CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Brattleboro Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$82
about 0.9× the $95 Medicare rate · typically $60–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $82 This hospital $84 Cash price $168 Hospital's list price $240

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 6 of 8 other VT hospitals charge more for the same procedure.

Cheapest $70 Priciest $96

Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $82 (about 0.9× the $95 Medicare rate). Brattleboro Memorial Hospital charges insurers about $84, or about $168 in cash — about the fair price. Located in Brattleboro, VT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $124 - $440 130%
Blue Cross Blue Shieldmajor $62 - $417 65%
Aetnamajor $148 - $449 155%
Cignamajor $62 - $440 65%
Humanamajor $124 130%
AmeriHealth $55 58%
Harvard Pilgrim $62 - $403 65%
MVP Health Care $62 - $417 65%
Tufts Health Plan $68 - $424 71%
WellCare $65 - $130 68%
WellSense $55 - $132 58%
+ 4 smaller / regional plans $55 - $449
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 17 Belmont Ave, Brattleboro, VT 05301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals