Southwestern Vermont Medical Center — price list
← Hospital overviewVerified from Southwestern Vermont Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
160 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ADHESION BARRIER Inpatient & outpatient | 2300 CDM | $1,001 | $700 | $500 – $971 | — | |
| AEROSOL CHAMBER Inpatient & outpatient | 3069 CDM | $14.97 | $10.48 | $7.49 – $14.52 | — | |
| AIRWAY BERMAN 40MM Inpatient & outpatient | 705 CDM | $0.57 | $0.40 | $0.29 – $0.55 | — | |
| AIRWAY BERMAN 60MM Inpatient & outpatient | 708 CDM | $0.57 | $0.40 | $0.29 – $0.55 | — | |
| AIRWAY BERMAN 60MM #3 Inpatient & outpatient | 709 CDM | $0.57 | $0.40 | $0.29 – $0.55 | — | |
| AIRWAY BERMAN 90MM #4 Inpatient & outpatient | 711 CDM | $0.57 | $0.40 | $0.29 – $0.55 | — | |
| ARMBOARD 9 W/COVER" Inpatient & outpatient | 710 CDM | $4.00 | $2.80 | $2.00 – $3.88 | — | |
| Assistant at Surgery Inpatient & outpatient | — | — | — | — | — | |
| Assistant at Surgery Inpatient & outpatient | — | — | — | — | — | |
| Assistant at Surgery - Physician Assistant Inpatient & outpatient | — | — | — | — | — | |
| Bilateral Inpatient & outpatient | — | — | — | — | — | |
| BITE BLOCK Inpatient & outpatient | 1444 CDM | $1.06 | $0.74 | $0.53 – $1.03 | — | |
| BLADE, SPIRL GIGLI SAW Inpatient & outpatient | 1892 CDM | $106 | $73.95 | $52.82 – $102 | — | |
| BOOT CAST - LARGE Inpatient & outpatient | 336 CDM | $10.43 | $7.30 | $5.22 – $10.12 | — | |
| BOOT CAST - MEDIUM Inpatient & outpatient | 334 CDM | $10.43 | $7.30 | $5.22 – $10.12 | — | |
| BOOT CAST - PEDI Inpatient & outpatient | 332 CDM | $10.43 | $7.30 | $5.22 – $10.12 | — | |
| BOOT CAST - SMALL Inpatient & outpatient | 333 CDM | $10.43 | $7.30 | $5.22 – $10.12 | — | |
| BRACE, CLAVICAL - INFANT Inpatient & outpatient | 348 CDM | $15.21 | $10.65 | $7.61 – $14.75 | — | |
| BRACE, CLAVICAL - LARGE Inpatient & outpatient | 347 CDM | $10.26 | $7.18 | $5.13 – $9.95 | — | |
| BRACE, CLAVICAL - MEDIUM Inpatient & outpatient | 346 CDM | $15.21 | $10.65 | $7.61 – $14.75 | — | |
| BRACE, CLAVICAL - SMALL Inpatient & outpatient | 345 CDM | $15.32 | $10.72 | $7.66 – $14.86 | — | |
| CANCELLOUS SCREW 4.0X14MM FT Inpatient & outpatient | 983 CDM | $54.52 | $38.16 | $27.26 – $52.88 | — | |
| CANCELLOUS SCREW 4.0X24MM FT Inpatient & outpatient | C1713 HCPCS | $54.52 | $38.16 | $27.26 – $52.88 | — | |
| CANCELLOUS SCREW 4.0X26MM Inpatient & outpatient | C1713 HCPCS | $54.52 | $38.16 | $27.26 – $52.88 | — | |
| CANCELLOUS SCREW 4.0X28MM FT Inpatient & outpatient | C1713 HCPCS | $54.52 | $38.16 | $27.26 – $52.88 | — | |
| CANCELLOUS SCREW 4.0X40MM FT Inpatient & outpatient | 986 CDM | $54.52 | $38.16 | $27.26 – $52.88 | — | |
| CANCELLOUS SCREW 4.0X50MM FT Inpatient & outpatient | 987 CDM | $54.52 | $38.16 | $27.26 – $52.88 | — | |
| CANCELLOUS SCREW 4.0X50MM PT Inpatient & outpatient | C1713 HCPCS | $35.03 | $24.52 | $17.52 – $33.98 | — | |
| CANCELLOUS SCREW 4.0X55MM FT Inpatient & outpatient | 988 CDM | $53.38 | $37.37 | $26.69 – $51.78 | — | |
| CANCELLOUS SCREW 4.0X60MM FT Inpatient & outpatient | 989 CDM | $128 | $89.29 | $63.78 – $124 | — |