Saint Albans, VT
28
In-network payers
224
Disclosed rate categories
70
Beds
3
Care quality
Northwestern Medical Center is a 70-bed voluntary non-profit - other hospital in Saint Albans, VT. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 224 disclosed rate categories.
CCN (Medicare provider number)
470024
NPI
1386689875
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
70
Care Quality
3
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 Northwestern Medical Center 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.
Gynecology
CPT 58558
$7,288 - $7,733
from 3 insurers · median $7,555
15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$15,845 - $16,526
from 3 insurers · median $15,943
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$3,579 - $3,797
from 3 insurers · median $3,710
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,189 - $5,412
from 3 insurers · median $5,221
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$19,951 - $21,168
from 3 insurers · median $20,681
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$6,165 - $6,541
from 3 insurers · median $6,390
262 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Mammography
CPT 77067
$387 - $411
from 3 insurers · median $401
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$1,823 - $1,935
from 3 insurers · median $1,890
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$11,403 - $12,098
from 3 insurers · median $11,820
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$9,381 - $9,953
from 3 insurers · median $9,725
14 Medicare claims in Level 4 ENT Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$528 - $560
from 3 insurers · median $547
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$8,889 - $9,431
from 3 insurers · median $9,215
26 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$18,495 - $19,623
from 3 insurers · median $19,172
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,439 - $2,588
from 3 insurers · median $2,529
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$12,046 - $12,780
from 3 insurers · median $12,487
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 63030
$28,695 - $30,444
from 3 insurers · median $29,745
57 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74176
$3,579 - $3,797
from 3 insurers · median $3,710
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73564
$1,053 - $1,117
from 3 insurers · median $1,092
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$1,823 - $1,935
from 3 insurers · median $1,890
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$844 - $920
from 3 insurers · median $888
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$11,537 - $12,241
from 3 insurers · median $11,959
41 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 73721
$4,651 - $4,821
from 2 insurers · median $4,736
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,434 - $2,652
from 3 insurers · median $2,559
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$13,148 - $13,950
from 3 insurers · median $13,629
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
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* | 24 | 534% | 14 | 0 |
| Insurer B* | 24 | 515% | 16 | 1 |
| Insurer C* | 23 | 464% | 21 | 0 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 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 Northwestern Medical Center.
133 Fairfield Street, Saint Albans, VT 05478
(802) 524-5911
The nearest hospitals of similar type and size. Their rates are compared with Northwestern Medical Center for the same insurers and services above.
Central Vermont Medical Center
▼ Rates typically 23% lower than Northwestern Medical Center (20 services)
Adirondack Medical Center
▼ Rates typically 40% lower than Northwestern Medical Center (22 services)
Canton-Potsdam Hospital
▼ Rates typically 91% lower than Northwestern Medical Center (12 services)
Concord Hospital – Laconia
▼ Rates typically 31% lower than Northwestern Medical Center (20 services)
Claxton Hepburn Medical Center
▼ Rates typically 58% lower than Northwestern Medical Center (22 services)
Southwestern Vermont Medical Center
▼ Rates typically 94% lower than Northwestern Medical Center (12 services)
Brattleboro Memorial Hospital
Rutland Regional Medical Center
Uvm Medical Center
About Northwestern Medical Center's rates and hospital price transparency.
For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Northwestern Medical Center range from $4,651 to $4,821 across 2 insurers. The median at nearby comparable hospitals is $1,692. 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 Northwestern Medical Center range from $3,579 to $3,797 across 3 insurers. Blue Cross Blue Shield's rate is $3,797. The median at nearby comparable hospitals is $811. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Northwestern Medical Center range from $15,845 to $16,526 across 3 insurers. Cigna's rate is $15,943. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northwestern Medical Center range from $387 to $411 across 3 insurers. The median at nearby comparable hospitals is $166. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northwestern Medical Center has 70 beds. Facility type: Short Term Acute Care Hospital.
Northwestern Medical Center is located at 133 Fairfield Street, Saint Albans, VT 05478. Its main phone number is (802) 524-5911.
Northwestern Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 470024.
The National Provider Identifier (NPI) on file for Northwestern Medical Center is 1386689875.
Northwestern Medical Center lists 28 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
224 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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{
"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