CMS Price Transparency Data

CT scan, pelvis

Facility: Gifford Medical Center

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$77
about 0.7× the $107 Medicare rate · typically $70–$341
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $107 Fair price $77 This hospital $75 Cash price $79 Hospital's list price $157

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 5 of 7 other VT hospitals charge more for the same procedure.

Cheapest $56 Priciest $665

Black dot = this hospital, among the 8 VT hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, pelvis is about $77 (about 0.7× the $107 Medicare rate). Gifford Medical Center charges insurers about $75, or about $79 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 $49 - $1,938 46%
Blue Cross Blue Shieldmajor $50 - $1,734 47%
Aetnamajor $148 - $1,938 139%
Cignamajor $77 - $1,632 72%
Harvard Pilgrim $126 - $1,632 118%
MVP Health Care $49 - $1,734 46%
+ 1 smaller / regional plan $49 - $918
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