How many shoppable procedure prices are published for Northeastern Vermont Regional Hospital?

Northeastern Vermont Regional Hospital in Saint Johnsbury, VT currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northeastern Vermont Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northeastern Vermont Regional Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Northeastern Vermont Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Northeastern Vermont Regional Hospital an overall hospital quality rating of 3 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: 5/7/2026

Northeastern Vermont Regional Hospital

1315 Hospital Drive, Saint Johnsbury, VT 05819 · 109 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.75×vs. Fair Market Price

Typical commercial prices here are 25% below the fair benchmark (0.75×) after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 36% of the Time

File Completeness51

Price Logic78

Peer Alignment46

Clean Billing88

Real Cash Discount98

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.75× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Northeastern Vermont Regional Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.80× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.88× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 11 in VT · 18th State Percentile#191 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 25% below peer Fair BaseRate (0.75×)
Self-pay cash beats commercial insurance on 36% of shoppable procedures (98/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (37.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.75× 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 (1.0×) & laboratory (2.3×) services average 1.29× higher multiples than routine shoppable care (0.7×)
Even at low-cost facilities (0.75× 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 2,509) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.29× Divergence

0.9× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 0.43× · Q50 0.80× · Q75 0.88×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

0.5× MedicareGood

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

36% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Northeastern Vermont Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$4,260	$4,260	$511	8.3×
MRI, knee or other leg joint CPT Code: `73721`	$3,254	$3,254	$369	8.8×
MRI, brain (no contrast) CPT Code: `70551`	$3,003	$3,003	$343	8.8×
Blood transfusion CPT Code: `36430`	$2,969	$2,969	$498	6.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,675	$2,675	$338	7.9×
Rabies immune globulin HCPCS Code: `90375`	$2,402	$2,402	$322	7.5×
C-section delivery (full package) CPT Code: `59510`	$3,306	$2,252	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$2,986	$2,034	$2,680	0.8×
Total knee replacement CPT Code: `27447`	$1,475	$1,475	$13,523	0.1×
CT scan, sinuses CPT Code: `70486`	$1,418	$1,418	$166	8.5×
Total hip replacement CPT Code: `27130`	$1,379	$1,379	$13,413	0.1×
X-ray, lower back CPT Code: `72110`	$1,053	$1,053	$112	9.4×
Bunion correction surgery CPT Code: `28296`	$703	$864	$3,446	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$830	$830	$148	5.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$825	$825	$448	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$792	$792	$303	2.6×
Injection procedure for pain management HCPCS Code: `G0260`	$792	$792	$855	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$758	$758	$6,109	0.1×
X-ray, chest (two views) CPT Code: `71046`	$731	$731	$93	7.9×
X-ray, hip CPT Code: `73502`	$672	$672	$93	7.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$643	$643	$93	6.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$648	$648	$258	2.5×
X-ray, shoulder CPT Code: `73030`	$620	$620	$92	6.7×
X-ray, ankle CPT Code: `73610`	$543	$543	$93	5.8×
Screening mammogram (both breasts) CPT Code: `77067`	$566	$566	$123	4.6×
Breast lump removal CPT Code: `19120`	$613	$546	$3,875	0.1×
X-ray, foot CPT Code: `73630`	$510	$510	$92	5.5×
X-ray, hand CPT Code: `73130`	$504	$504	$93	5.4×
Colonoscopy with biopsy CPT Code: `45380`	$437	$470	$1,256	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,043	$490	$3,372	0.1×
Inguinal hernia repair CPT Code: `49505`	$590	$472	$3,629	0.1×
X-ray, pelvis CPT Code: `72170`	$431	$431	$110	3.9×
CT scan, head (no contrast) CPT Code: `70450`	$400	$400	$160	2.5×
CT scan, pelvis CPT Code: `72192`	$400	$400	$163	2.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$400	$400	$168	2.4×
CT scan, head (with contrast) CPT Code: `70460`	$421	$421	$242	1.7×
X-ray, chest (single view) CPT Code: `71045`	$387	$387	$92	4.2×
CT scan, chest (no contrast) CPT Code: `71250`	$400	$400	$167	2.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$400	$400	$169	2.4×
Upper endoscopy with biopsy CPT Code: `43239`	$395	$411	$987	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$349	$349	$86	4.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$365	$369	$981	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$304	$304	$64	4.8×
Occupational therapy (self-care training) CPT Code: `97535`	$194	$194	$38	5.1×
Prosthetic fitting and training CPT Code: `97761`	$194	$194	$45	4.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$174	$174	$134	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$150	$173	$185	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$160	$160	$201	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$272	$181	$272	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$557	$194	$583	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$133	$133	$86	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$118	$157	$181	0.9×
Physical therapy (gait training) CPT Code: `97116`	$90	$90	$33	2.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$83	$93	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$128	$114	$110	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$83	$101	$123	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$154	$107	$132	0.8×
Ultrasound, pelvis CPT Code: `76856`	$192	$104	$130	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$83	$110	$166	0.7×
Family therapy session CPT Code: `90847`	$205	$109	$173	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$459	$459	$111	4.1×
Typhoid vaccine HCPCS Code: `90675`	$449	$449	$347	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$279	$279	$18	15.5×
Blood test, vitamin D CPT Code: `82306`	$254	$254	$31	8.2×
Drug screening test HCPCS Code: `G0480`	$273	$273	$116	2.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$154	$154	$6	25.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$169	$169	$11	15.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$173	$173	$19	9.1×
Blood test, basic metabolic panel CPT Code: `80048`	$134	$134	$9	14.9×
Culture, blood CPT Code: `87040`	$132	$132	$11	12.0×
Blood test, potassium CPT Code: `84132`	$101	$101	$5	20.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$87	$87	$5	17.4×
Blood test, liver function panel CPT Code: `80076`	$110	$110	$9	12.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$125	$125	$14	8.9×
Hepatitis C antibody test CPT Code: `86803`	$125	$125	$15	8.3×
Blood antibody screen CPT Code: `86850`	$116	$116	$46	2.5×
Pneumococcal vaccine HCPCS Code: `90732`	$107	$133	$140	0.9×
Blood test, magnesium CPT Code: `83735`	$87	$87	$7	12.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$90	$90	$8	11.3×
Blood test, amylase CPT Code: `82150`	$77	$77	$7	11.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$48	$4	12.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$47	$47	$4	11.8×
Blood test, sodium CPT Code: `84295`	$50	$50	$5	10.0×
Blood test, lipase CPT Code: `83690`	$62	$62	$7	8.9×
Culture, bacterial CPT Code: `87070`	$75	$75	$9	8.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$113	$77	$126	0.6×
Orthotic fitting and training CPT Code: `97760`	$81	$46	$51	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$101	$68	$203	0.3×
Blood test, calcium CPT Code: `82310`	$32	$32	$5	6.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$38	$38	$14	2.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$67	$10	$10	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$29	$33	$33	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$11	$3	$3	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$164	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$61	$13	$14	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$139	$33	$37	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$114	$35	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$62	$33	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$101	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$105	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$4	$5	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$20	$25	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$129	$27	$34	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$48	$40	$56	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	$30	$49	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$16	$21	$49	0.4×
Group therapy session CPT Code: `90853`	$62	$30	$100	0.3×
Blood test, hemoglobin CPT Code: `85018`	$45	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$20	$26	$48	0.5×

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 37.3%

Audit a Bill or Quote at Northeastern Vermont Regional Hospital (Zero PHI Required)

CMS CCN: 471303

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $4,260

Insurer Median $4,260

1. Amount on Your Bill or Quote ($) Pre-filled with Northeastern Vermont Regional 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: $2,118 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,118

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.3% of gross = $2,118).

Step 2 · Cash vs. Insurance Arbitrage Save $1,420 Paying Cash

Self-Pay Cash Rate ($4,260) Beats Your Bill

Northeastern Vermont Regional Hospital's published 45 CFR § 180 self-pay cash rate is $4,260 (vs. $4,260 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,169 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($5,680) is $5,169 above the denoised Fair BaseRate ($511) and 16.0× the $356 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: 036013761

Filing Period: 196708

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 (37.3% 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 Composite72/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)76%

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

CMS Price Transparency Administrative Enforcement Log

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

2023-12-19·administrative_or_closure
Closure Notice
Recorded
2023-10-31·cap_corrective_action
CAP Request
Recorded
2023-02-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (262 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 Northeastern Vermont Regional Hospital.

Price Index: 0.90× regional baseline

Quality: 67/100 CMS composite

Median Household Income$66,075U.S. Census ACS

Local Uninsured Share4.1%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 71/100 · Corroborated CMS CCN 471303 EIN 036013761

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 471303) ↗ Verify IRS Form 990 (EIN 036013761) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage5/7/2026

Validated Rate Rows1,550 (CMS v3.0.0)

File Integrity DigestVerified · CCN 471303

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