CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$61
about 0.6× the $95 Medicare rate · typically $46–$172
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $8 over the fair price · 0.7× Medicare
Medicare pays $95 Fair price $61 This hospital $69 Cash price $300 Hospital's list price $300

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 $69

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 $61 (about 0.6× the $95 Medicare rate). The University of Vermont Health Network-Alice Hy charges insurers about $69, or about $300 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 $64 - $203 67%
Blue Cross Blue Shieldmajor $64 - $366 67%
Aetnamajor $62 - $195 65%
Humanamajor $53 - $73 56%
Fidelis Care $53 - $73 56%
MagnaCare $298 313%
MVP Health Care $53 - $81 56%
+ 4 smaller / regional plans $63 - $213
Government programs also on file: Military & VA.

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