Office visit, established patient (30-39 min)
Facility: Porter Hospital Inc
Billing Code: 99214 (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 (30-39 min) is about $95 (about 0.7× the $136 Medicare rate). Porter Hospital Inc charges insurers about $121, or about $293 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 $95. 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 | $91 - $368 | 67% |
| Blue Cross Blue Shieldmajor | $105 - $290 | 77% |
| Aetnamajor | $91 - $327 | 67% |
| Cignamajor | $115 - $338 | 85% |
| Humanamajor | $87 | 64% |
| Fidelis Care | $82 - $157 | 60% |
| Harvard Pilgrim | $107 - $298 | 79% |
| MVP Health Care | $78 - $347 | 58% |
| + 3 smaller / regional plans | $121 - $353 |
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 (30-39 min) at other VT hospitals
- Northeastern Vermont Regional Hospital · Saint Johnsbury $101
- Southwestern Vermont Medical Center · Bennington $108
- North Country Hospital and Health Center · Newport $113
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $122
- Gifford Medical Center · Randolph $122
- Copley Hospital · Morrisville $123
- Brattleboro Memorial Hospital · Brattleboro $124
- Central Vermont Medical Center · Barre $136
Insurance negotiated median for the same procedure, sorted lowest first.