Gifford Health Care · Randolph, VT
34
In-network payers
297
Disclosed rate categories
52
Beds
4
Care quality
Gifford Health Care is a 52-bed voluntary non-profit - private hospital in Randolph, VT, affiliated with Gifford Health Care. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 297 disclosed rate categories.
CCN (Medicare provider number)
471301
NPI
1730199647
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
52
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Gifford Health Care most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$608 - $1,664
from 3 insurers · median $1,002
Typical for a hospital with this service line
Mammography
CPT 77067
$416 - $448
from 3 insurers · median $419
Typical for a hospital with this service line
CT imaging
CPT 70450
$218 - $741
from 3 insurers · median $455
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,018 - $1,398
from 3 insurers · median $1,056
Typical for a hospital with this service line
CT imaging
CPT 74176
$343 - $1,363
from 3 insurers · median $830
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,435 - $2,552
from 3 insurers · median $2,361
Typical for a hospital with this service line
CT imaging
CPT 71275
$545 - $1,164
from 3 insurers · median $744
Typical for a hospital with this service line
MRI imaging
CPT 70553
$667 - $1,958
from 3 insurers · median $1,207
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$86 - $213
from 3 insurers · median $140
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$971 - $1,153
from 3 insurers · median $983
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$723 - $859
from 3 insurers · median $732
Typical for a hospital with this service line
MRI imaging
CPT 73221
$2,196 - $2,510
from 3 insurers · median $2,408
Typical for a hospital with this service line
Ultrasound
CPT 76830
$405 - $720
from 3 insurers · median $667
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$345 - $386
from 3 insurers · median $382
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$766 - $910
from 3 insurers · median $776
Typical for a hospital with this service line
MRI imaging
CPT 70551
$406 - $1,405
from 3 insurers · median $857
Typical for a hospital with this service line
Ultrasound
CPT 76856
$351 - $624
from 3 insurers · median $577
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$337 - $372
from 3 insurers · median $370
Typical for a hospital with this service line
Ultrasound
CPT 76642
$410 - $490
from 3 insurers · median $413
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$93 - $110
from 3 insurers · median $93
Typical for a hospital with this service line
Ultrasound
CPT 76705
$246 - $392
from 3 insurers · median $286
Typical for a hospital with this service line
X-ray and bone density
CPT 73130
$367 - $417
from 3 insurers · median $403
Typical for a hospital with this service line
Mammography
CPT 77065
$414 - $456
from 3 insurers · median $422
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,108 - $3,593
from 3 insurers · median $3,148
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 468% | 5 | 14 |
| Insurer B* | 24 | 365% | 0 | 17 |
| Insurer C* | 24 | 267% | 3 | 19 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Gifford Health Care.
44 South Main Street, Randolph, VT 05060
(802) 728-4441
The nearest hospitals of similar type and size. Their rates are compared with Gifford Health Care for the same insurers and services above.
Porter Medical Center
▲ Rates typically 84% higher than Gifford Health Care (24 services)
Alice Peck Day Memorial Hospital
▲ Rates typically 78% higher than Gifford Health Care (19 services)
Mt Ascutney Hospital And Health Cent
▲ Rates typically 63% higher than Gifford Health Care (19 services)
Cottage Hospital
▲ Rates typically 63% higher than Gifford Health Care (19 services)
Ticonderoga Campus
Too few shared services to compare rates
Valley Regional Hospital
▲ Rates typically 138% higher than Gifford Health Care (19 services)
Springfield Hospital
Northeastern Vermont Regional Hospital
About Gifford Health Care's rates and hospital price transparency.
For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Gifford Health Care range from $1,435 to $2,552 across 3 insurers. Cigna's rate is $2,552. The median at nearby comparable hospitals is $1,942. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Gifford Health Care range from $608 to $1,664 across 3 insurers. Blue Cross Blue Shield's rate is $608. The median at nearby comparable hospitals is $3,447. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Gifford Health Care range from $971 to $1,153 across 3 insurers. Cigna's rate is $971. The median at nearby comparable hospitals is $2,806. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Gifford Health Care range from $416 to $448 across 3 insurers. UnitedHealthcare's rate is $448. The median at nearby comparable hospitals is $645. What a patient pays depends on their plan's deductible, coinsurance and network status.
Gifford Health Care has 52 beds. Facility type: Critical Access Hospital.
Gifford Health Care is located at 44 South Main Street, Randolph, VT 05060. Its main phone number is (802) 728-4441.
Gifford Health Care's CMS Certification Number (CCN), also called its Medicare provider number, is 471301.
The National Provider Identifier (NPI) on file for Gifford Health Care is 1730199647.
Gifford Health Care lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
297 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers