CMS Price Transparency Data

Inguinal hernia repair

Facility: Gifford Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$610
about 0.2× the $3,658 Medicare rate · typically $348–$1,322
modeled estimate · not a bill or quote
What this hospital charges insurers
$686
About the fair price
about $76 over the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $610 This hospital $686 Cash price $650 Hospital's list price $1,299

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

A typical price — 3 charge more and 5 charge less, among the 9 VT hospitals compared.

Cheapest $472 Priciest $1,158

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

A fair price for a Inguinal hernia repair is about $610 (about 0.2× the $3,658 Medicare rate). Gifford Medical Center charges insurers about $686, or about $650 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 $483 - $1,234 13%
Blue Cross Blue Shieldmajor $498 - $1,164 14%
Aetnamajor $1,221 - $1,234 33%
Cignamajor $882 - $1,039 24%
Harvard Pilgrim $820 - $1,039 22%
MVP Health Care $483 - $1,104 13%
+ 1 smaller / regional plan $483 - $585
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