Emergency Department Visit with High Level of Medical Decision Making Cost in Vermont
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 10 Vermont hospitals. CPT 99285. 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 |
$267 | $338 | — | — | $132 | — | — | — | — |
| BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO |
$353 | $588 | $489 | $162 | $219 | $588 | $170 | $706 | — |
| PORTER MEDICAL CENTER MIDDLEBURY |
$388 | — | — | — | — | — | — | — | — |
| UNIVERSITY OF VERMONT MEDICAL CENTER BURLINGTON |
$515 | $123 | $162 | $306 | $140 | $162 | $186 | — | — |
| CENTRAL VERMONT MEDICAL CENTER BERLIN |
$523 | $162 | $162 | $382 | $165 | $159 | — | — | — |
| RUTLAND REGIONAL MEDICAL CENTER RUTLAND |
$547 | — | — | — | — | — | — | — | — |
| NORTHWESTERN MEDICAL CENTER SAINT ALBANS |
$938 | $85.00 | $646 | $82.00 | — | $646 | — | — | $646 |
| SPRINGFIELD HOSPITAL SPRINGFIELD |
$985 | $499 | $1,247 | $922 | $1,313 | — | $514 | $1,090 | — |
| MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER WINDSOR |
$1,259 | $1,495 | $1,495 | $1,464 | $1,401 | — | — | — | — |
| GRACE COTTAGE HOSPITAL TOWNSHEND |
$1,450 | $1,559 | $1,759 | $1,722 | $1,813 | $544 | — | — | — |
That is the median of what the 10 Vermont hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Vermont, Medicare reimburses about $163 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Vermont range from $267 to $1,450 — that means hospital cash prices are typically 3.2x 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 with high level of medical decision making cost in Vermont?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Vermont range from $267 to $1,450, with a median of $523. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Vermont?
- The cheapest Vermont hospital published cash price for this procedure is $267. 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.