CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$3,247 - $4,673
from 3 insurers · median $4,574
Typical for a hospital with this service line
Dartmouth Health · Windsor, VT
24
In-network payers
268
Disclosed rate categories
35
Beds
Mt Ascutney Hospital And Health Cent is a 35-bed voluntary non-profit - private hospital in Windsor, VT, affiliated with Dartmouth Health. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 268 disclosed rate categories.
CCN (Medicare provider number)
471302
NPI
1922095918
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
35
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Mt Ascutney Hospital And Health Cent most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$3,247 - $4,673
from 3 insurers · median $4,574
Typical for a hospital with this service line
Mammography
CPT 77067
$241 - $735
from 3 insurers · median $673
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,729 - $2,270
from 3 insurers · median $2,222
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,801 - $2,119
from 3 insurers · median $2,075
Typical for a hospital with this service line
CT imaging
CPT 70450
$2,039
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$218 - $538
from 3 insurers · median $492
Typical for a hospital with this service line
CT imaging
CPT 71260
$3,338
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,437 - $1,692
from 3 insurers · median $1,656
Typical for a hospital with this service line
Ultrasound
CPT 76705
$268 - $1,015
from 3 insurers · median $789
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,997 - $4,705
from 3 insurers · median $4,606
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,221 - $1,436
from 3 insurers · median $1,406
Typical for a hospital with this service line
MRI imaging
CPT 72148
$4,566
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$552 - $659
from 3 insurers · median $645
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$18 - $202
from 3 insurers · median $184
Typical for a hospital with this service line
Ultrasound
CPT 76830
$268 - $1,187
from 3 insurers · median $905
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$268 - $941
from 3 insurers · median $729
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$803 - $945
from 3 insurers · median $925
Typical for a hospital with this service line
Ultrasound
CPT 76856
$268 - $1,182
from 3 insurers · median $920
Typical for a hospital with this service line
Ultrasound
CPT 76536
$268 - $1,182
from 3 insurers · median $920
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$370 - $589
from 3 insurers · median $495
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$268 - $806
from 3 insurers · median $685
Typical for a hospital with this service line
Mammography
CPT 77065
$228 - $735
from 3 insurers · median $689
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,660 - $4,308
from 3 insurers · median $4,218
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$31 - $141
from 3 insurers · median $132
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 795% | 12 | 5 |
| Insurer B* | 24 | 719% | 15 | 9 |
| Insurer C* | 21 | 251% | 10 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mt Ascutney Hospital And Health Cent.
289 County Road, Windsor, VT 05089
(802) 674-6711
About Mt Ascutney Hospital And Health Cent's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Mt Ascutney Hospital And Health Cent range from $4,566 to $4,566 across 1 insurers. Blue Cross Blue Shield's rate is $4,566. The median at nearby comparable hospitals is $1,320. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mt Ascutney Hospital And Health Cent range from $3,247 to $4,673 across 3 insurers. Blue Cross Blue Shield's rate is $3,247. The median at nearby comparable hospitals is $2,353. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mt Ascutney Hospital And Health Cent range from $1,437 to $1,692 across 3 insurers. Blue Cross Blue Shield's rate is $1,437. The median at nearby comparable hospitals is $2,756. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mt Ascutney Hospital And Health Cent range from $241 to $735 across 3 insurers. Cigna's rate is $241. The median at nearby comparable hospitals is $660. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mt Ascutney Hospital And Health Cent has 35 beds. Facility type: Critical Access Hospital.
Mt Ascutney Hospital And Health Cent is located at 289 County Road, Windsor, VT 05089. Its main phone number is (802) 674-6711.
Mt Ascutney Hospital And Health Cent's CMS Certification Number (CCN), also called its Medicare provider number, is 471302.
The National Provider Identifier (NPI) on file for Mt Ascutney Hospital And Health Cent is 1922095918.
Mt Ascutney Hospital And Health Cent is affiliated with Dartmouth Health.
Mt Ascutney Hospital And Health Cent lists 24 in-network payers, including Aetna, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
268 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers