CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Porter Hospital Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,024
about 1.4× the $14,044 Medicare rate · typically $11,217–$30,339
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,573
Above the fair price
about $4,549 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $19,024 This hospital $23,573

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Highest price of the 5 VT hospitals we have prices for — worth calling around.

Cheapest $17,213 Priciest $23,573

Black dot = this hospital, among the 5 VT hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,024 (about 1.4× the $14,044 Medicare rate). Porter Hospital Inc charges insurers about $23,573 — above the fair price. Located in Middlebury, 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 $19,024. 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.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $23,573 168%
Humanamajor $19,165 136%

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