How many shoppable procedure prices are published for The University of Vermont Health Network-Alice Hy?

The University of Vermont Health Network-Alice Hy in Malone, NY currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The University of Vermont Health Network-Alice Hy's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, The University of Vermont Health Network-Alice Hy's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is The University of Vermont Health Network-Alice Hy's CMS Care Compare overall star rating?

CMS Care Compare assigns The University of Vermont Health Network-Alice Hy an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private Updated: 2026-04-28

The University of Vermont Health Network-Alice Hy

133 Park Street, Po Box 729, Malone, NY 12953 · 108 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.75×vs. Fair Market Price

Typical commercial prices here are 25% below the fair benchmark (0.75×) after accounting for local nurse/doctor wages and patient complexity.

60/100 · Caution

60/100Self-Pay Cash Beats Insurance 14% of the Time

File Completeness66

Price Logic76

Peer Alignment54

Clean Billing82

Real Cash Discount11

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.75× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

The University of Vermont Health Network-Alice Hy maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.80× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.87× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 92 in NY · 2nd State Percentile#187 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 25% below peer Fair BaseRate (0.75×)
Self-pay cash beats commercial insurance on 14% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 55% patient recommendation (62/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.75× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.0×) & laboratory (2.1×) services average 1.14× higher multiples than routine shoppable care (0.7×)
Even at low-cost facilities (0.75× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 7.3× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.14× Divergence

0.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 0.42× · Q50 0.80× · Q75 0.87×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

14% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 62/100Elevated

Procedure Prices at The University of Vermont Health Network-Alice Hy

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

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Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,163	$6,163	$6,109	1.0×
Total knee replacement CPT Code: `27447`	$5,897	$5,897	$13,523	0.4×
Total hip replacement CPT Code: `27130`	$5,515	$5,515	$13,413	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,690	$2,690	$448	6.0×
C-section delivery (full package) CPT Code: `59510`	$7,930	$2,546	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$7,135	$2,309	$2,680	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,241	$855	2.6×
Blood transfusion CPT Code: `36430`	$952	$952	$498	1.9×
Bunion correction surgery CPT Code: `28296`	$2,743	$697	$3,446	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,451	$588	$1,021	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,458	$536	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,574	$509	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$662	$467	$3,875	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$3,339	$360	$1,256	0.3×
X-ray, lower back CPT Code: `72110`	$334	$334	$112	3.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$354	$354	$201	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,723	$309	$981	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$269	$269	$86	3.1×
Rabies immune globulin HCPCS Code: `90375`	$1,722	$282	$322	0.9×
X-ray, chest (two views) CPT Code: `71046`	$236	$236	$93	2.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,086	$230	$511	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$3,101	$253	$987	0.3×
Speech therapy (group session) CPT Code: `92508`	$195	$195	$27	7.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$196	$196	$64	3.1×
X-ray, foot CPT Code: `73630`	$192	$192	$92	2.1×
X-ray, hand CPT Code: `73130`	$192	$192	$93	2.1×
X-ray, ankle CPT Code: `73610`	$192	$192	$93	2.1×
X-ray, hip CPT Code: `73502`	$186	$186	$93	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$150	$150	$93	1.6×
X-ray, pelvis CPT Code: `72170`	$171	$171	$110	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$787	$170	$272	0.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,544	$139	$151	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,938	$155	$369	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,261	$129	$303	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$502	$135	$583	0.2×
X-ray, chest (single view) CPT Code: `71045`	$98	$98	$92	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$401	$100	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$399	$88	$110	0.8×
CT scan, sinuses CPT Code: `70486`	$1,087	$88	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,058	$331	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$680	$194	$203	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$414	$133	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$336	$101	$111	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$300	$69	$87	0.8×
X-ray, shoulder CPT Code: `73030`	$65	$65	$92	0.7×
Ultrasound, pelvis CPT Code: `76856`	$474	$71	$130	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$305	$69	$132	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$365	$60	$126	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$2,001	$79	$338	0.2×
CT scan, pelvis CPT Code: `72192`	$1,061	$52	$163	0.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$85	$12	$14	0.9×
Blood test, vitamin D CPT Code: `82306`	$93	$25	$31	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,157	$48	$168	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,123	$40	$160	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,862	$61	$258	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$324	$79	$343	0.2×
Physical therapy (gait training) CPT Code: `97116`	$109	$41	$33	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$224	$41	$34	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$127	$41	$35	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$119	$43	$38	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$68	$68	$86	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$127	$41	$38	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$153	$41	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$123	$41	$40	1.0×
Prosthetic fitting and training CPT Code: `97761`	$119	$41	$45	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$87	$30	$33	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$83	$32	$37	0.9×
Orthotic fitting and training CPT Code: `97760`	$133	$41	$51	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$158	$40	$56	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$367	$47	$148	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,068	$52	$167	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$319	$36	$123	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$511	$39	$134	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,183	$48	$169	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,444	$54	$242	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$56	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$79	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$71	$8	$8	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$275	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$63	$22	$25	0.9×
Blood test, amylase CPT Code: `82150`	$109	$6	$7	0.9×
Blood test, lipase CPT Code: `83690`	$73	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$79	$6	$7	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$49	$16	$19	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$90	$5	$6	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$238	$9	$11	0.8×
Culture, blood CPT Code: `87040`	$332	$9	$11	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$290	$13	$16	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$168	$8	$10	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$94	$31	$39	0.8×
Blood test, calcium CPT Code: `82310`	$98	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$68	$4	$5	0.8×
Blood test, potassium CPT Code: `84132`	$86	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$108	$4	$5	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$4	$5	0.8×
Hepatitis C antibody test CPT Code: `86803`	$87	$12	$15	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$151	$7	$9	0.8×
Blood test, liver function panel CPT Code: `80076`	$221	$7	$9	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$291	$14	$18	0.8×
Culture, bacterial CPT Code: `87070`	$175	$7	$9	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$37	$27	$35	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$96	$29	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$96	$29	$49	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$96	$29	$49	0.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$74	$3	$4	0.8×
Blood test, hemoglobin CPT Code: `85018`	$43	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$78	$14	$25	0.6×
Blood antibody screen CPT Code: `86850`	$129	$8	$46	0.2×

Showing top 25 high-impact procedures of 108 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.9%

Audit a Bill or Quote at The University of Vermont Health Network-Alice Hy (Zero PHI Required)

CMS CCN: 331321

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $6,163

Insurer Median $6,163

1. Amount on Your Bill or Quote ($) Pre-filled with The University of Vermont Health Network-Alice Hy’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,965 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,965

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.9% of gross = $1,965).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $6,163

Compare Prompt-Pay Cash Rate Against Remaining Deductible

The University of Vermont Health Network-Alice Hy's published 45 CFR § 180 self-pay cash rate is $6,163 (vs. $6,163 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$54 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($6,163) is $54 above the denoised Fair BaseRate ($6,109) and 1.0× the $6,176 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (31.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait169 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (120 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for The University of Vermont Health Network-Alice Hy.

Price Index: 0.91× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Fidelis Care

-43.7%

Median Household Income$63,747U.S. Census ACS

Local Uninsured Share6.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 60/100 · Caution CMS CCN 331321

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 331321) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-28

Validated Rate Rows4,067 (CMS v3.0.0)

File Integrity DigestVerified · CCN 331321

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy