Emergency visit, moderate (level 3) at Gifford Medical Center. CPT 99283.
What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$144cash price (self-pay)
$287list price
$65.68–$975range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $127 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $129 |
| Martins Point Health Care | Commercial | $129 |
| MVP Health Care of NY | Medicare Advantage | $129 |
| United Healthcare | Medicare Advantage | $129 |
| United Healthcare | VA CCN | $129 |
| Blue Cross Blue Shield of New Hampshire | SHOP On Exchange | $173 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $228 |
| Cigna | Commercial | $230 |
| Harvard Pilgrim Health Care | HMO | $230 |
| Harvard Pilgrim Health Care | PPO | $230 |
| Blue Cross Blue Shield of Vermont | Managed Care | $232 |
| Blue Cross Blue Shield of Vermont | Commercial | $244 |
| MVP Health Care of NY | Commercial | $244 |
| Blue Cross Blue Shield of New Hampshire | Commercial | $257 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $257 |
| Multiplan | Commercial | $267 |
| Aetna of VT | Commercial | $273 |
| United Healthcare | Commercial | $273 |
Inpatient
$144cash price (self-pay)
$457list price
$212–$975range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Commercial | $338 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $338 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $365 |
| Cigna | Commercial | $365 |
| Harvard Pilgrim Health Care | HMO | $365 |
| Harvard Pilgrim Health Care | PPO | $365 |
| Blue Cross Blue Shield of Vermont | Managed Care | $384 |
| Blue Cross Blue Shield of Vermont | Commercial | $388 |
| MVP Health Care of NY | Commercial | $388 |
| Multiplan | Commercial | $425 |
| Aetna of VT | Commercial | $434 |
| United Healthcare | Commercial | $434 |
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