How many shoppable procedure prices are published for Mt Ascutney Hospital?

Mt Ascutney Hospital in Windsor, VT currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-08-25

Mt Ascutney Hospital

289 County Road, Windsor, VT 05089 · 100 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 69% of the Time

File Completeness60

Price Logic89

Peer Alignment53

Clean Billing84

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Mt Ascutney Hospital prices shoppable and inpatient services (9.7× to 12.1× Medicare, divergence 1.25×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in VTU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 69% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 84% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (90.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.7×) services average 1.25× higher multiples than routine shoppable care (9.7×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 6,176) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

9.7× Medicare

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

Back-Door Captive & ER1.25× Divergence

12.1× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

9.7× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

1.4× MedicareGood

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

69% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Mt Ascutney Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$12,906	$12,906	$6,109	2.1×
Inguinal hernia repair CPT Code: `49505`	$9,357	$9,357	$3,629	2.6×
Cataract surgery with lens implant CPT Code: `66984`	$8,905	$8,905	$2,540	3.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,065	$6,065	$511	11.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,350	$4,350	$448	9.7×
MRI, brain (no contrast) CPT Code: `70551`	$4,274	$4,274	$343	12.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,159	$4,159	$303	13.7×
MRI, knee or other leg joint CPT Code: `73721`	$4,128	$4,128	$369	11.2×
MRI, lower back (no contrast) CPT Code: `72148`	$3,919	$3,919	$338	11.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,904	$2,904	$258	11.3×
CT scan, pelvis CPT Code: `72192`	$2,839	$2,839	$163	17.4×
Bunion correction surgery CPT Code: `28296`	$2,765	$2,765	$3,446	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,701	$2,701	$242	11.2×
CT scan, chest (no contrast) CPT Code: `71250`	$2,582	$2,582	$167	15.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,478	$2,478	$168	14.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,390	$2,390	$169	14.1×
CT scan, sinuses CPT Code: `70486`	$2,300	$2,300	$166	13.9×
Upper endoscopy with biopsy CPT Code: `43239`	$2,158	$2,158	$987	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$2,031	$2,031	$160	12.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,838	$1,838	$583	3.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,337	$1,337	$1,256	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,220	$1,220	$981	1.2×
Breast lump removal CPT Code: `19120`	$1,199	$1,199	$3,875	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,137	$1,137	$134	8.5×
X-ray, hip CPT Code: `73502`	$1,047	$1,047	$93	11.3×
Ultrasound, pelvis CPT Code: `76856`	$1,025	$1,025	$130	7.9×
X-ray, lower back CPT Code: `72110`	$978	$978	$112	8.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$722	$722	$272	2.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$672	$672	$93	7.2×
Blood transfusion CPT Code: `36430`	$670	$670	$498	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$638	$638	$123	5.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$638	$638	$148	4.3×
X-ray, ankle CPT Code: `73610`	$589	$589	$93	6.3×
X-ray, hand CPT Code: `73130`	$581	$581	$93	6.2×
X-ray, foot CPT Code: `73630`	$572	$572	$92	6.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$541	$541	$132	4.1×
X-ray, shoulder CPT Code: `73030`	$511	$511	$92	5.6×
X-ray, chest (two views) CPT Code: `71046`	$466	$466	$93	5.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$470	$470	$126	3.7×
X-ray, pelvis CPT Code: `72170`	$438	$438	$110	4.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$346	$346	$64	5.4×
Speech therapy (language evaluation) CPT Code: `92507`	$360	$360	$86	4.2×
X-ray, chest (single view) CPT Code: `71045`	$362	$362	$92	3.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$266	$266	$185	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$226	$226	$181	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$190	$190	$35	5.4×
Occupational therapy (self-care training) CPT Code: `97535`	$206	$206	$38	5.4×
Orthotic fitting and training CPT Code: `97760`	$226	$226	$51	4.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$198	$198	$38	5.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$197	$197	$38	5.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$206	$206	$40	5.2×
Physical therapy (manual therapy) CPT Code: `97140`	$177	$177	$34	5.2×
Prosthetic fitting and training CPT Code: `97761`	$197	$197	$45	4.4×
Physical therapy (gait training) CPT Code: `97116`	$168	$168	$33	5.1×
Family therapy session CPT Code: `90847`	$190	$190	$173	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$185	$185	$201	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$150	$150	$35	4.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$150	$150	$166	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$98	$98	$33	3.0×
New patient office visit (30-44 min) CPT Code: `99203`	$121	$121	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$113	$113	$123	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$268	$268	$19	14.1×
Typhoid vaccine HCPCS Code: `90675`	$286	$286	$347	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$224	$224	$14	16.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$242	$242	$18	13.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$166	$166	$10	16.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$175	$175	$11	15.9×
Hepatitis C antibody test CPT Code: `86803`	$189	$189	$15	12.6×
Blood antibody screen CPT Code: `86850`	$187	$187	$46	4.1×
Blood test, basic metabolic panel CPT Code: `80048`	$149	$149	$9	16.6×
Culture, bacterial CPT Code: `87070`	$149	$149	$9	16.6×
Blood test, liver function panel CPT Code: `80076`	$140	$140	$9	15.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$165	$165	$14	11.8×
Blood test, vitamin B12 CPT Code: `82607`	$185	$185	$16	11.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$106	$106	$6	17.7×
Blood test, magnesium CPT Code: `83735`	$115	$115	$7	16.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$122	$122	$8	15.3×
Culture, blood CPT Code: `87040`	$136	$136	$11	12.4×
Blood test, hemoglobin CPT Code: `85018`	$71	$71	$3	23.7×
Blood test, potassium CPT Code: `84132`	$81	$81	$5	16.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$80	$80	$5	16.0×
Blood test, amylase CPT Code: `82150`	$100	$100	$7	14.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$92	$92	$111	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$54	$54	$3	18.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$61	$61	$4	15.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$59	$59	$4	14.8×
Blood test, calcium CPT Code: `82310`	$73	$73	$5	14.6×
Blood test, sodium CPT Code: `84295`	$70	$70	$5	14.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$68	$68	$5	13.6×
Blood test, lipase CPT Code: `83690`	$82	$82	$7	11.7×
Blood test, vitamin D CPT Code: `82306`	$56	$56	$31	1.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$74	$74	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$72	$72	$87	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$44	$44	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$38	$38	$49	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$63	$63	$140	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$26	$25	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$42	$42	$48	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$36	$36	$56	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$11	$11	$37	0.3×

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 90.9%

Audit a Bill or Quote at Mt Ascutney Hospital (Zero PHI Required)

CMS CCN: 471302

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $12,906

Insurer Median $12,906

1. Amount on Your Bill or Quote ($) Pre-filled with Mt Ascutney Hospital’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: $14,665 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $14,665

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (90.9% of gross = $14,665).

Step 2 · Cash vs. Insurance Arbitrage Save $3,227 Paying Cash

Self-Pay Cash Rate ($12,906) Beats Your Bill

Mt Ascutney Hospital's published 45 CFR § 180 self-pay cash rate is $12,906 (vs. $12,906 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$10,024 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($16,133) is $10,024 above the denoised Fair BaseRate ($6,109) and 2.6× the $6,176 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)

EIN: 510194237

Filing Period: 197708

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 (90.9% 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 Composite74/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)79%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (141 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mt Ascutney Hospital.

Price Index: 2.10× regional baseline

Quality: 70/100 CMS composite

Median Household Income$75,247U.S. Census ACS

Local Uninsured Share4.2%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 77/100 · Corroborated CMS CCN 471302 EIN 510194237

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

MRF Portal Indexed (510194237_mt-ascutney-hospital-and-health-center_standardcharges.json) Verify on CMS Medicare.gov (CCN 471302) ↗ Verify IRS Form 990 (EIN 510194237) ↗ CMS HCRIS Cost Reports ↗

Published MRF File510194237_mt-ascutney-hospital-and-health-center_standardcharges.json

Publication / Vintage2026-08-25 · 4.96 MB

Validated Rate Rows984 (CMS v3.0.0)

File Integrity DigestVerified · CCN 471302

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