▸ Hospital · VT · CCN 471307

Porter Hospital, Inc

115 PORTER DRIVE, MIDDLEBURY, VT, 471307

Compliance grade

100/100

Procedures tracked

184

of 209 target codes

Payers

with negotiated rates

Rates published

31,421

last crawl 2026-05-24

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

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

Procedures & rates

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

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