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Critical Access HospitalVoluntary Non-Profit - Private

Porter Medical Center

University of Vermont Health Network ยท Middlebury, VT

115 Porter Drive, Middlebury, VT 05753(802) 388-4701

27

In-network payers

231

Disclosed rate categories

45

Beds

5

Care quality

About this hospital

Porter Medical Center is a 45-bed voluntary non-profit - private hospital in Middlebury, VT, affiliated with University of Vermont Health Network. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 231 disclosed rate categories.

CCN (Medicare provider number)

471307

NPI

1740291400

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

45

Care Quality

5

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 HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central Wisconsin

Prices for common services

The 24 services Porter 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.

Childbirth ยท Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,417 - $8,109

from 2 insurers ยท median $7,763

Blue Cross$8,109
Insurer A*$7,417

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 obstetrics / child birth services to CMS

Childbirth ยท Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,302 - $11,379

from 2 insurers ยท median $10,841

Blue Cross$11,379
Insurer A*$10,302

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 obstetrics / child birth services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$3,201 - $3,484

from 3 insurers ยท median $3,252

Blue Cross$3,252
Insurer A*$3,201
Insurer B*$3,484
Medicare $356Nearby hospitals $2,53328% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$1,703 - $1,854

from 3 insurers ยท median $1,816

Blue Cross$1,816
Insurer A*$1,703
Insurer B*$1,854
Medicare $107Nearby hospitals $1,34635% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$2,831 - $3,082

from 3 insurers ยท median $2,876

Blue Cross$2,876
Insurer A*$2,831
Insurer B*$3,082
Medicare $244Nearby hospitals $1,83457% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$593 - $645

from 3 insurers ยท median $632

Blue Cross$632
Insurer A*$593
Insurer B*$645
Medicare $92Nearby hospitals $5809% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$2,594 - $2,823

from 3 insurers ยท median $2,636

Blue Cross$2,636
Insurer A*$2,594
Insurer B*$2,823
Medicare $179Nearby hospitals $2,13723% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,921 - $2,312

from 3 insurers ยท median $2,124

Cigna$2,124
Insurer A*$1,921
Insurer B*$2,312
Medicare $558Nearby hospitals $1,58834% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$4,554 - $4,957

from 3 insurers ยท median $4,626

Cigna$4,554
Insurer A*$4,626
Insurer B*$4,957
Medicare $356Nearby hospitals $2,114119% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,556 - $3,871

from 3 insurers ยท median $3,791

UnitedHealthcare$3,871
Insurer A*$3,556
Insurer B*$3,791
Medicare $927Nearby hospitals $1,005277% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$457 - $498

from 3 insurers ยท median $488

Cigna$457
Insurer A*$488
Insurer B*$498
Medicare $89Nearby hospitals $31754% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$3,132 - $3,615

from 3 insurers ยท median $3,321

UnitedHealthcare$3,615
Insurer A*$3,132
Insurer B*$3,321
Medicare $1,223Nearby hospitals $1,531117% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$3,289 - $3,641

from 3 insurers ยท median $3,345

UnitedHealthcare$3,641
Insurer A*$3,289
Insurer B*$3,345
Medicare $1,223Nearby hospitals $1,326152% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$3,362 - $3,660

from 3 insurers ยท median $3,584

Cigna$3,362
Insurer A*$3,584
Insurer B*$3,660
Medicare $244Nearby hospitals $1,270182% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$3,304 - $3,597

from 3 insurers ยท median $3,356

Cigna$3,304
Insurer A*$3,356
Insurer B*$3,597
Medicare $244Nearby hospitals $1,607109% above nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$3,548 - $5,300

from 3 insurers ยท median $4,869

UnitedHealthcare$5,300
Insurer A*$3,548
Insurer B*$4,869
Medicare $1,323Nearby hospitals $3,44042% above nearby hospitals

Hospital reports nuclear medicine services to CMS

Childbirth ยท Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$7,417 - $8,109

from 2 insurers ยท median $7,763

Blue Cross$8,109
Insurer A*$7,417

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$3,156 - $3,435

from 3 insurers ยท median $3,206

Cigna$3,156
Insurer A*$3,206
Insurer B*$3,435
Medicare $244Nearby hospitals $2,11951% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$2,879 - $3,134

from 3 insurers ยท median $2,942

UnitedHealthcare$3,134
Insurer A*$2,879
Insurer B*$2,942
Medicare $950Nearby hospitals $1,145157% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of one breast

CPT 76642

$852 - $928

from 3 insurers ยท median $883

UnitedHealthcare$928
Insurer A*$852
Insurer B*$883
Medicare $89Nearby hospitals $45793% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$166 - $180

from 3 insurers ยท median $178

Blue Cross$178
Insurer A*$166
Insurer B*$180
Medicare $11Nearby hospitals $9392% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$2,873 - $3,614

from 3 insurers ยท median $3,320

Cigna$3,320
Insurer A*$2,873
Insurer B*$3,614
Medicare $2,358

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$451 - $491

from 3 insurers ยท median $481

UnitedHealthcare$491
Insurer A*$451
Insurer B*$481
Medicare $107Nearby hospitals $63024% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Foot X-ray, at least three views

CPT 73630

$413 - $449

from 3 insurers ยท median $440

Cigna$413
Insurer A*$440
Insurer B*$449
Medicare $89Nearby hospitals $4107% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Porter Medical Center

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
698%
162
Insurer B*24
684%
172
Insurer C*24
642%
170

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 Porter Medical Center.

Location

115 Porter Drive, Middlebury, VT 05753

(802) 388-4701

Get directions

Frequently asked questions

About Porter Medical Center's rates and hospital price transparency.

How much does an MRI cost at Porter Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Porter Medical Center range from $4,554 to $4,957 across 3 insurers. Cigna's rate is $4,554. The median at nearby comparable hospitals is $2,114. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Porter Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Porter Medical Center range from $3,201 to $3,484 across 3 insurers. Blue Cross Blue Shield's rate is $3,252. The median at nearby comparable hospitals is $2,533. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Porter Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Porter Medical Center range from $3,132 to $3,615 across 3 insurers. UnitedHealthcare's rate is $3,615. The median at nearby comparable hospitals is $1,531. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Porter Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Porter Medical Center range from $7,417 to $8,109 across 2 insurers. Blue Cross Blue Shield's rate is $8,109. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Porter Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Porter Medical Center range from $593 to $645 across 3 insurers. Blue Cross Blue Shield's rate is $632. The median at nearby comparable hospitals is $580. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Porter Medical Center have?

Porter Medical Center has 45 beds. Facility type: Critical Access Hospital.

Where is Porter Medical Center and what is its phone number?

Porter Medical Center is located at 115 Porter Drive, Middlebury, VT 05753. Its main phone number is (802) 388-4701.

What is Porter Medical Center's CCN (Medicare provider number)?

Porter Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 471307.

What is Porter Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Porter Medical Center is 1740291400.

What health system is Porter Medical Center part of?

Porter Medical Center is affiliated with University of Vermont Health Network.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

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.

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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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