Emergency Department Visit for Problem That May Not Require Health Care Professi… Cost in Vermont
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 10 Vermont hospitals. CPT 99281. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Vermont
Sorted by cash price (lowest first). Showing top 10 of 10 hospitals.
| Hospital | Cash | UHC | Aetna | Cigna | BCBS | Humana | Centene | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| NORTHEASTERN VERMONT REGIONAL HOSPITAL ST. JOHNSBURY |
$30.75 | $38.95 | — | — | $15.20 | — | — | — | — |
| UNIVERSITY OF VERMONT MEDICAL CENTER BURLINGTON |
$34.00 | $7.98 | $10.52 | $20.21 | $10.73 | $10.52 | $12.10 | — | — |
| PORTER MEDICAL CENTER MIDDLEBURY |
$36.00 | — | — | — | — | — | — | — | — |
| BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO |
$43.12 | $84.46 | $59.75 | $10.52 | $25.09 | $84.46 | $11.05 | $101 | — |
| RUTLAND REGIONAL MEDICAL CENTER RUTLAND |
$59.40 | — | — | — | — | — | — | — | — |
| CENTRAL VERMONT MEDICAL CENTER BERLIN |
$63.45 | $10.52 | $10.52 | $49.87 | $10.73 | $10.31 | — | — | — |
| NORTHWESTERN MEDICAL CENTER SAINT ALBANS |
$126 | $85.00 | $92.71 | $82.00 | — | $92.71 | — | — | $92.71 |
| GRACE COTTAGE HOSPITAL TOWNSHEND |
$236 | $254 | $286 | $280 | $295 | $89.00 | — | — | — |
| SPRINGFIELD HOSPITAL SPRINGFIELD |
$247 | $125 | $313 | $231 | $329 | — | $129 | $273 | — |
| MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER WINDSOR |
$297 | $352 | $352 | $345 | $330 | — | — | — | — |
That is the median of what the 10 Vermont hospitals above publish for Emergency department visit for problem that may not require health care professi… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
Medicare reimbursement benchmark
For CPT 99281 in Vermont, Medicare reimburses about $10.51 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Vermont range from $30.75 to $297 — that means hospital cash prices are typically 5.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit for problem that may not require health care professi… cost in Vermont?
- Cash prices for emergency department visit for problem that may not require health care professi… (CPT 99281) in Vermont range from $30.75 to $297, with a median of $59.40. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit for problem that may not require health care professi… in Vermont?
- The cheapest Vermont hospital published cash price for this procedure is $30.75. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.