Home › Hospitals › The University of Vermont Health Network - Alice Hyde Medical Center Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-02.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $2,205
$2,205
1.9×
Upper GI endoscopy (EGD) with biopsy (43239) $3,723
$3,723
3.3×
Diagnostic colonoscopy (45378) $3,049
$3,049
2.6×
Colonoscopy with biopsy (45380) $3,723
$3,723
2.5×
Colonoscopy with lesion removal (45385) $3,723
$3,723
2.5×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,037
$1,037
0.9×
Transforaminal epidural injection, lumbar/sacral (64483) $1,027
$1,027
0.9×
CT head/brain without contrast (70450) $2,195
$2,195
16.8×
MRI brain without contrast (70551) range across 2 matching MRF lines $324–$4,113
$324–$4,113
varies
MRI brain with contrast (70552) $4,256
$4,256
9.8×
MRI brain without and with contrast (70553) $5,596
$5,596
12.8×
X-ray lower spine, 4+ views (72110) $652
$652
5.0×
MRI lumbar spine without contrast (72148) $3,913
$3,913
13.1×
CT pelvis with contrast (72193) $2,368
$2,368
10.8×
MRI lower-extremity joint without contrast (73721) $3,795
$3,795
12.7×
CT abdomen and pelvis with contrast (74177) $5,273
$5,273
12.1×
Ultrasound, abdomen complete (76700) $973
$973
7.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $506
$506
3.9×
Ultrasound, transvaginal (76830) $985
$985
7.5×
Mammography, one breast (diagnostic) (77065) $551
$551
6.4×
Mammography, both breasts (diagnostic) (77066) $675
$675
6.1×
Mammography, screening (bilateral) (77067) $592
$592
6.5×
Basic metabolic panel (80048) $151
$151
17.8×
Comprehensive metabolic panel (80053) $238
$238
22.5×
Lipid panel (80061) range across 2 matching MRF lines $275–$282
$275–$282
varies
Renal function panel (80069) $167
$167
19.2×
Hepatic function panel (80076) $221
$221
27.1×
PSA, total (84153) range across 5 matching MRF lines $23–$86
$23–$86
varies
Thyroid stimulating hormone (TSH) (84443) $291
$291
17.3×
CBC with automated differential (85025) $120
$120
15.4×
CBC, automated (85027) $91
$91
14.1×
Prothrombin time (PT) (85610) $68
$68
15.9×
Partial thromboplastin time (PTT) (85730) $90
$90
15.0×
Sleep study (attended polysomnography) (95810) $4,081
$4,081
3.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $127
$127
4.4×
Office visit, new patient (low complexity, ~30 min) (99203) $335
$335
2.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $515
$515
3.1×
Office visit, new patient (high complexity, ~60 min) (99205) $540
$540
3.2×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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