Does Porter Hospital, Inc publish its standard charges and chargemaster?

Yes. Porter Hospital, Inc publishes a machine-readable file with 31,421 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Porter Hospital, Inc charge for procedures?

Porter Hospital, Inc (Middlebury, VT) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · VT · CCN 471307

Porter Hospital, Inc

Middlebury, VT, 05753-8629

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

31,421

last crawl 2026-05-24

Procedures tracked

184

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All VT hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.uvmhealth.org/sites/default/files/030181058_porter-hospital-inc_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	2	—	—	$14,336	$17,623	1.4×	$17,623
Psychiatric diagnostic evaluation	CPT	90791	0	$397	$397	—	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$445	$445	—	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$180	$180	—	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$238	$238	—	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$351	$351	—	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$337	$337	—	—	—	—
emergency
ED visit level 1	CPT	99281	16	$157	$157	$7.98	$32.13	0.23×	$2,258
ED visit level 2	CPT	99282	16	$270	$270	$29.4	$81.54	0.34×	$2,258
ED visit level 3	CPT	99283	16	$474	$474	$49.72	$139.46	0.34×	$4,070
ED visit level 4	CPT	99284	16	$738	$738	$84.74	$236.82	0.35×	$4,070
ED visit level 5	CPT	99285	16	$1,061	$1,061	$122.87	$343.3	0.33×	$4,070
Critical care, first hour	CPT	99291	16	$1,485	$1,485	$168.76	$445.56	0.42×	$1,470.15
imaging
CT head without contrast	CPT	70450	16	$1,873	$1,873	$26.57	$138.86	0.67×	$1,854.27
CT head with contrast	CPT	70460	16	$2,285	$2,285	$35.22	$193.1	0.83×	$2,262.15
CT head with and without contrast	CPT	70470	16	$2,797	$2,797	$39.63	$208.96	0.78×	$2,769.03
CT neck with contrast	CPT	70491	16	$2,188	$2,188	$42.99	$226.81	0.83×	$2,166.12
MRI brain without contrast	CPT	70551	16	$3,697	$3,697	$46.06	$316.08	0.78×	$3,660.03
MRI brain with contrast	CPT	70552	16	$2,666	$2,666	$55.59	$380.67	0.80×	$2,639.34
MRI brain with and without contrast	CPT	70553	16	$5,007	$5,007	$71.62	$488.33	0.83×	$4,956.93
Chest X-ray single view	CPT	71045	16	$391	$391	$5.75	$37.9	0.40×	$387.09
Chest X-ray 2 views	CPT	71046	16	$503	$503	$6.87	$47.37	0.48×	$497.97
Chest X-ray 3 views	CPT	71047	16	$435	$435	$8.65	$59.43	0.62×	$430.65
CT chest without contrast	CPT	71250	16	$2,381	$2,381	$33.66	$177.22	0.82×	$2,357.19
CT chest with contrast	CPT	71260	16	$2,778	$2,778	$36.34	$196.58	0.70×	$2,750.22
CT chest with and without contrast	CPT	71270	16	$1,969	$1,969	$38.97	$204.33	0.70×	$1,949.31
MRI chest without contrast	CPT	71550	16	$2,373	$2,373	$45.61	$311.77	0.72×	$2,349.27
MRI chest with and without contrast	CPT	71552	16	$5,583	$5,583	$70.74	$481.44	0.80×	$5,527.17
Lumbosacral spine X-ray	CPT	72100	16	$630	$630	$7.08	$49.09	0.47×	$623.7
CT cervical spine without contrast	CPT	72125	16	$2,385	$2,385	$31.04	$163.33	0.81×	$2,361.15
CT thoracic spine without contrast	CPT	72128	16	$1,382	$1,382	$31.04	$163.33	0.82×	$1,368.18
CT lumbar spine without contrast	CPT	72131	16	$2,379	$2,379	$31.04	$163.33	0.80×	$2,355.21
MRI cervical spine without contrast	CPT	72141	16	$3,321	$3,321	$46.28	$316.08	0.80×	$3,287.79
MRI thoracic spine without contrast	CPT	72146	16	$3,638	$3,638	$46.28	$316.08	0.85×	$3,601.62
MRI lumbar spine without contrast	CPT	72148	16	$3,633	$3,633	$46.28	$317.8	0.84×	$3,596.67
MRI lumbar spine with and without contrast	CPT	72149	16	$2,501	$2,501	$55.93	$381.54	0.84×	$2,475.99
MRI cervical spine with and without contrast	CPT	72156	16	$4,838	$4,838	$71.84	$489.19	0.91×	$4,789.62
MRI lumbar spine with contrast	CPT	72158	16	$4,697	$4,697	$71.84	$489.19	0.89×	$4,650.03
CT pelvis without contrast	CPT	72192	16	$2,333	$2,333	$33.89	$178.54	0.89×	$2,309.67
CT pelvis with contrast	CPT	72193	16	$2,658	$2,658	$36.12	$195.8	0.70×	$2,631.42
Shoulder X-ray	CPT	73030	16	$471	$471	$5.96	$41.34	0.44×	$466.29
Humerus X-ray	CPT	73060	16	$454	$454	$5.08	$34.45	0.39×	$449.46
Hand X-ray 3 views	CPT	73130	16	$429	$429	$5.52	$37.9	0.41×	$424.71
MRI upper extremity joint without contrast	CPT	73221	16	$3,201	$3,201	$42.31	$290.24	0.70×	$3,168.99
MRI upper extremity joint with and without contrast	CPT	73223	16	$4,426	$4,426	$67.43	$460.77	0.75×	$4,381.74
Knee X-ray 1-2 views	CPT	73560	16	$454	$454	$5.29	$36.18	0.39×	$449.46
Ankle X-ray 3 views	CPT	73610	16	$462	$462	$5.52	$37.9	0.41×	$457.38
MRI lower extremity joint without contrast	CPT	73721	16	$3,470	$3,470	$42.31	$290.24	0.62×	$3,435.3
MRI lower extremity joint with and without contrast	CPT	73723	16	$4,660	$4,660	$67.43	$459.05	0.72×	$4,613.4
CT abdomen without contrast	CPT	74150	16	$2,314	$2,314	$37.02	$195.07	1.0×	$2,290.86
CT abdomen with contrast	CPT	74160	16	$2,720	$2,720	$39.63	$208.96	0.73×	$2,692.8
CT abdomen with and without contrast	CPT	74170	16	$3,147	$3,147	$43.44	$228.8	0.68×	$3,115.53
CT abdomen and pelvis without contrast	CPT	74176	16	$3,113	$3,113	$54.26	$285	0.78×	$3,081.87
CT abdomen and pelvis with contrast	CPT	74177	16	$3,519	$3,519	$57.05	$343.84	0.63×	$3,483.81
CT abdomen and pelvis with and without contrast	CPT	74178	16	$3,730	$3,730	$62.64	$361.22	0.63×	$3,692.7
MRI abdomen without contrast	CPT	74181	16	$2,712	$2,712	$45.4	$311.77	0.80×	$2,684.88
MRI abdomen with and without contrast	CPT	74183	16	$3,662	$3,662	$68.78	$468.52	0.83×	$3,625.38
Abdominal ultrasound complete	CPT	76700	16	$674	$674	$25.24	$132.25	0.89×	$667.26
Abdominal ultrasound limited	CPT	76705	16	$496	$496	$18.37	$106.52	0.73×	$491.04
Retroperitoneal ultrasound complete	CPT	76770	16	$675	$675	$23	$121.2	0.84×	$668.25
Obstetric ultrasound first trimester	CPT	76801	16	$626	$626	$31.03	$162.67	1.1×	$499.95
Obstetric ultrasound after first trimester	CPT	76805	16	$724	$724	$31.24	$163.99	1.1×	$514.8
Obstetric ultrasound with fetal anatomy	CPT	76811	16	$1,171	$1,171	$59.37	$314.76	1.3×	$1,159.29
Transvaginal ultrasound	CPT	76830	16	$674	$674	$21.71	$116.95	0.79×	$667.26
Pelvic ultrasound complete	CPT	76856	16	$676	$676	$21.49	$116.17	0.81×	$669.24
Scrotal ultrasound	CPT	76870	16	$677	$677	$19.93	$111.15	0.85×	$670.23
Diagnostic mammography unilateral	CPT	77065	16	$626	$626	$25.24	$155.27	1.0×	$619.74
Diagnostic mammography bilateral	CPT	77066	16	$755	$755	$31.04	$190.81	1.0×	$747.45
Screening mammography bilateral	CPT	77067	16	$652	$652	$23.89	$123.07	0.78×	$645.48
EKG complete	CPT	93000	0	$55	$55	—	—	—	—
EKG tracing only	CPT	93005	16	$216	$216	$56.43	$118.8	1.0×	$213.84
EKG interpretation only	CPT	93010	16	$31	$31	$5.31	$8.81	0.49×	$29.45
Transthoracic echocardiogram complete	CPT	93306	16	$2,335	$2,335	$44.9	$201.62	0.34×	$2,311.65
Stress echocardiogram	CPT	93350	16	$261	$261	$44.9	$74.55	0.15×	$247.95
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	—	—	$20,217	$24,869	1.2×	$24,869
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	—	—	$10,351	$12,713	1.2×	$12,713
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	—	—	$7,016.37	$8,605.13	1.1×	$8,605.13
Respiratory infections & inflammations w MCC	MS-DRG	177	2	—	—	$16,435	$20,209	1.3×	$20,209
COPD w MCC	MS-DRG	190	2	—	—	$11,427	$14,040	1.3×	$14,040
COPD w CC	MS-DRG	191	2	—	—	$8,749.54	$10,740	1.2×	$10,740
COPD w/o CC/MCC	MS-DRG	192	2	—	—	$6,599.31	$8,091.29	1.2×	$8,091.29
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	—	—	$8,352.77	$10,252	1.2×	$10,252
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	—	—	$6,350.7	$7,785	1.2×	$7,785
AMI discharged alive w MCC	MS-DRG	280	2	—	—	$16,688	$20,521	1.3×	$20,521
AMI discharged alive w CC	MS-DRG	281	2	—	—	$9,385.76	$11,524	1.2×	$11,524
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	—	—	$7,389.78	$9,065.2	1.2×	$9,065.2
Heart failure & shock w MCC	MS-DRG	291	2	—	—	$13,272	$16,313	1.3×	$16,313
Heart failure & shock w CC	MS-DRG	292	2	—	—	$8,770.84	$10,767	1.2×	$10,767
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	—	—	$5,599.79	$6,859.85	1.1×	$6,859.85
Cardiac arrhythmia w MCC	MS-DRG	308	2	—	—	$12,269	$15,076	1.2×	$15,076
Cardiac arrhythmia w CC	MS-DRG	309	2	—	—	$7,533.88	$9,242.73	1.2×	$9,242.73
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	—	—	$5,709.39	$6,994.87	1.1×	$6,994.87
GI hemorrhage w CC	MS-DRG	378	2	—	—	$10,036	$12,326	1.2×	$12,326
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	—	—	$6,492.76	$7,960.02	1.2×	$7,960.02
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	—	—	$7,949.92	$9,755.31	1.2×	$9,755.31
Fractures of femur w/o MCC	MS-DRG	533	2	—	—	$15,506	$19,064	1.3×	$19,064
Kidney/UTI w MCC	MS-DRG	689	2	—	—	$11,907	$14,631	1.3×	$14,631
Kidney/UTI w/o MCC	MS-DRG	690	2	—	—	$8,176.2	$10,034	1.2×	$10,034
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	2	—	—	$19,942	$24,530	1.3×	$24,530
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	2	—	—	$10,494	$12,890	1.2×	$12,890
Initial hospital care, low complexity	CPT	99221	16	$184	$184	$57.76	$91.09	0.98×	$176.36
Initial hospital care, moderate complexity	CPT	99222	16	$292	$292	$91.39	$143.68	0.85×	$278.08
Initial hospital care, high complexity	CPT	99223	16	$389	$389	$121.88	$191.45	0.85×	$371.68
Hospital discharge, <30 min	CPT	99238	16	$183	$183	$56.94	$87.66	1.0×	$173.85
Hospital discharge, >30 min	CPT	99239	16	$258	$258	$80.56	$124.06	1.0×	$245.64
lab
Basic metabolic panel (BMP)	CPT	80048	16	$120	$120	$8.04	$66	2.0×	$118.8
General health panel	CPT	80050	15	$468	$468	$197.96	$311.22	2.9×	$463.32
Electrolyte panel	CPT	80051	16	$116	$116	$6.66	$63.8	2.7×	$114.84
Comprehensive metabolic panel	CPT	80053	16	$182	$182	$10.03	$100.1	2.3×	$180.18
Lipid panel	CPT	80061	16	$137	$137	$12.72	$75.35	2.0×	$135.63
Renal function panel	CPT	80069	16	$157	$157	$8.25	$86.35	3.2×	$155.43
Hepatic function panel	CPT	80076	16	$101	$101	$7.76	$55.55	2.1×	$99.99
Urinalysis non-automated	CPT	81002	0	$24	$24	—	—	—	—
Urinalysis automated	CPT	81003	16	$36	$36	$2.14	$19.8	1.4×	$35.64
Glucose quantitative	CPT	82947	16	$41	$41	$3.73	$22.55	1.3×	$40.59
Hemoglobin A1c	CPT	83036	16	$128	$128	$9.22	$70.4	2.6×	$126.72
Thyroid stimulating hormone (TSH)	CPT	84443	16	$190	$190	$15.96	$104.5	2.2×	$188.1
Complete blood count with automated differential	CPT	85025	16	$97	$97	$7.38	$53.35	2.0×	$96.03
Complete blood count without differential	CPT	85027	16	$68	$68	$6.15	$37.4	1.7×	$67.32
Urine culture bacterial	CPT	87086	16	$65	$65	$7.67	$35.75	1.5×	$64.35
Urine culture identification	CPT	87088	16	$75	$75	$7.69	$41.25	1.9×	$74.25
Tissue exam by pathologist level IV	CPT	88305	16	$245	$245	$50.76	$134.75	1.3×	$242.55
maternity
Fetal non-stress test	CPT	59025	16	$685	$685	$18.67	$59.79	0.32×	$678.15
Routine obstetric care including vaginal delivery	CPT	59400	16	$5,272	$5,272	$1,863.87	$2,236.65	0.97×	$5,008.4
Vaginal delivery only	CPT	59409	16	$9,037	$9,037	$607.33	$1,013.7	0.46×	$9,000.85
Vaginal delivery with postpartum	CPT	59410	16	$3,763	$3,763	$823.79	$1,065.98	1.0×	$3,574.85
Routine obstetric care with C-section	CPT	59510	16	$5,820	$5,820	$640.2	$2,464.45	0.99×	$5,529
C-section delivery only	CPT	59514	16	$1,932	$1,932	$212.3	$828.53	0.87×	$1,854.02
C-section with postpartum	CPT	59515	16	$2,871	$2,871	$1,015.33	$1,292.16	1.0×	$2,727.45
office
Office visit, new patient, 15-29 min	CPT	99202	16	$172	$172	$37.48	$80.84	0.94×	$170.28
Office visit, new patient, 30-44 minutes	CPT	99203	16	$253	$253	$65.11	$106.15	0.87×	$241.06
Office visit, new patient, 45-59 min	CPT	99204	16	$380	$380	$106.3	$159.11	0.91×	$358.43
Office visit, new patient, 60-74 min	CPT	99205	16	$500	$500	$134.09	$209.81	0.95×	$472.86
Office visit, established patient, 5 min	CPT	99211	15	$54	$54	$20.2	$29.7	0.46×	$105.36
Office visit, established patient, 10-19 min	CPT	99212	16	$175	$175	$28.15	$74.03	0.93×	$173.25
Office visit, established patient, 20-29 minutes	CPT	99213	16	$246	$246	$52.73	$115.62	1.0×	$243.54
Office visit, established patient, 30-39 minutes	CPT	99214	16	$372	$372	$77.59	$174.84	1.1×	$368.28
Office visit, established patient, 40-54 min	CPT	99215	16	$411	$411	$114.92	$188.94	1.0×	$397.98
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	$2,880	$2,880	$96.53	$485.19	0.53×	$2,851.2
Upper GI endoscopy with biopsy	CPT	43239	16	$3,910	$3,910	$66	$568.1	0.59×	$3,870.9
Sigmoidoscopy diagnostic	CPT	45330	16	$1,873	$1,873	$45.15	$307.26	0.36×	$1,854.27
Sigmoidoscopy with biopsy	CPT	45331	16	$1,873	$1,873	$35.2	$304.52	0.34×	$1,854.27
Colonoscopy diagnostic	CPT	45378	16	$3,166	$3,166	$144.63	$580.83	0.66×	$3,134.34
Colonoscopy with biopsy	CPT	45380	16	$3,678	$3,678	$157.27	$737.03	0.61×	$3,641.22
Colonoscopy with polyp removal	CPT	45385	16	$3,652	$3,652	$198.6	$781.39	0.65×	$3,615.48
surgery
Total shoulder arthroplasty	CPT	23472	16	$3,642	$3,642	$400.4	$1,348.72	0.33×	$17,471
Hip hemiarthroplasty	CPT	27125	16	$2,863	$2,863	$315.15	$1,060	0.85×	$2,719.85
Total hip replacement	CPT	27130	16	$3,234	$3,234	$355.85	$1,217.44	0.28×	$28,684
Total knee replacement	CPT	27447	16	$3,230	$3,230	$355.3	$1,215.96	0.29×	$17,148
Knee revision arthroplasty single component	CPT	27486	16	$3,540	$3,540	$389.4	$1,312.34	0.78×	$3,363
Knee revision arthroplasty all components	CPT	27487	16	$4,401	$4,401	$484	$1,632.91	0.82×	$4,180.95
Shoulder arthroscopy with decompression	CPT	29826	16	$586	$586	$64.35	$158.9	0.49×	$558.07
Shoulder arthroscopy with rotator cuff repair	CPT	29827	16	$2,713	$2,713	$298.65	$1,001.18	0.30×	$6,786.54
Knee arthroscopy with meniscectomy	CPT	29881	16	$1,394	$1,394	$153.45	$525	0.26×	$9,202.04
ACL reconstruction	CPT	29888	16	$2,475	$2,475	$272.25	$913.05	0.27×	$6,786.54
Major small/large bowel procedures w MCC	MS-DRG	329	2	—	—	$46,627	$57,408	1.3×	$57,408
Major small/large bowel procedures w CC	MS-DRG	330	2	—	—	$24,017	$29,551	1.3×	$29,551
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	—	—	$16,785	$20,641	1.3×	$20,641
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	—	—	$16,860	$20,733	1.3×	$20,733
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	—	—	$13,402	$16,473	1.2×	$16,473
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	—	—	$35,847	$44,126	1.4×	$44,126
Open appendectomy	CPT	44950	16	$1,399	$1,399	$416.91	$674.68	0.59×	$1,338.11
Laparoscopic appendectomy	CPT	44970	16	$1,320	$1,320	$392.57	$657.26	0.42×	$5,542.64
Major joint replacement w MCC	MS-DRG	469	2	—	—	$33,201	$40,865	1.4×	$40,865
Major joint replacement w/o MCC	MS-DRG	470	2	—	—	$19,165	$23,573	1.2×	$23,573
Laparoscopic cholecystectomy	CPT	47562	16	$1,444	$1,444	$158.95	$618.57	0.35×	$11,357
Lap cholecystectomy with cholangiography	CPT	47563	16	$1,569	$1,569	$467.69	$757.54	0.40×	$1,501.3
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	—	—	$29,875	$36,768	1.3×	$36,768
Hip & femur procedures except major joint w CC	MS-DRG	481	2	—	—	$21,087	$25,940	1.3×	$25,940
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	2	—	—	$16,130	$19,833	1.2×	$19,833
Lap inguinal hernia repair	CPT	49650	16	$956	$956	$283.6	$475.72	0.42×	$5,542.64
Total abdominal hysterectomy	CPT	58150	16	$2,263	$2,263	$249.15	$950.59	0.97×	$2,154.33
Vaginal hysterectomy	CPT	58260	16	$1,872	$1,872	$205.7	$782.32	0.43×	$4,689.63
Lap-assisted vaginal hysterectomy	CPT	58550	16	$1,965	$1,965	$216.15	$823.9	0.56×	$5,542.64
Lap-assisted vaginal hysterectomy >250g	CPT	58552	16	$2,182	$2,182	$239.8	$915.95	0.41×	$9,890.66
Lap salpingo-oophorectomy	CPT	58661	16	$1,450	$1,450	$159.5	$616.47	0.30×	$9,391.16
OR procedure for obesity w MCC	MS-DRG	619	2	—	—	$27,699	$34,087	1.3×	$34,087
OR procedure for obesity w CC	MS-DRG	620	2	—	—	$16,237	$19,966	1.2×	$19,966
OR procedure for obesity w/o CC/MCC	MS-DRG	621	2	—	—	$14,865	$18,275	1.2×	$18,275
Complex cataract surgery	CPT	66982	16	$4,272	$4,272	$1,807.06	$2,349.6	1.1×	$4,229.28
Cataract surgery with lens implant	CPT	66984	16	$3,650	$3,650	$1,543.95	$2,166.69	0.99×	$3,613.5
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	2	—	—	$12,196	$14,986	1.2×	$14,986
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	2	—	—	$19,860	$24,429	1.3×	$24,429
Coronary angiography with bypass cath	CPT	93458	0	$3,936	$3,936	—	—	—	—

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 16)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	175	$427.98
Humana	173	$169.12
Cigna	132	$355.61
fidelis care	132	$145.77
First Health	132	$247
harvard pilgrim	132	$204.66
martins point	132	$183.77
medical corporation	132	$444.6
Multiplan	132	$444.6
mvp	132	$150
UnitedHealthcare	132	$184.02
VA Health	132	$185.02
veterans choice	132	$161.97
Aetna	132	$161.97
wellpath	132	$257.4
capital district physicians' health plan	132	$213.38

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