CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Gifford Medical Center

Billing Code: 85025 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$38
about 4.8× the $8 Medicare rate · typically $10–$40
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $38 Cash price $42 Hospital's list price $85

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✓ Cigna HumanaKaiser 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 - $81 103%
Blue Cross Blue Shieldmajor $38 - $72 489%
Aetnamajor $81 1042%
Cignamajor $68 875%
Harvard Pilgrim $68 875%
MVP Health Care $38 - $72 489%
+ 1 smaller / regional plan $38
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 44 South Main Street, Randolph, VT 05060
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals