CMS Price Transparency Data

Culture, bacterial

Facility: Gifford Medical Center

Billing Code: 87070 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$25
about 2.8× the $9 Medicare rate · typically $9–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
Below the fair price — a good deal
about $15 under the fair price · 1.1× Medicare
Medicare pays $9 Fair price $25 This hospital $10 Cash price $84 Hospital's list price $169

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Highest price of the 5 VT hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $10

Black dot = this hospital, among the 5 VT hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Culture, bacterial is about $25 (about 2.8× the $9 Medicare rate). Gifford Medical Center charges insurers about $10, or about $84 in cash — below the fair price — a good deal. 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 $9 - $160 104%
Blue Cross Blue Shieldmajor $9 - $143 104%
Aetnamajor $158 - $160 1833%
Cignamajor $10 - $135 116%
Harvard Pilgrim $9 - $135 104%
MVP Health Care $9 - $143 104%
+ 1 smaller / regional plan $8 - $76
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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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