CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: The University of Vermont Health Network - Champl

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 0.8× the $95 Medicare rate · typically $51–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
Above the fair price
about $12 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $74 This hospital $86 Cash price $419 Hospital's list price $419

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $56 Priciest $86

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $74 (about 0.8× the $95 Medicare rate). The University of Vermont Health Network - Champl charges insurers about $86, or about $419 in cash — above the fair price. Located in Plattsburgh, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $74. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $64 - $329 67%
Blue Cross Blue Shieldmajor $62 - $319 65%
Aetnamajor $62 - $388 65%
Humanamajor $62 65%
Fidelis Care $62 - $65 65%
Harvard Pilgrim $326 - $345 342%
MagnaCare $326 342%
MVP Health Care $53 - $343 56%
+ 5 smaller / regional plans $39 - $345
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 75 Beekman Street, Plattsburgh, NY 12901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals