How many shoppable procedure prices are published for North Country Hospital and Health Center?

North Country Hospital and Health Center in Newport, VT currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do North Country Hospital and Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, North Country Hospital and Health Center's median negotiated commercial rate is 0.4× the regionally adjusted fair BaseRate benchmark.

What is North Country Hospital and Health Center's CMS Care Compare overall star rating?

CMS Care Compare assigns North Country Hospital and Health Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 1/1/2026

North Country Hospital and Health Center

189 Prouty Drive, Newport, VT 05855 · 108 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.43×vs. Fair Market Price

Typical commercial prices here are 57% below the fair benchmark (0.43×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 59% of the Time

File Completeness100

Price Logic66

Peer Alignment39

Clean Billing77

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.43× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

North Country Hospital and Health Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.33× Fair BaseRate) and emergency/ancillary services (0.5× Medicare, p75 0.65× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#1 of 11 in VT · 1st State Percentile#30 of 3,385 in U.S. · 1st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 57% below peer Fair BaseRate (0.43×)
Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 65% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.43× 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.
Commercial insurance median sits at 0.33× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.65×) jump +97% above the median procedure ratio (Q50 0.33×)
Consolidated metro market (HHI 2,509) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.5× Medicare

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

Back-Door Captive & ER1.00× Divergence

0.5× Medicare

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

Quantile Tail Spread+97% Upper Tail

Q25 0.24× · Q50 0.33× · Q75 0.65×

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

0.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

0.6× MedicareGood

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

59% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 71/100Fair

Procedure Prices at North Country Hospital and Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$4,520	$4,520	$1,021	4.4×
Total knee replacement CPT Code: `27447`	$4,082	$4,082	$13,523	0.3×
Total hip replacement CPT Code: `27130`	$3,796	$3,796	$13,413	0.3×
C-section delivery (full package) CPT Code: `59510`	$3,930	$2,515	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$3,185	$2,396	$2,680	0.9×
Blood transfusion CPT Code: `36430`	$1,835	$1,835	$498	3.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,128	$874	$6,109	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,663	$747	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,427	$651	$3,629	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$562	$562	$272	2.1×
Breast lump removal CPT Code: `19120`	$869	$546	$3,875	0.1×
Speech therapy (language evaluation) CPT Code: `92507`	$511	$511	$86	5.9×
X-ray, pelvis CPT Code: `72170`	$386	$386	$110	3.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$326	$326	$64	5.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$336	$336	$583	0.6×
Rabies immune globulin HCPCS Code: `90375`	$570	$255	$322	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$782	$270	$1,256	0.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$206	$206	$14	14.7×
X-ray, chest (single view) CPT Code: `71045`	$228	$228	$92	2.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$220	$220	$201	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$187	$187	$34	5.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$189	$189	$35	5.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$163	$163	$40	4.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$721	$186	$981	0.2×
Occupational therapy (self-care training) CPT Code: `97535`	$148	$148	$38	3.9×
Orthotic fitting and training CPT Code: `97760`	$167	$167	$51	3.3×
X-ray, ankle CPT Code: `73610`	$150	$150	$93	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$246	$173	$185	0.9×
X-ray, foot CPT Code: `73630`	$146	$146	$92	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$216	$165	$181	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$586	$168	$987	0.2×
Speech therapy (group session) CPT Code: `92508`	$129	$129	$27	4.8×
Physical therapy (gait training) CPT Code: `97116`	$103	$103	$33	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$102	$102	$38	2.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$117	$117	$86	1.4×
X-ray, hand CPT Code: `73130`	$121	$121	$93	1.3×
X-ray, lower back CPT Code: `72110`	$119	$119	$112	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$190	$113	$123	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,087	$126	$511	0.2×
X-ray, chest (two views) CPT Code: `71046`	$92	$92	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$86	$86	$92	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$86	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	$84	$84	$93	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$138	$98	$110	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$108	$108	$166	0.7×
Family therapy session CPT Code: `90847`	—	$100	$173	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,893	$88	$303	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,220	$82	$338	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$2,211	$81	$343	0.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,579	$92	$448	0.2×
Culture, bacterial CPT Code: `87070`	$375	$375	$9	41.7×
Blood test, lipase CPT Code: `83690`	$341	$341	$7	48.7×
Culture, blood CPT Code: `87040`	$355	$355	$11	32.3×
Blood test, vitamin B12 CPT Code: `82607`	$329	$329	$16	20.6×
Drug screening test HCPCS Code: `G0480`	$326	$326	$116	2.8×
Blood test, vitamin D CPT Code: `82306`	$289	$289	$31	9.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$252	$252	$14	18.0×
Typhoid vaccine HCPCS Code: `90675`	$365	$275	$347	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$234	$234	$18	13.0×
Blood test, magnesium CPT Code: `83735`	$200	$200	$7	28.6×
Blood test, liver function panel CPT Code: `80076`	$195	$195	$9	21.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$201	$201	$10	20.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$195	$195	$11	17.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$128	$128	$3	42.7×
Blood test, calcium CPT Code: `82310`	$127	$127	$5	25.4×
Blood test, basic metabolic panel CPT Code: `80048`	$118	$118	$9	13.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$140	$140	$20	7.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$114	$114	$4	28.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$116	$116	$8	14.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$137	$137	$19	7.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$109	$109	$14	7.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$61	$61	$4	15.3×
Blood test, potassium CPT Code: `84132`	$76	$76	$5	15.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$70	$70	$5	14.0×
Hepatitis C antibody test CPT Code: `86803`	$90	$90	$15	6.0×
Blood antibody screen CPT Code: `86850`	$111	$111	$46	2.4×
Pneumococcal vaccine HCPCS Code: `90732`	$86	$108	$140	0.8×
Blood test, sodium CPT Code: `84295`	$58	$58	$5	11.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$56	$56	$5	11.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$64	$80	$111	0.7×
Blood test, hemoglobin CPT Code: `85018`	$32	$32	$3	10.7×
Blood test, amylase CPT Code: `82150`	$49	$49	$7	7.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$36	$36	$6	6.0×
Prosthetic fitting and training CPT Code: `97761`	$54	$54	$45	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$466	$79	$87	0.9×
CT scan, pelvis CPT Code: `72192`	$1,254	$60	$163	0.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$66	$33	$33	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$82	$36	$56	0.6×
Group therapy session CPT Code: `90853`	—	$50	$100	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$351	$53	$148	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,199	$58	$167	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,268	$57	$169	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,287	$55	$168	0.3×
CT scan, sinuses CPT Code: `70486`	$1,287	$54	$166	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,137	$46	$160	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,594	$70	$258	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$43	$16	$25	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$98	$15	$25	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$34	$25	$49	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$34	$24	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$59	$24	$49	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$212	$40	$123	0.3×
Ultrasound, pelvis CPT Code: `76856`	$473	$37	$130	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,191	$62	$242	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,234	$75	$369	0.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,104	$44	$134	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$234	$34	$126	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$938	$31	$132	0.2×

Showing top 25 high-impact procedures of 108 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 52.2%

Audit a Bill or Quote at North Country Hospital and Health Center (Zero PHI Required)

CMS CCN: 471304

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $4,520

Insurer Median $4,520

1. Amount on Your Bill or Quote ($) Pre-filled with North Country Hospital and Health 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: $2,950 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,950

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (52.2% of gross = $2,950).

Step 2 · Cash vs. Insurance Arbitrage Save $1,130 Paying Cash

Self-Pay Cash Rate ($4,520) Beats Your Bill

North Country Hospital and Health Center's published 45 CFR § 180 self-pay cash rate is $4,520 (vs. $4,520 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,629 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($5,650) is $4,629 above the denoised Fair BaseRate ($1,021) and 6.4× the $877 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: 030185556

Filing Period: 194510

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 (52.2% 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 Composite71/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)72%

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 (183 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for North Country Hospital and Health Center.

Price Index: 1.16× regional baseline

Quality: 66/100 CMS composite

Median Household Income$66,426U.S. Census ACS

Local Uninsured Share3.8%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 76/100 · Corroborated CMS CCN 471304 EIN 030185556

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 471304) ↗ Verify IRS Form 990 (EIN 030185556) ↗ CMS HCRIS Cost Reports ↗

Published MRF File030185556_north-country-hospital-and-health-center-inc_standardcharges.csv

Publication / Vintage1/1/2026 · 47.96 MB

Validated Rate Rows1,696 (CMS v3.0.0)

File Integrity Digest6a94e04ff8fe0e1c77c6…

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