CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Gifford Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$245
about 0.3× the $950 Medicare rate · typically $160–$834
modeled estimate · not a bill or quote
What this hospital charges insurers
$262
About the fair price
about $17 over the fair price · 0.3× Medicare
Medicare pays $950 Fair price $245 This hospital $262 Cash price $355 Hospital's list price $709

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 6 of 8 other VT hospitals charge more for the same procedure.

Cheapest $186 Priciest $748

Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $245 (about 0.3× the $950 Medicare rate). Gifford Medical Center charges insurers about $262, or about $355 in cash — about the fair price. Located in Randolph, VT.

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 $170 - $674 18%
Blue Cross Blue Shieldmajor $175 - $643 18%
Aetnamajor $666 - $674 70%
Cignamajor $312 - $567 33%
Harvard Pilgrim $521 - $567 55%
MVP Health Care $170 - $603 18%
+ 1 smaller / regional plan $319 - $320
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