Critical care, first hour of physician time 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 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN

Middlebury, VT

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How this price compares nationally

Porter Hospital Inc’s median price of $446 is 63% below the median hospital's median price ($1.2k), higher than 10% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at Porter Hospital Inc

Negotiated rates from the hospital’s own file: 7 payers, 21 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	Humana tricare professional · fee schedule · both	$188.61	$188.61	$188.61 – $188.61
2	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$192.27	$192.27	$192.27 – $192.27
3	Aetna medicare advantage professional · fee schedule · both	$198.54	$198.54	$198.54 – $198.54
4	Bcbs Vt medicare advantage professional · fee schedule · both	$228.32	$228.32	$228.32 – $228.32
5	UnitedHealthcare medicare advantage professional · fee schedule · both	$257.96	$257.96	$257.96 – $257.96
6	Cigna commercial professional · fee schedule · both	$289.92	$289.92	$289.92 – $289.92
7	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$358.55	$358.55	$329.48 – $387.61
8	Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges	$365.39	$365.39	$365.39 – $365.39
9	Bcbs Vt indemnity/the vermont health plan/vermont health partnership professional · fee schedule · both	$372.48	$372.48	$362.98 – $381.97
10	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$449.35	$449.35	$449.35 – $449.35
11	UnitedHealthcare commercial professional · fee schedule · both	$588.52	$588.52	$588.52 – $588.52
12	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$697.95	$697.95	$697.95 – $697.95
13	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$697.95	$697.95	$697.95 – $697.95
14	Bcbs Vt medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$712.80	$712.80	$712.80 – $712.80
15	Humana tricare facility · fee schedule · outpatient	$800.48	$800.48	$800.48 – $800.48
16	Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges	$1,158	$1,158	$1,158 – $1,158
17	Bcbs Vt indemnity facility · fee schedule · outpatient	$1,292	$1,292	$1,292 – $1,292
18	Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient	$1,292	$1,292	$1,292 – $1,292
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,351	$1,351	$1,351 – $1,351
20	MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges	$1,411	$1,411	$1,411 – $1,411
21	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,470	$1,470	$1,470 – $1,470

Last updated: Apr 28, 2026

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