CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$83
about 0.7× the $118 Medicare rate · typically $64–$198
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
About the fair price
about $5 over the fair price · 0.7× Medicare
Medicare pays $118 Fair price $83 This hospital $88 Cash price $399 Hospital's list price $399

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 $69 Priciest $88

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 New patient office visit (30-44 min) is about $83 (about 0.7× the $118 Medicare rate). The University of Vermont Health Network-Alice Hy charges insurers about $88, or about $399 in cash — about the fair price. Located in Malone, NY.

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 $79 - $252 67%
Blue Cross Blue Shieldmajor $82 - $454 70%
Aetnamajor $77 - $288 65%
Humanamajor $65 - $107 55%
Fidelis Care $65 - $107 55%
MagnaCare $370 315%
MVP Health Care $75 - $207 64%
+ 4 smaller / regional plans $77 - $320
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 133 Park Street, Po Box 729, Malone, NY 12953
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals