Estimated Charges for Services:
Porter Hospital and Porter Practice Management 2017

These are averaged charges that are ESTIMATES; your out-of-pocket expense will depend on your individual insurance coverage (such as co-insurance or deductibles).
If you have any questions regarding estimates/slide fee scale or payment plans please call our patient Financial Services Department at 802-388-8808 and choose option 5.

** Please note that additional charges will apply for professional fees, including but not limited to:
  • Anesthesia Business Consultants
  • Middlebury Radiology
  • Dr. Petri’s Office (General Surgeon)
  • Dr. Fuller’s Office (General Surgeon)
  • CLICK for PRINT VERSION

     Type of Visit

    Facility Charge

    Professional Charge

    EMERGENCY ROOM


    These fees can vary from:

    Minor problem ex. Suture Removal

    $177

    $134-$667

    Low to moderate severity ex. Ear infection

    $227

    $134-$667

    Moderate severity – non-trauma patient via rescue

    $378

    $134-$667

    High severity w/o immediate threat to life

    $782

    $134-$667

    High severity with immediate threat to life

    $1,181

    $134-$667

    PORTER PRACTICE MANAGEMENT

    Facility Charge

    Professional Charge

    OFFICE VISITS (depend on the nature of the problem)

     

     

    New Office Visit – Never been seen before

    $209

    Established Office Visit – 15 min

    $140

    Established Office Visit – 25 min

    $208

    Annual Physical Exam – established (18-39)

    $234

    Annual Physical Exam – established (40-64)

    $219

    RADIOLOGY SERVICES

     

     

    Mammogram (screening)
    Tomosynthesis Mammogram

    $699

    $115

    Chest x-ray ( two views)

    $468

    $36

    Shoulder complete (two views)

    $386

    $34

    Knee (up to two views)

    $386

    $32

    Both hips

    $447

    $39

    LABORATORY SERVICES

    Facility Charge

    Professional fees do not  apply

    Collection of blood 

    $44

     

    CBC with Differential

    $88

    Metabolic basic panel, Serum

    $95

    Lipid panel (Cholesterol, HDL, Triglycerides), Serum

    $99

    Creatinine, Serum

    $69

    NUTRITION SERVICES

    Facility Charge

    Professional fees do not  apply

    Dietary Consult- initial

    $48 per 15 min

     

    Dietary Consult – follow-up

    $48 per 15 min

    Diabetes Class

    $63 per class

    Diabetes Class – Individual

    $84 per session

    REHABILITATION SERVICES

    Facility Charge

    Professional fees do not  apply

    Physical Therapy Evaluation

    $324

     

    Occupational Therapy Evaluation

    $324

    Speech Therapy – Barium Swallow

    $444

    Speech Therapy- Initial evaluation for adult language

    $424

    **15 min incremental sessions for PT,OT and SP

    $114

    CARDIOLOGY SERVICES

    Facility Charge

    Professional Charge

    Echocardiogram

    $1,763

    $202

    EKG

    $176

    $37

    Exercise Stress Test

    $536

    $206

    Nuclear Medicine Stress Test

    $3,454

    $350

    Stress echocardiogram

    $1,563

    $276

    ROOM CHARGES

    Facility Charge

     

    Semi-Private Room – Medical Surgical Unit

    $1,526

     

    Private Room

    $1,656

     

    DELIVERY

    Facility Charge

    Professional Charge

    Vaginal Delivery – 2 day stay

    $9,205

    $4,853 Global

    C-Section

    $22,797

    $5,372 Global

    Newborn - 2 day stay

    $2,747

     

    SURGICAL PROCEDURES

    Facility Charge

    Professional Charge

    *OUTPATIENT*

     

     

    Bilateral inguinal hernia

    $29,264

    $1,200-1500

    Cataracts

    $4,961

    $1,700 per eye

    Carpal Tunnel

    $5,832

    $1,402

    Colonoscopy with biopsy

    $4,228

    $980

    D&C (Dilation & Curettage)

    $5,492

    $613

    Ear Tube placement –bilateral

    $6,216

    $932

    Single Hernia

    $21,607

    $1,807

    Tonsillectomy and Adenoids

    $10,322

    $773

    Total Laparoscopic Hysterectomy

    $44,167

    $2,673

    Tubal Ligation/ Salpingectomy

    $16,571

    $797 / $1,839

    Uretroscopy, Laser Lithotripsy

    $23,565

     

    *INPATIENT*

     

     

    Cystoscopy, Transurethral Resection of Bladder

    $12,463

    $2,438

    Cystoscopy, Transurethral Resection of Prostate

    $22,646

    $3,000

    Rotator Cuff Repair

    $42,983

    $2,952

    Total hip replacement

    $72,333

    $6,588

    Total knee replacement

    $58,108

    $6,389

    If you have any billing related questions please call our patient Financial Services  Department at 1-802-388-8808 and choose option 5.

    Charge Information for HEALTH CARE PROFESSIONALS