CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Gifford Medical Center

Billing Code: 97140 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.8× the $28 Medicare rate · typically $24–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $20 under the fair price · 1.1× Medicare
Medicare pays $28 Fair price $50 This hospital $30 Cash price $71 Hospital's list price $142

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

A typical price — 4 charge more and 3 charge less, among the 8 VT hospitals compared.

Cheapest $27 Priciest $143

Black dot = this hospital, among the 8 VT hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (manual therapy) is about $50 (about 1.8× the $28 Medicare rate). Gifford Medical Center charges insurers about $30, or about $71 in cash — below the fair price — a good deal. 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 $27 - $134 97%
Blue Cross Blue Shieldmajor $28 - $127 101%
Aetnamajor $133 - $134 480%
Cignamajor $32 - $113 115%
Harvard Pilgrim $43 - $113 155%
MVP Health Care $27 - $120 97%
+ 1 smaller / regional plan $27 - $64
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