CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Gifford Medical Center
Billing Code: 80053 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$64
about 5.8× the $11 Medicare rate · typically $11–$72
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $64 Cash price $58 Hospital's list price $116
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 | $11 - $110 | 104% |
| Blue Cross Blue Shieldmajor | $51 - $98 | 483% |
| Aetnamajor | $110 | 1042% |
| Cignamajor | $93 | 881% |
| Harvard Pilgrim | $93 | 881% |
| MVP Health Care | $52 - $98 | 492% |
| + 1 smaller / regional plan | $52 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gifford Medical Center
Compare: Blood test, comprehensive metabolic panel at other VT hospitals
- Central Vermont Medical Center · Barre $11
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $11
- Brattleboro Memorial Hospital · Brattleboro $11
- Southwestern Vermont Medical Center · Bennington $11
Insurance negotiated median for the same procedure, sorted lowest first.