CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Gifford Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.8× the $95 Medicare rate · typically $45–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $8 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $79 This hospital $87 Cash price $79 Hospital's list price $158

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

A typical price — 3 charge more and 4 charge less, among the 9 VT hospitals compared.

Cheapest $70 Priciest $96

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

✓ 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 $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
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