Office visit, established patient (20-29 min)
Facility: Gifford Medical Center
Billing Code: 99213 (CPT)
A typical price — 3 charge more and 4 charge less, among the 9 VT hospitals compared.
Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $79 (about 0.8× the $95 Medicare rate). Gifford Medical Center charges insurers about $87, 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
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 | $36 - $231 | 38% |
| Blue Cross Blue Shieldmajor | $33 - $218 | 35% |
| Aetnamajor | $75 - $231 | 79% |
| Cignamajor | $63 - $194 | 66% |
| Harvard Pilgrim | $63 - $194 | 66% |
| MVP Health Care | $36 - $207 | 38% |
| + 1 smaller / regional plan | $36 - $109 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Gifford Medical Center
Compare: Office visit, established patient (20-29 min) at other VT hospitals
- Southwestern Vermont Medical Center · Bennington $70
- North Country Hospital and Health Center · Newport $79
- Brattleboro Memorial Hospital · Brattleboro $84
- Porter Hospital Inc · Middlebury $86
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $87
- Copley Hospital · Morrisville $91
- Northeastern Vermont Regional Hospital · Saint Johnsbury $93
- Central Vermont Medical Center · Barre $96
Insurance negotiated median for the same procedure, sorted lowest first.