How many shoppable procedure prices are published for Central Vermont Medical Center?

Central Vermont Medical Center in Barre, VT currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Central Vermont Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Central Vermont Medical Center's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Central Vermont Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Central Vermont Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 88 Beds · rural Updated: 2026-04-28

Central Vermont Medical Center

Box 547, Barre, VT 05641 · 122 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.83×vs. Fair Market Price

Typical commercial prices here are 17% below the fair benchmark (0.83×) after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness61

Price Logic93

Peer Alignment63

Clean Billing90

Real Cash Discount14

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.83× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Central Vermont Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.87× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 11 in VT · 36th State Percentile#366 of 3,385 in U.S. · 10th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 17% below peer Fair BaseRate (0.83×)
Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 71% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (41.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.83× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.4×) & laboratory (2.2×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Even at low-cost facilities (0.83× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 5,053) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.10× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 0.51× · Q50 0.87× · Q75 0.96×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

7% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Central Vermont Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$36,264	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,057	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,157	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$21,260	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,169	$8,223	unverified
Total hip replacement CPT Code: `27130`	$4,603	$2,861	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$4,912	$2,858	$13,523	0.2×
C-section delivery (full package) CPT Code: `59510`	$5,820	$2,796	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$5,270	$2,544	$2,680	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,260	$2,540	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,904	$1,454	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	$2,050	$1,328	$3,446	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,965	$1,214	$3,372	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,338	$1,158	$3,629	0.3×
Breast lump removal CPT Code: `19120`	$2,938	$1,126	$3,875	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$5,087	$967	$1,256	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$3,303	$851	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,697	$748	$981	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	—	$686	$855	0.8×
Blood transfusion CPT Code: `36430`	$1,549	$433	$498	0.9×
X-ray, pelvis CPT Code: `72170`	$391	$391	$110	3.6×
Speech therapy (language evaluation) CPT Code: `92507`	$355	$355	$86	unverified
Rabies immune globulin HCPCS Code: `90375`	$539	$283	$322	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,317	$258	$511	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$775	$167	$123	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$385	$165	$185	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,975	$190	$303	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,131	$198	$448	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$899	$207	$148	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$3,521	$167	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$3,521	$167	$343	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$140	$134	$35	3.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$149	$147	$40	3.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$145	$115	$38	3.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$425	$136	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$372	$153	$181	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,791	$156	$583	0.3×
New patient office visit (30-44 min) CPT Code: `99203`	$236	$128	$110	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$236	$136	$123	1.1×
Care planning with family CPT Code: `90887`	$225	$93	$107	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$911	$113	$134	0.8×
Family therapy session CPT Code: `90847`	$425	$115	$173	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,995	$138	$258	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$3,521	$153	$369	0.4×
Review of medical records for care CPT Code: `90889`	$243	$135	$114	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$502	$105	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,144	$107	$132	0.8×
Ultrasound, pelvis CPT Code: `76856`	$965	$105	$130	0.8×
CT scan, pelvis CPT Code: `72192`	$2,160	$104	$163	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$2,213	$104	$167	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$312	$103	$166	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,185	$101	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,136	$101	$169	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$2,387	$123	$242	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$2,047	$92	$160	0.6×
CT scan, sinuses CPT Code: `70486`	$2,606	$93	$166	0.6×
Neurobehavioral status check CPT Code: `96116`	$570	$104	$231	0.5×
Physical therapy (gait training) CPT Code: `97116`	$121	$119	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$144	$143	$34	unverified
Orthotic fitting and training CPT Code: `97760`	$143	$141	$51	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$224	$96	$87	1.1×
Typhoid vaccine HCPCS Code: `90675`	$500	$317	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$214	$194	$203	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$214	$133	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$154	$100	$111	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$108	$76	$86	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,247	$75	$272	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$140	$11	$11	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$129	$33	$33	1.0×
Blood test, calcium CPT Code: `82310`	$49	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$48	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$139	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$332	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$62	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$77	$10	$10	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$238	$19	$20	0.9×
Prosthetic fitting and training CPT Code: `97761`	$108	$41	$45	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$112	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$121	$13	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$77	$34	$38	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$92	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$136	$8	$9	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$108	$32	$38	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$85	$40	$56	0.7×
X-ray, chest (two views) CPT Code: `71046`	$452	$32	$93	0.3×
Psychological testing by technician CPT Code: `96138`	$511	$52	$395	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$128	$3	$3	1.0×
Blood test, lipase CPT Code: `83690`	$90	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$110	$7	$7	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$78	$22	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$39	$32	$37	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$172	$32	$39	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$78	$33	$48	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$78	$33	$49	0.7×
Psychological testing evaluation CPT Code: `96136`	$259	$45	$128	0.4×
Blood test, potassium CPT Code: `84132`	$46	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$50	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$42	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$67	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$76	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$218	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$189	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$220	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$149	$14	$15	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$39	$23	$25	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$78	$33	$49	0.7×
Group therapy session CPT Code: `90853`	$160	$38	$100	0.4×
Culture, blood CPT Code: `87040`	$214	$10	$11	0.9×
Blood test, amylase CPT Code: `82150`	$125	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$59	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$41	$2	$3	0.7×
X-ray, chest (single view) CPT Code: `71045`	$304	$25	$92	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$593	$25	$93	0.3×
X-ray, hip CPT Code: `73502`	$570	$25	$93	0.3×
X-ray, lower back CPT Code: `72110`	$1,076	$29	$112	0.3×
X-ray, shoulder CPT Code: `73030`	$593	$21	$92	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$224	$14	$64	0.2×
Blood antibody screen CPT Code: `86850`	$260	$10	$46	0.2×
X-ray, hand CPT Code: `73130`	$593	$19	$93	0.2×
X-ray, ankle CPT Code: `73610`	$553	$19	$93	0.2×
X-ray, foot CPT Code: `73630`	$548	$18	$92	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$317	$27	$201	0.1×

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 41.6%

Audit a Bill or Quote at Central Vermont Medical Center (Zero PHI Required)

CMS CCN: 470001

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $36,264

1. Amount on Your Bill or Quote ($) Pre-filled with Central Vermont Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $36,206 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $36,206

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (41.6% of gross = $36,206).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Central Vermont Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$56,259 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($87,034) is $56,259 above the denoised Fair BaseRate ($30,775) and 3.7× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (41.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait170 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Central Vermont Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-02-12·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (458 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Central Vermont Medical Center.

Price Index: 1.00× regional baseline

Quality: 67/100 CMS composite

Median Household Income$79,853U.S. Census ACS

Local Uninsured Share2.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 67/100 · Caution CMS CCN 470001

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 470001) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-28

Validated Rate Rows3,765 (CMS v3.0.0)

File Integrity DigestVerified · CCN 470001

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy