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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Mt Ascutney Hospital

289 COUNTY RD, Windsor, VT 05089

CMS Overall Rating No CMS Rating
Factual Overview

Mt Ascutney Hospital is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Windsor, VT. Mapped commercial insurance prices across 88 procedures average 11.52x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 319

Patient Experience

Recommendation Rate: 84% High Patient Rating: 79% ER Wait Time (Med): N/A Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 88 codes Avg Markup vs Medicare: 11.52x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $1,164 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $1,701 Calc
Blood transfusion
CPT Code: 36430
 $631 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $796 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,071 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,210 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $3,628 Calc
Inguinal hernia repair
CPT Code: 49505
 $2,532 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $3,962 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $2,111 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,769 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $3,271 Calc
CT scan, sinuses
CPT Code: 70486
 $2,615 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $4,926 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $6,848 Calc
X-ray, chest (single view)
CPT Code: 71045
 $352 Calc
X-ray, chest (two views)
CPT Code: 71046
 $467 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,708 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $653 Calc
X-ray, lower back
CPT Code: 72110
 $950 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,628 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,981 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $4,428 Calc
X-ray, pelvis
CPT Code: 72170
 $412 Calc
CT scan, pelvis
CPT Code: 72192
 $2,757 Calc
X-ray, shoulder
CPT Code: 73030
 $496 Calc
X-ray, hand
CPT Code: 73130
 $845 Calc
X-ray, hip
CPT Code: 73502
 $1,017 Calc
X-ray, ankle
CPT Code: 73610
 $369 Calc
X-ray, foot
CPT Code: 73630
 $360 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $4,758 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,974 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,935 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $995 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,104 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $854 Calc
Ultrasound, pelvis
CPT Code: 76856
 $995 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $619 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $619 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $145 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $170 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $160 Calc
Blood test, liver function panel
CPT Code: 80076
 $136 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $53 Calc
Blood test, amylase
CPT Code: 82150
 $97 Calc
Blood test, vitamin D
CPT Code: 82306
 $281 Calc
Blood test, calcium
CPT Code: 82310
 $70 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $78 Calc
Blood test, vitamin B12
CPT Code: 82607
 $179 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $218 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $62 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $166 Calc
Blood test, lipase
CPT Code: 83690
 $79 Calc
Blood test, magnesium
CPT Code: 83735
 $112 Calc
Blood test, potassium
CPT Code: 84132
 $78 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $260 Calc
Blood test, sodium
CPT Code: 84295
 $68 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $235 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $60 Calc
Blood test, hemoglobin
CPT Code: 85018
 $42 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $118 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $65 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $102 Calc
Hepatitis C antibody test
CPT Code: 86803
 $183 Calc
Blood antibody screen
CPT Code: 86850
 $182 Calc
Culture, blood
CPT Code: 87040
 $132 Calc
Culture, bacterial
CPT Code: 87070
 $149 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $242 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $366 Calc
Family therapy session
CPT Code: 90847
 $308 Calc
Group therapy session
CPT Code: 90853
 $67 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $350 Calc
Speech therapy (group session)
CPT Code: 92508
 $44 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $384 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $316 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,785 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $701 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $179 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $185 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $193 Calc
Physical therapy (gait training)
CPT Code: 97116
 $163 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $172 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $200 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $200 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $191 Calc
Orthotic fitting and training
CPT Code: 97760
 $220 Calc
Prosthetic fitting and training
CPT Code: 97761
 $191 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $234 Calc