPT	93005	8	$419	$335	$269	$349.5	$398
Transthoracic echocardiogram complete	CPT	93306	8	$2,231	$1,785	$1,615	$2,052.5	$2,119
lab
Basic metabolic panel (BMP)	CPT	80048	8	$181	$145	$131	$166.5	$172
General health panel	CPT	80050	8	$655	$524	$474	$602.5	$622
Electrolyte panel	CPT	80051	8	$150	$120	$109	$138.5	$143
Comprehensive metabolic panel	CPT	80053	8	$213	$170	$154	$196	$202
Lipid panel	CPT	80061	8	$200	$160	$145	$184	$190
Renal function panel	CPT	80069	8	$150	$120	$109	$138.5	$143
Hepatic function panel	CPT	80076	8	$170	$136	$123	$156.5	$162
Urinalysis non-automated	CPT	81002	8	$28	$22	$20	$25.5	$27
Urinalysis automated	CPT	81003	8	$53	$42	$38	$48.5	$50
Glucose quantitative	CPT	82947	8	$81	$65	$48	$66	$77
Hemoglobin A1c	CPT	83036	8	$208	$166	$151	$191	$198
Thyroid stimulating hormone (TSH)	CPT	84443	8	$294	$235	$213	$270.5	$279
Complete blood count with automated differential	CPT	85025	8	$148	$118	$107	$136.5	$141
Complete blood count without differential	CPT	85027	8	$121	$97	$88	$111.5	$115
Urine culture bacterial	CPT	87086	8	$98	$78	$71	$90	$93
Urine culture identification	CPT	87088	8	$81	$65	$59	$74.5	$77
Tissue exam by pathologist level IV	CPT	88305	8	$1,104	$883	$799	$1,016	$1,049
office
Office visit, new patient, 30-44 minutes	CPT	99203	8	$293	$234	$212	$269.5	$278
Office visit, new patient, 45-59 min	CPT	99204	8	$449	$359	$325	$413.5	$427
Office visit, new patient, 60-74 min	CPT	99205	8	$554	$443	$401	$509.5	$526
Office visit, established patient, 5 min	CPT	99211	8	$93	$74	$67	$85.5	$88
preventive
Upper GI endoscopy diagnostic	CPT	43235	8	$846	$677	$613	$778.5	$804
Upper GI endoscopy with biopsy	CPT	43239	8	$995	$796	$720	$915	$945
Sigmoidoscopy diagnostic	CPT	45330	8	$982	$786	$711	$903.5	$933
Colonoscopy diagnostic	CPT	45378	8	$1,339	$1,071	$969	$1,231.5	$1,272
Colonoscopy with biopsy	CPT	45380	8	$1,512	$1,210	$1,095	$1,391	$1,436
Colonoscopy with polyp removal	CPT	45385	8	$1,781	$1,425	$1,289	$1,638.5	$1,692
surgery
Shoulder arthroscopy with decompression	CPT	29826	8	$3,941	$3,153	$2,853	$3,625.5	$3,744
Knee arthroscopy with meniscectomy	CPT	29881	8	$2,126	$1,701	$1,539	$1,956	$2,020
Laparoscopic cholecystectomy	CPT	47562	8	$4,535	$3,628	$3,283	$4,172.5	$4,308
Cataract surgery with lens implant	CPT	66984	8	$4,953	$3,962	$3,586	$4,556.5	$4,705

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 8)

Payer	Codes covered	Median rate
Aetna	98	$2,309
Anthem BCBS	98	$1,760
Blue Cross Blue Shield	98	$2,164
Cigna	98	$2,261
hphc insurance company, inc.	98	$2,261
mvp health plan, inc.	98	$2,212
the vermont health plan	98	$1,762
UnitedHealthcare	98	$2,309

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