Office visit, established patient (20-29 min)
Facility: Southwestern Vermont Medical Center
Billing Code: 99213 (CPT)
Lowest price of the 9 VT hospitals we have prices for — a strong deal.
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 $71 (about 0.7× the $95 Medicare rate). Southwestern Vermont Medical Center charges insurers about $70, or about $144 in cash — about the fair price. Located in Bennington, 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
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 | $22 - $120 | 23% |
| Blue Cross Blue Shieldmajor | $61 - $96 | 64% |
| Aetnamajor | $61 - $98 | 64% |
| Cignamajor | $61 - $100 | 64% |
| Humanamajor | $61 - $86 | 64% |
| CDPHP | $24 - $123 | 25% |
| Fidelis Care | $61 - $90 | 64% |
| Harvard Pilgrim | $69 - $99 | 72% |
| MVP Health Care | $46 - $103 | 48% |
| Tufts Health Plan | $62 - $84 | 65% |
| WellCare | $61 - $86 | 64% |
| + 3 smaller / regional plans | $39 - $120 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Southwestern Vermont Medical Center
Compare: Office visit, established patient (20-29 min) at other VT hospitals
- North Country Hospital and Health Center · Newport $79
- Brattleboro Memorial Hospital · Brattleboro $84
- Porter Hospital Inc · Middlebury $86
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $87
- Gifford Medical Center · Randolph $87
- Copley Hospital · Morrisville $91
- Northeastern Vermont Regional Hospital · Saint Johnsbury $93
- Central Vermont Medical Center · Barre $96
Insurance negotiated median for the same procedure, sorted lowest first.