Outpatient office visit, established patient, level 5 at Porter Hospital Inc

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN

Middlebury, VT

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How this price compares nationally

Porter Hospital Inc’s median price of $189 is 10% below the median hospital's median price ($210), higher than 44% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at Porter Hospital Inc

Negotiated rates from the hospital’s own file: 7 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$127.37	$127.37	$127.37 – $127.37
2	Humana tricare professional · fee schedule · both	$128.44	$128.44	$128.44 – $128.44
3	Aetna medicare advantage professional · fee schedule · both	$135.20	$135.20	$135.20 – $135.20
4	Cigna commercial professional · fee schedule · both	$154.37	$154.37	$154.37 – $154.37
5	Bcbs Vt medicare advantage professional · fee schedule · both	$155.48	$155.48	$155.48 – $155.48
6	UnitedHealthcare medicare advantage professional · fee schedule · both	$171.82	$171.82	$171.82 – $171.82
7	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$188.94	$188.94	$188.94 – $188.94
8	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$188.94	$188.94	$188.94 – $188.94
9	Bcbs Vt medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$192.96	$192.96	$192.96 – $192.96
10	Bcbs Vt indemnity/the vermont health plan/vermont health partnership professional · fee schedule · both	$194.79	$194.79	$189.12 – $200.46
11	Bcbs Vt indemnity facility · fee schedule · outpatient	$199.18	$199.18	$199.18 – $199.18
12	Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient	$199.18	$199.18	$199.18 – $199.18
13	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$242.49	$242.49	$222.83 – $262.15
14	Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges	$250.29	$250.29	$250.29 – $250.29
15	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$307.80	$307.80	$307.80 – $307.80
16	Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges	$313.56	$313.56	$313.56 – $313.56
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$365.62	$365.62	$365.62 – $365.62
18	MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges	$381.90	$381.90	$381.90 – $381.90
19	UnitedHealthcare commercial professional · fee schedule · both	$386.86	$386.86	$386.86 – $386.86
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$397.98	$397.98	$397.98 – $397.98

Last updated: Apr 28, 2026

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