Office visit, established patient (20-29 min)
Facility: Porter Hospital Inc
Billing Code: 99213 (CPT)
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 (20-29 min) is about $74 (about 0.8× the $95 Medicare rate). Porter Hospital Inc charges insurers about $86, or about $207 in cash — 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 $74. 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.
5 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 | $64 - $244 | 67% |
| Blue Cross Blue Shieldmajor | $71 - $192 | 75% |
| Aetnamajor | $62 - $216 | 65% |
| Cignamajor | $78 - $224 | 82% |
| Humanamajor | $59 | 62% |
| Fidelis Care | $56 - $104 | 59% |
| Harvard Pilgrim | $73 - $197 | 77% |
| MVP Health Care | $53 - $229 | 56% |
| + 3 smaller / regional plans | $86 - $234 |
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 Porter Hospital Inc
Compare: Office visit, established patient (20-29 min) at other VT hospitals
- Southwestern Vermont Medical Center · Bennington $70
- North Country Hospital and Health Center · Newport $79
- Brattleboro Memorial Hospital · Brattleboro $84
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $87
- Gifford Medical Center · Randolph $87
- Copley Hospital · Morrisville $91
- Northeastern Vermont Regional Hospital · Saint Johnsbury $93
- Central Vermont Medical Center · Barre $96
Insurance negotiated median for the same procedure, sorted lowest first.