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Critical Access HospitalVoluntary Non-Profit - Private

Mt Ascutney Hospital And Health Cent

Dartmouth Health · Windsor, VT

289 County Road, Windsor, VT 05089(802) 674-6711

24

In-network payers

268

Disclosed rate categories

35

Beds

About this hospital

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 Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)Health Alliance

Prices for common services

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

CT abdomen and pelvis with contrast

CPT 74177

$3,247 - $4,673

from 3 insurers · median $4,574

Blue Cross$3,247
Insurer A*$4,574
Insurer B*$4,673
Medicare $356Nearby hospitals $2,35394% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$241 - $735

from 3 insurers · median $673

Cigna$241
Insurer A*$673
Insurer B*$735
Medicare $92Nearby hospitals $660In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$1,729 - $2,270

from 3 insurers · median $2,222

Blue Cross$1,729
Insurer A*$2,222
Insurer B*$2,270
Medicare $244Nearby hospitals $1,074107% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,801 - $2,119

from 3 insurers · median $2,075

UnitedHealthcare$2,119
Insurer A*$1,801
Insurer B*$2,075
Medicare $558Nearby hospitals $1,9486% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$2,039

negotiated rate

Blue Cross$2,039
Medicare $107Nearby hospitals $717184% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$218 - $538

from 3 insurers · median $492

Cigna$218
Insurer A*$492
Insurer B*$538
Medicare $89Nearby hospitals $213131% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, with contrast

CPT 71260

$3,338

negotiated rate

Blue Cross$3,338
Medicare $179Nearby hospitals $1,222173% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,437 - $1,692

from 3 insurers · median $1,656

Blue Cross$1,437
Insurer A*$1,656
Insurer B*$1,692
Medicare $1,223Nearby hospitals $2,75640% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$268 - $1,015

from 3 insurers · median $789

UnitedHealthcare$1,015
Insurer A*$268
Insurer B*$789
Medicare $107Nearby hospitals $354123% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$3,997 - $4,705

from 3 insurers · median $4,606

Blue Cross$3,997
Insurer A*$4,606
Insurer B*$4,705
Medicare $2,358Nearby hospitals $7,68740% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,221 - $1,436

from 3 insurers · median $1,406

Blue Cross$1,221
Insurer A*$1,406
Insurer B*$1,436
Medicare $1,223Nearby hospitals $2,10733% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$4,566

negotiated rate

Blue Cross$4,566
Medicare $244Nearby hospitals $1,320246% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Foot X-ray, at least three views

CPT 73630

$552 - $659

from 3 insurers · median $645

Cigna$645
Insurer A*$552
Insurer B*$659
Medicare $89Nearby hospitals $278132% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$18 - $202

from 3 insurers · median $184

Cigna$18
Insurer A*$184
Insurer B*$202
Medicare $11Nearby hospitals $76141% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$268 - $1,187

from 3 insurers · median $905

UnitedHealthcare$1,187
Insurer A*$268
Insurer B*$905
Medicare $107Nearby hospitals $59053% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Bone-density scan of the spine and hip

CPT 77080

$268 - $941

from 3 insurers · median $729

Cigna$268
Insurer A*$729
Insurer B*$941
Medicare $107Nearby hospitals $234212% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$803 - $945

from 3 insurers · median $925

Blue Cross$803
Insurer A*$925
Insurer B*$945
Medicare $927Nearby hospitals $1,98353% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete pelvic ultrasound

CPT 76856

$268 - $1,182

from 3 insurers · median $920

UnitedHealthcare$1,182
Insurer A*$268
Insurer B*$920
Medicare $107Nearby hospitals $50283% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$268 - $1,182

from 3 insurers · median $920

UnitedHealthcare$1,182
Insurer A*$268
Insurer B*$920
Medicare $107Nearby hospitals $46797% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Shoulder X-ray, at least two views

CPT 73030

$370 - $589

from 3 insurers · median $495

Cigna$370
Insurer A*$495
Insurer B*$589
Medicare $89Nearby hospitals $27481% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$268 - $806

from 3 insurers · median $685

UnitedHealthcare$806
Insurer A*$268
Insurer B*$685
Medicare $107Nearby hospitals $46846% above nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, unilateral

CPT 77065

$228 - $735

from 3 insurers · median $689

Cigna$228
Insurer A*$689
Insurer B*$735
Medicare $87Nearby hospitals $6437% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$3,660 - $4,308

from 3 insurers · median $4,218

Blue Cross$3,660
Insurer A*$4,218
Insurer B*$4,308
Medicare $6,176Nearby hospitals $9,03153% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count with differential

CPT 85025

$31 - $141

from 3 insurers · median $132

Cigna$31
Insurer A*$132
Insurer B*$141
Medicare $8Nearby hospitals $59123% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Mt Ascutney Hospital And Health Cent

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*21
795%
125
Insurer B*24
719%
159
Insurer C*21
251%
109

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.

Location

289 County Road, Windsor, VT 05089

(802) 674-6711

Get directions

Frequently asked questions

About Mt Ascutney Hospital And Health Cent's rates and hospital price transparency.

How much does an MRI cost at Mt Ascutney Hospital And Health Cent?

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.

How much does a CT scan cost at Mt Ascutney Hospital And Health Cent?

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.

How much does a colonoscopy cost at Mt Ascutney Hospital And Health Cent?

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.

How much does a mammogram cost at Mt Ascutney Hospital And Health Cent?

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.

How many beds does Mt Ascutney Hospital And Health Cent have?

Mt Ascutney Hospital And Health Cent has 35 beds. Facility type: Critical Access Hospital.

Where is Mt Ascutney Hospital And Health Cent and what is its phone number?

Mt Ascutney Hospital And Health Cent is located at 289 County Road, Windsor, VT 05089. Its main phone number is (802) 674-6711.

What is Mt Ascutney Hospital And Health Cent's CCN (Medicare provider number)?

Mt Ascutney Hospital And Health Cent's CMS Certification Number (CCN), also called its Medicare provider number, is 471302.

What is Mt Ascutney Hospital And Health Cent's NPI number?

The National Provider Identifier (NPI) on file for Mt Ascutney Hospital And Health Cent is 1922095918.

What health system is Mt Ascutney Hospital And Health Cent part of?

Mt Ascutney Hospital And Health Cent is affiliated with Dartmouth Health.

Which insurance plans are in network at Mt Ascutney Hospital And Health Cent?

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.

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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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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