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Gifford Medical Center

Randolph, VT · 52 beds · 81 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 100/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Abdominal Hysterectomy	$957$249$2.2k	$1,358	$1,358
ACL Reconstruction (Arthroscopic)	$6,787	$1,485	$1,485
Allergy Skin Testing	—	$9	$9
Basic Metabolic Panel	$66$8$119	$120	$120
Breast Biopsy (Ultrasound-guided)	$1,539$838$2.0k	$1,980	$1,980
Bunion Correction Surgery	$3,082	$1,336	$1,336
Cardiac Catheterization (Left Heart)	—	$3,936	$3,936
Carpal Tunnel Release Surgery	$4,980$1.9k$5.0k	$630	$630
Cataract Surgery with Lens Implant	$2,167$1.5k$3.6k	$3,650	$3,650
Cesarean Delivery (Global Package)	$2,464$640$5.5k	$3,492	$3,492
Chemotherapy Infusion (First Hour)	$531$315$955	$965	$965
Chest X-ray (2 Views)	$277$84$498	$503	$503
Colonoscopy with Biopsy	$2,023$1.1k$3.6k	$3,678	$3,678
Complete Abdominal Ultrasound	$371$101$667	$674	$674
Complete Blood Count (CBC) with Differential	$53$7$96	$97	$97
Comprehensive Metabolic Panel	$100$10$180	$182	$182
Critical Care, First Hour	$817$628$1.5k	$1,485	$1,485
CT Abdomen and Pelvis with Contrast	$1,935$339$3.5k	$3,519	$3,519
CT Chest without Contrast	$1,310$101$2.4k	$2,381	$2,381
CT Head without Contrast	$1,030$101$1.9k	$1,873	$1,873
DEXA Bone Density Scan	$242$101$436	$440	$440
Diagnostic Colonoscopy	$1,741$866$3.1k	$3,166	$3,166
Diagnostic Mammogram (Both Breasts)	$502$319$747	$755	$755
Ear Tube Placement (Tympanostomy)	$1,329$1.3k$1.4k	$460	$460
Echocardiogram (Complete with Doppler)	$1,284$521$2.3k	$2,335	$2,335
EKG (Electrocardiogram, 12-lead)	—	$55	$55
Emergency Room Visit (Level 3)	$263$201$4.1k	$474	$474
Group Therapy Session	—	$64	$64
Hemoglobin A1c (Diabetes Test)	$70$9$127	$128	$128
HIV Antibody Test	$38$8$78	$79	$79
Individual Therapy Session (45 Minutes)	—	$238	$238
Inguinal Hernia Repair (Open)	$7,636$3.4k$7.6k	$690	$690
Initial Hospital Admission (Level 1)	$91$58$176	$184	$184
Initial Psychiatric Diagnostic Evaluation	—	$397	$397
Initial Psychiatric Evaluation with Medication Management	—	$445	$445
IUD Insertion	$780$210$1.6k	$1,625	$1,625
IUD Removal	$250$163$431	$385	$385
Knee Arthroscopy with Meniscectomy	$9,202$3.1k$9.2k	$837	$837
Laparoscopic Appendectomy	$5,543	$1,320	$1,320
Laparoscopic Gallbladder Removal	$11,357$5.5k$11k	$867	$867
Laparoscopic Tubal Ligation	$9,391$5.5k$9.4k	$870	$870
Lipid Panel (Cholesterol Test)	$75$13$136	$137	$137
Lumbar Puncture (Spinal Tap)	$658$360$842	$851	$851
Lumpectomy (Partial Mastectomy)	$654$168$1.4k	$916	$916
MRI Abdomen with and without Contrast	$2,014$339$3.6k	$3,662	$3,662
MRI Brain with and without Contrast	$2,754$339$5.0k	$5,007	$5,007
MRI Brain with Contrast	$1,466$339$2.6k	$2,666	$2,666
MRI Brain without Contrast	$2,033$230$3.7k	$3,697	$3,697
MRI Cervical Spine (Neck) without Contrast	$1,827$230$3.3k	$3,321	$3,321
MRI Knee without Contrast	$1,909$230$3.4k	$3,470	$3,470
MRI Lower Back (Lumbar Spine) without Contrast	$1,998$230$3.6k	$3,633	$3,633
MRI Thoracic Spine (Mid-back) without Contrast	$2,001$230$3.6k	$3,638	$3,638
Newborn Circumcision	$1,175$191$2.4k	$2,448	$2,448
Nuclear Cardiac Stress Test	$2,945$1.2k$5.3k	$5,354	$5,354
Office Visit, Established Patient (Level 3)	$151$104$244	$246	$246
Office Visit, New Patient (Level 3)	$143$91$213	$215	$215
Pregnancy Ultrasound (Second or Third Trimester)	$286$101$515	$520	$520
Prostate Biopsy	$2,086$1.6k$3.8k	$3,793	$3,793
PSA Prostate Cancer Screening	$103$17$185	$187	$187
Pulmonary Function Test with Bronchodilator	$370$285$666	$673	$673
Rotator Cuff Repair (Arthroscopic)	$6,787	$1,628	$1,628
Screening Mammogram	$434$123$645	$652	$652
Septoplasty (Deviated Septum Repair)	$7,708$3.1k$7.7k	$1,624	$1,624
Sinus Surgery (Endoscopic, with Tissue Removal)	$6,576	$755	$755
Skin Biopsy (Tangential)	$189$129$302	$305	$305
Skin Lesion Removal (Benign, up to 0.5 cm)	$1,539	$198	$198
Spirometry (Breathing Test)	$170$137$321	$324	$324
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$3,081	$692	$692
Tonsillectomy and Adenoidectomy (Under Age 12)	$5,620	$662	$662
Total Hip Replacement	$28,684$12k$29k	$1,941	$1,941
Total Knee Replacement	$17,148$12k$17k	$1,938	$1,938
Total Mastectomy	$1,044$624$2.1k	$2,210	$2,210
TSH Thyroid Function Test	$105$16$188	$190	$190
TURP (Transurethral Prostate Resection)	$4,829	$2,259	$2,259
Upper GI Endoscopy (EGD)	$1,584$891$2.9k	$2,880	$2,880
Urinalysis with Microscopy	$32$3$57	$58	$58
Vaginal Birth After Cesarean (VBAC) Global Package	$2,324$1.9k$5.2k	$5,482	$5,482
Vaginal Delivery (Global Package)	$2,237$1.9k$5.0k	$5,272	$5,272
Vaginal Hysterectomy	$4,690	$1,123	$1,123
Vasectomy	$1,859$1.8k$3.6k	$876	$876
Vitamin D Blood Test	$117$28$210	$212	$212

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.