CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$43
modeled fair price · typically $29–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
about $3 under the fair price
Fair price $43 This hospital $40 Cash price $158 Hospital's list price $158

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 $19 Priciest $40

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 Tdap vaccine (tetanus, diphtheria, pertussis) is about $43. The University of Vermont Health Network-Alice Hy charges insurers about $40, or about $158 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 $39 - $114 —
Blue Cross Blue Shieldmajor $39 - $151 —
Aetnamajor $40 - $138 —
Humanamajor $34 - $51 —
Fidelis Care $34 - $46 —
MagnaCare $124 - $129 —
MVP Health Care $34 - $51 —
+ 4 smaller / regional plans $38 - $151
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