CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: North Country Hospital and Health Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$98
about 0.7× the $136 Medicare rate · typically $59–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
Above the fair price
about $15 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $98 This hospital $113 Cash price $190 Hospital's list price $238

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 $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 $98 (about 0.7× the $136 Medicare rate). North Country Hospital and Health Center charges insurers about $113, or about $190 in cash — above the fair price. Located in Newport, VT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $98. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 189 Prouty Drive, Newport, VT 05855
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals