CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Gifford Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$282
about 0.2× the $1,223 Medicare rate · typically $173–$935
modeled estimate · not a bill or quote
What this hospital charges insurers
$285
About the fair price
about $3 over the fair price · 0.2× Medicare
Medicare pays $1,223 Fair price $282 This hospital $285 Cash price $479 Hospital's list price $958

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 7 of 8 other VT hospitals charge more for the same procedure.

Cheapest $270 Priciest $967

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

A fair price for a Colonoscopy with biopsy is about $282 (about 0.2× the $1,223 Medicare rate). Gifford Medical Center charges insurers about $285, or about $479 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 $185 - $910 15%
Blue Cross Blue Shieldmajor $191 - $858 16%
Aetnamajor $901 - $910 74%
Cignamajor $485 - $766 40%
Harvard Pilgrim $659 - $766 54%
MVP Health Care $185 - $814 15%
+ 1 smaller / regional plan $405 - $431
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