CMS Price Transparency Data
Culture, blood
Facility: Gifford Medical Center
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$56
about 5.6× the $10 Medicare rate · typically $10–$65
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $56 Cash price $78 Hospital's list price $156
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 | $10 - $148 | 97% |
| Blue Cross Blue Shieldmajor | $51 - $133 | 494% |
| Aetnamajor | $148 | 1434% |
| Cignamajor | $125 | 1211% |
| Harvard Pilgrim | $125 | 1211% |
| MVP Health Care | $70 - $133 | 678% |
| + 1 smaller / regional plan | $70 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gifford Medical Center
Compare: Culture, blood at other VT hospitals
- Central Vermont Medical Center · Barre $10
- Southwestern Vermont Medical Center · Bennington $10
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $11
- Brattleboro Memorial Hospital · Brattleboro $11
Insurance negotiated median for the same procedure, sorted lowest first.