CMS Price Transparency Data

Blood test, sodium

Facility: Porter Hospital Inc

Billing Code: 84295 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$24
about 4.8× the $5 Medicare rate · typically $8–$47
modeled estimate · not a bill or quote
Medicare pays $5 Fair price $24 Cash price $45 Hospital's list price $45

How we calculate the fair BaseRate →

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 $21 - $45 437%
Blue Cross Blue Shieldmajor $22 - $44 457%
Aetnamajor $21 - $40 437%
Cignamajor $41 852%
Humanamajor $5 104%
Fidelis Care $19 395%
Harvard Pilgrim $36 748%
MVP Health Care $21 - $42 437%
+ 3 smaller / regional plans $21 - $43
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 115 Porter Drive, Middlebury, VT 05753
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals