Visits & medical services prices at The University of Vermont Health Network - Alice Hyde Medical Center

Malone, NY · every code in this section with a posted price and a Medicare benchmark.

134 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $59 $59 1.2×
Airway Inhalation Treatment (94640) $354 $354 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$170–$173 $170–$173 varies
Application on-body injector (96377) $61 $61 1.0×
Assessment of aphasia per hr (96105) $631 $631 6.5×
Behavral qualit analys voice (92524) $378 $378 3.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $105 $105 1.3×
Bfb training ea addl 15 min (90913) $49 $49 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $315 $315 0.7×
Canalith repositioning proc (95992) $122 $122 3.0×
Cardiac Stress Tst,Tracing Only (93017) $1,259 $1,259 4.7×
Cardiopulmonary resuscitation (92950) $1,147 $1,147 4.3×
Cardioversion (92960) $1,268 $1,268 1.5×
Chemo Anti-Neopl Sq/Im (96401) $281 $281 3.1×
Chemo Hormon Antineopl Sq/Im (96402) $281 $281 3.1×
Chemo IV infusion addl hr (96415) $264 $264 2.9×
Chemo IV push addl drug (96411) $281 $281 3.1×
Chemother Prolong Infuse W/Pump (96416) $557 $557 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $420 $420 4.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $781 $781 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $281 $281 0.7×
Chest Wall Manipulation (94668) $161 $161 1.0×
Color/duplex Doppler, complete (93975) $631 $631 2.1×
Color/duplex Doppler, limited (93976) $642 $642 4.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $123 $123 3.8×
Continuous Pulse Ox (94762) $414 $414 2.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $271 $271 1.0×
Cpt initial (94667) $168 $168 1.0×
Critical care first hour (99291) $1,179 $1,179 1.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$234–$359 $234–$359 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $330 $330 1.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $319 $319 2.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,007 $1,007 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $650 $650 5.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $821 $821 2.8×
Dup-scan xtr veins unilateral/limited study (93971) $474 $474 3.6×
Duplex Scan Hemodialysis Access (93990) $348 $348 2.7×
Duplex up extrem art bilat (93930) $306 $306 1.0×
Duplex up extrem art unilat/ltd (93931) $650 $650 5.0×
Echo Congenital Complete (93303) $678 $678 1.0×
Echo Heart Xthoracic,Limited (93308) $576 $576 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,317 $1,317 1.9×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$132–$173 $132–$173 varies
Electrocardiogram Tracing (93005) $188 $188 2.6×
Emergency Dept Visit Level 2 (99282) $544 $544 2.8×
Emergency Dept Visit Level 3 (99283) $694 $694 2.0×
Emergency Dept Visit Level 4 (99284) $940 $940 1.8×
Er level 1 (99281) $398 $398 3.8×
Er level v (99285) $1,190 $1,190 1.6×
Evaluate pt use of inhaler (94664) $271 $271 1.0×
Evaluate Speech Production (92522) $364 $364 3.3×
Evaluate Swallowing Function (92610) $553 $553 6.5×
Evaluation of speech fluency (92521) $447 $447 3.4×
External ECG rec>48hr<7d recording (93242) $51 $51 1.1×
External ECG rec>7d<15d recording (93246) $57 $57 1.2×
External Ecg Scanning Analysis Report (93226) $211 $211 2.9×
Extracranial Bilat Study (93880) $973 $973 3.3×
Extracranial Uni/Ltd Study (93882) $111 $111 0.9×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$64–$81 $64–$81 varies
Holter monitor recording (93225) $495 $495 3.0×
Immunization administration (90471) $96 $96 1.1×
Iontophoresis 15 min (97033) $127 $127 6.7×
Irrig Drug Delivery Device (96523) $123 $123 1.7×
IV infusion hydration each additional hour (96361) $204 $204 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $262 $262 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $401 $401 4.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $92 $92 1.6×
IV push initial (96374) $249 $249 0.9×
Laryngeal Function Studies (92520) $322 $322 1.9×
Lung Function Test (Mbc/Mvv) (94200) $251 $251 3.4×
Mechanical chest wall oscillation per session (94669) $251 $251 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $65 $65 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $78 $78 2.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $76 $76 4.5×
Motion Fluoroscopy/Swallow (92611) $644 $644 7.0×
Nasopharyngoscopy (92511) $247 $247 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $798 $798 1.6×
Neuromuscular Reeducation (97112) $127 $127 3.9×
Newborn resuscitation (99465) $788 $788 1.0×
Oral Function Therapy (92526) $168 $168 2.0×
Oral Speech Device Eval (92597) $397 $397 5.6×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$92–$119 $92–$119 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$112–$154 $112–$154 varies
Ot Contrast Bath Ea 15 Min (97034) $81 $81 5.8×
Ot eval high complexity (97167) $275 $275 2.7×
Ot Eval Low Complex (97165) $275 $275 2.7×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$275–$314 $275–$314 varies
Ot manual therapy 15 min (97140) $224 $224 8.1×
Ot paraffin bath (97018) $125 $125 20.8×
Ot Prosthetic Training, Each 15 Min (97761) $119 $119 2.9×
Ot Re-Eval Est Plan Care (97168) $142 $142 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $257 $257 1.6×
Peripheral arterial disease rehab per session (93668) $91 $91 1.2×
Phlebotomy therapeutic (99195) $195 $195 1.2×
Photochemotx Psoralens&Ultraviolet Puva (96912) $83 $83 1.1×
Physical Performance Test (97750) $153 $153 4.5×
Plethysmography (94726) $382 $382 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,331 $4,331 4.0×
Polysom <6 yrs 4/> paramtrs (95782) $1,151 $1,151 1.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $127 $127 3.4×
Pt Eval High Complex (97163) $275 $275 2.8×
Pt eval low complex 20 min (97161) $275 $275 2.8×
Pt Eval Mod Complex (97162) $275 $275 2.8×
Pt gait training 15 min (97116) $109 $109 3.8×
Pt mechanical traction (97012) $173 $173 12.0×
Pt Re-Eval Est Plan Care (97164) $153 $153 2.3×
Pulmonary Stress Testing (94618) $160 $160 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$119–$199 $119–$199 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $291 $291 6.1×
Self Care Mngment Training (97535) $119 $119 3.7×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$98–$104 $98–$104 varies
Sleep study unattended (95806) $564 $564 2.1×
Speech sound lang comprehen (92523) $749 $749 3.3×
Spirometry (94010) $202 $202 0.7×
Standardized Cognitive Performance Testing (96125) $544 $544 5.3×
Temp transcutaneous pacing (92953) $788 $788 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $122 $122 5.5×
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$115–$127 $115–$127 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $142 $142 3.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $119 $119 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $134 $134 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $272 $272 1.0×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$112–$133 $112–$133 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $85 $85 1.8×
Tte w/doppler, complete (93306) $1,529 $1,529 2.2×
Tte W/O Doppler Complete (93307) $306 $306 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $269 $269 3.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $195 $195 8.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $259 $259 4.4×
Vasopneumatic device (97016)
range across 2 matching MRF lines
$56–$76 $56–$76 varies
Vent Mgmt Inpat Init Day (94002) $587 $587 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $682 $682 0.9×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$96–$125 $96–$125 varies
Whirlpool Therapy (97022) $224 $224 14.3×

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.