CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Southwestern Vermont Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 0.8× the $136 Medicare rate · typically $75–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $107 This hospital $108 Cash price $172 Hospital's list price $245

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 7 of 8 other VT hospitals charge more for the same procedure.

Cheapest $101 Priciest $136

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 (30-39 min) is about $107 (about 0.8× the $136 Medicare rate). Southwestern Vermont Medical Center charges insurers about $108, or about $172 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

✓ 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 $34 - $169 25%
Blue Cross Blue Shieldmajor $90 - $136 66%
Aetnamajor $90 - $144 66%
Cignamajor $90 - $147 66%
Humanamajor $90 - $121 66%
CDPHP $35 - $173 26%
Fidelis Care $90 - $127 66%
Harvard Pilgrim $107 - $147 79%
MVP Health Care $68 - $150 50%
Tufts Health Plan $95 - $127 70%
WellCare $90 - $121 66%
+ 3 smaller / regional plans $60 - $169

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Bennington, VT 05201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals