Office visit, established patient (30-39 min)
Facility: North Country Hospital and Health Center
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $113 compared to the $102 fair price benchmark.
1-Star CMS clinical quality rating paired with 1.11× fair market pricing.
A typical price — 5 charge more and 3 charge less, among the 9 VT hospitals compared.
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 $102 (about 0.8× the $136 Medicare rate). North Country Hospital and Health Center charges insurers about $113, or about $190 in cash — about the fair price. Located in Newport, VT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 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 | $42 - $981 | 31% |
| Blue Cross Blue Shieldmajor | $42 - $911 | 31% |
| Cignamajor | $86 - $976 | 63% |
| Harvard Pilgrim | $108 - $894 | 80% |
| MVP Health Care | $42 - $971 | 31% |
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 North Country Hospital and Health Center
Compare: Office visit, established patient (30-39 min) at other VT hospitals
- Northeastern Vermont Regional Hospital · Saint Johnsbury $101
- Southwestern Vermont Medical Center · Bennington $108
- Grace Cottage Hospital · Townshend $110
- Porter Hospital Inc · Middlebury $121
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $122
- Gifford Medical Center · Randolph $122
- Copley Hospital · Morrisville $123
- Brattleboro Memorial Hospital · Brattleboro $124
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at North Country Hospital and Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $86
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $86).
Self-Pay Cash Rate ($190) Beats Your Bill
North Country Hospital and Health Center's published 45 CFR § 180 self-pay cash rate is $190 (vs. $113 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $102 Fair BaseRate ($136 Medicare)
Your bill ($238) is $136 above the denoised Fair BaseRate ($102) and 1.8× the $136 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.