CMS Price Transparency Data

X-ray, lower back

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 72110 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$57
about 0.5× the $107 Medicare rate · typically $15–$209
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $57 Cash price $334 Hospital's list price $334

How we calculate the fair BaseRate →

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 $8 - $642 7%
Blue Cross Blue Shieldmajor $9 - $584 8%
Aetnamajor $12 - $561 11%
Humanamajor $10 - $209 9%
Fidelis Care $10 - $209 9%
MagnaCare $13 - $522 12%
MVP Health Care $10 - $209 9%
+ 4 smaller / regional plans $8 - $612
Government programs also on file: Military & VA.

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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