▸ Hospital · VT · CCN 471305

Copley Hospital

528 WASHINGTON HIGHWAY, MORRISVILLE, VT, 471305

Compliance grade

86/100

Procedures tracked

132

of 209 target codes

Payers

with negotiated rates

Rates published

852

last crawl 2026-05-24

▸ Compare with other hospitals All VT hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.copleyvt.org/030179423_Copley-Hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	0	$329	$263.2	—	—	—
ED visit level 2	CPT	99282	0	$519	$415.2	—	—	—
ED visit level 3	CPT	99283	0	$817	$653.6	—	—	—
ED visit level 4	CPT	99284	0	$1,198	$958.4	—	—	—
ED visit level 5	CPT	99285	0	$1,634	$1,307.2	—	—	—
Critical care, first hour	CPT	99291	0	$1,217	$973.6	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,564	$1,251.2	—	—	—
CT head with contrast	CPT	70460	0	$1,508	$1,206.4	—	—	—
CT head with and without contrast	CPT	70470	0	$1,931	$1,544.8	—	—	—
CT neck with contrast	CPT	70491	0	$1,909	$1,527.2	—	—	—
MRI brain without contrast	CPT	70551	0	$2,773	$2,218.4	—	—	—
MRI brain with contrast	CPT	70552	0	$2,653	$2,122.4	—	—	—
MRI brain with and without contrast	CPT	70553	0	$5,231	$4,184.8	—	—	—
Chest X-ray single view	CPT	71045	0	$456	$364.8	—	—	—
Chest X-ray 2 views	CPT	71046	0	$456	$364.8	—	—	—
Chest X-ray 3 views	CPT	71047	0	$444	$355.2	—	—	—
CT chest without contrast	CPT	71250	0	$1,636	$1,308.8	—	—	—
CT chest with contrast	CPT	71260	0	$1,909	$1,527.2	—	—	—
CT chest with and without contrast	CPT	71270	0	$1,499	$1,199.2	—	—	—
MRI chest without contrast	CPT	71550	0	$1,890	$1,512	—	—	—
MRI chest with and without contrast	CPT	71552	0	$2,621	$2,096.8	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$852	$681.6	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,564	$1,251.2	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$852	$681.6	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$852	$681.6	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$2,773	$2,218.4	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$1,930	$1,544	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$3,075	$2,460	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$2,621	$2,096.8	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$2,666	$2,132.8	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$2,666	$2,132.8	—	—	—
CT pelvis without contrast	CPT	72192	0	$852	$681.6	—	—	—
CT pelvis with contrast	CPT	72193	0	$1,533	$1,226.4	—	—	—
Shoulder X-ray	CPT	73030	0	$456	$364.8	—	—	—
Humerus X-ray	CPT	73060	0	$456	$364.8	—	—	—
Hand X-ray 3 views	CPT	73130	0	$456	$364.8	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$2,773	$2,218.4	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$2,666	$2,132.8	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$456	$364.8	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$456	$364.8	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$2,773	$2,218.4	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$2,666	$2,132.8	—	—	—
CT abdomen without contrast	CPT	74150	0	$838	$670.4	—	—	—
CT abdomen with contrast	CPT	74160	0	$1,909	$1,527.2	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$1,533	$1,226.4	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$1,930	$1,544	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$2,666	$2,132.8	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$2,666	$2,132.8	—	—	—
MRI abdomen without contrast	CPT	74181	0	$1,930	$1,544	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$2,666	$2,132.8	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$1,003	$802.4	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$852	$681.6	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$852	$681.6	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$852	$681.6	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$996	$796.8	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,899	$1,519.2	—	—	—
Transvaginal ultrasound	CPT	76830	0	$852	$681.6	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$852	$681.6	—	—	—
Scrotal ultrasound	CPT	76870	0	$852	$681.6	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$636	$508.8	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$896	$716.8	—	—	—
Screening mammography bilateral	CPT	77067	0	$748	$598.4	—	—	—
EKG tracing only	CPT	93005	0	$169	$135.2	—	—	—
EKG interpretation only	CPT	93010	0	$24	$19.2	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$878	$702.4	—	—	—
Stress echocardiogram	CPT	93350	0	$878	$702.4	—	—	—
inpatient
Initial hospital care, low complexity	CPT	99221	0	$180	$144	—	—	—
Initial hospital care, moderate complexity	CPT	99222	0	$243	$194.4	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$359	$287.2	—	—	—
Hospital discharge, <30 min	CPT	99238	0	$139	$111.2	—	—	—
Hospital discharge, >30 min	CPT	99239	0	$242	$193.6	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$100	$80	—	—	—
Electrolyte panel	CPT	80051	0	$72	$57.6	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$134	$107.2	—	—	—
Lipid panel	CPT	80061	0	$122	$97.6	—	—	—
Renal function panel	CPT	80069	0	$87	$69.6	—	—	—
Hepatic function panel	CPT	80076	0	$83	$66.4	—	—	—
Urinalysis non-automated	CPT	81002	0	$5	$4	—	—	—
Urinalysis automated	CPT	81003	0	$37	$29.6	—	—	—
Glucose quantitative	CPT	82947	0	$42	$33.6	—	—	—
Hemoglobin A1c	CPT	83036	0	$98	$78.4	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$145	$116	—	—	—
Complete blood count with automated differential	CPT	85025	0	$71	$56.8	—	—	—
Complete blood count without differential	CPT	85027	0	$67	$53.6	—	—	—
Urine culture identification	CPT	87088	0	$41	$32.8	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$383	$306.4	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$550	$440	—	—	—
Routine obstetric care including vaginal delivery	CPT	59400	0	$4,311	$3,448.8	—	—	—
Vaginal delivery only	CPT	59409	0	$2,589	$2,071.2	—	—	—
Vaginal delivery with postpartum	CPT	59410	0	$2,688	$2,150.4	—	—	—
Routine obstetric care with C-section	CPT	59510	0	$4,882	$3,905.6	—	—	—
C-section delivery only	CPT	59514	0	$2,587	$2,069.6	—	—	—
C-section with postpartum	CPT	59515	0	$2,862	$2,289.6	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$134	$107.2	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$205	$164	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$305	$244	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$402	$321.6	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$73	$58.4	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$103	$82.4	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$167	$133.6	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$237	$189.6	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$330	$264	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$540	$432	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$1,121	$896.8	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$328	$262.4	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$507	$405.6	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$1,072	$857.6	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$1,279	$1,023.2	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$1,442	$1,153.6	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$2,861	$2,288.8	—	—	—
Hip hemiarthroplasty	CPT	27125	0	$2,254	$1,803.2	—	—	—
Total hip replacement	CPT	27130	0	$4,880	$3,904	—	—	—
Total knee replacement	CPT	27447	0	$3,318	$2,654.4	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	$2,564	$2,051.2	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	$3,531	$2,824.8	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$958	$766.4	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$2,657	$2,125.6	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$1,327	$1,061.6	—	—	—
ACL reconstruction	CPT	29888	0	$2,724	$2,179.2	—	—	—
Open appendectomy	CPT	44950	0	$1,095	$876	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$1,488	$1,190.4	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$1,872	$1,497.6	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	$2,008	$1,606.4	—	—	—
Open umbilical hernia repair	CPT	49560	0	$1,951	$1,560.8	—	—	—
Umbilical hernia repair age 5+	CPT	49585	0	$1,019	$815.2	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$775	$620	—	—	—
Lap incisional hernia repair	CPT	49652	0	$1,680	$1,344	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$1,747	$1,397.6	—	—	—
Vaginal hysterectomy	CPT	58260	0	$2,413	$1,930.4	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$2,014	$1,611.2	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$2,758	$2,206.4	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$1,907	$1,525.6	—	—	—

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