CMS Price Transparency Data

Blood test, liver function panel

Facility: Gifford Medical Center

Billing Code: 80076 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 5.6× the $8 Medicare rate · typically $9–$52
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $45 Cash price $60 Hospital's list price $120

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 - $114 98%
Blue Cross Blue Shieldmajor $40 - $102 490%
Aetnamajor $114 1395%
Cignamajor $96 1175%
Harvard Pilgrim $96 1175%
MVP Health Care $54 - $102 661%
+ 1 smaller / regional plan $54
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