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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Champlain Valley Physicians Hospital

University of Vermont Health Network · Plattsburgh, NY

75 Beekman Street, Plattsburgh, NY 12901(518) 562-7767

2 of 5

CMS star rating

226

Beds

7,853

Inpatient discharges a year

$462.6M

Net patient revenue a year

32

In-network payers

About this hospital

Champlain Valley Physicians Hospital is a 226-bed voluntary non-profit - private hospital in Plattsburgh, NY, affiliated with University of Vermont Health Network. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 304 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
330250
NPI
1033270699
Website
cvph.org
Health system
University of Vermont Health Network
Teaching
Teaching hospital
County
Clinton County
Metro area
Plattsburgh, NY MicroSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Champlain Valley Physicians Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,232 - $14,352

from 3 insurers · median $10,877

Aetna$10,232
Insurer A*$10,877
Insurer B*$14,352

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$15,441 - $19,854

from 3 insurers · median $16,917

Aetna$16,917
Insurer A*$15,441
Insurer B*$19,854

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$417 - $4,283

from 3 insurers · median $3,907

Aetna$417
Insurer A*$3,907
Insurer B*$4,283
Medicare $423Nearby hospitals $811382% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$267 - $4,066

from 3 insurers · median $3,238

Aetna$267
Insurer A*$3,238
Insurer B*$4,066
Medicare $289Nearby hospitals $354815% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Champlain Valley Physicians Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
869%
131
Insurer B*23
737%
200
Insurer C*23
103%
612

How we chose these services: 2 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Champlain Valley Physicians Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 223 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.37%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 39 services, including trauma care
    • 806 affiliated clinicians
    See doctors and services
  • Finances

    $462.6M net patient revenue

    • Operating margin on patient care -10.7%
    • $40.2M unreimbursed and uncompensated care
    • $655,908 net income
    See finances
  • Ownership and leadership

    Owned by The University of Vermont Health Network Inc.

    • Private (not for profit)
    • Michelle M Lebeau, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Champlain Valley Physicians Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
14-1338471Champlain Valley Physicians Hospital Medical Center52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 47 more1033270699 Champlain Valley Physicians Hospital Medical Center1215098876 Champlain Valley Physicians Hospital Medical Center1124189782 Champlain Valley Physicians Hospital Medical Centerand 48 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

75 Beekman Street, Plattsburgh, NY 12901

(518) 562-7767

Get directions

Frequently asked questions

About Champlain Valley Physicians Hospital's rates and hospital price transparency.

How much does an MRI cost at Champlain Valley Physicians Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Champlain Valley Physicians Hospital range from $349 to $6,139 across 3 insurers. Blue Cross Blue Shield's rate is $4,437. The median at nearby comparable hospitals is $708. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Champlain Valley Physicians Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Champlain Valley Physicians Hospital range from $417 to $4,283 across 3 insurers. Aetna's rate is $417. The median at nearby comparable hospitals is $811. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Champlain Valley Physicians Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Champlain Valley Physicians Hospital range from $474 to $5,076 across 3 insurers. UnitedHealthcare's rate is $3,796. The median at nearby comparable hospitals is $3,536. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Champlain Valley Physicians Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Champlain Valley Physicians Hospital range from $10,232 to $14,352 across 3 insurers. Aetna's rate is $10,232. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Champlain Valley Physicians Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Champlain Valley Physicians Hospital range from $174 to $488 across 3 insurers. Aetna's rate is $174. The median at nearby comparable hospitals is $227. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Champlain Valley Physicians Hospital's CMS star rating?

Champlain Valley Physicians Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Champlain Valley Physicians Hospital a teaching hospital?

Yes. CMS counts 0.08 Medicare-funded residents per bed at Champlain Valley Physicians Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Champlain Valley Physicians Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Champlain Valley Physicians Hospital's base inpatient payments by an estimated 0.37% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Champlain Valley Physicians Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (276 discharges), heart failure and shock with mcc (175 discharges), pulmonary edema and respiratory failure (86 discharges).

What is Champlain Valley Physicians Hospital's case mix index?

Champlain Valley Physicians Hospital's Medicare case mix index is 1.56 for fiscal year 2027, higher than 35% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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