CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Gifford Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.9× the $118 Medicare rate · typically $57–$153
modeled estimate · not a bill or quote
What this hospital charges insurers
$106
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $103 This hospital $106 Cash price $132 Hospital's list price $263

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 4 of 8 other VT hospitals charge more for the same procedure.

Cheapest $98 Priciest $128

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

A fair price for a New patient office visit (30-44 min) is about $103 (about 0.9× the $118 Medicare rate). Gifford Medical Center charges insurers about $106, or about $132 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 $65 - $388 55%
Blue Cross Blue Shieldmajor $49 - $366 42%
Aetnamajor $136 - $388 116%
Cignamajor $83 - $326 71%
Harvard Pilgrim $116 - $326 99%
MVP Health Care $65 - $347 55%
+ 1 smaller / regional plan $65 - $184
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