CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 0.7× the $136 Medicare rate · typically $66–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $6 over the fair price · 0.7× Medicare
Medicare pays $136 Fair price $94 This hospital $100 Cash price $401 Hospital's list price $401

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 $72 Priciest $100

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 (30-39 min) is about $94 (about 0.7× the $136 Medicare rate). The University of Vermont Health Network-Alice Hy charges insurers about $100, or about $401 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 $91 - $288 67%
Blue Cross Blue Shieldmajor $94 - $456 69%
Aetnamajor $91 - $289 67%
Humanamajor $77 - $108 57%
Fidelis Care $77 - $108 57%
MagnaCare $372 274%
MVP Health Care $75 - $124 55%
+ 4 smaller / regional plans $88 - $316
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