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Emergency visit, highest (level 5) at Gifford Medical Center. CPT 99285.

What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.

Outpatient / ER

$353cash price (self-pay)
$706list price
$162–$1,228range insurers pay
Insurance planNegotiated rate
Blue Cross Blue Shield of New Hampshire | Qualified Health Plan$313
Blue Cross Blue Shield of Vermont | Medicare Advantage$318
Martins Point Health Care | Commercial$318
MVP Health Care of NY | Medicare Advantage$318
United Healthcare | Medicare Advantage$318
United Healthcare | VA CCN$318
Blue Cross Blue Shield of New Hampshire | SHOP On Exchange$425
Blue Cross Blue Shield of Vermont | Vermont Health Plan$561
Cigna | Commercial$565
Harvard Pilgrim Health Care | HMO$565
Harvard Pilgrim Health Care | PPO$565
Blue Cross Blue Shield of Vermont | Managed Care$572
Blue Cross Blue Shield of Vermont | Commercial$600
MVP Health Care of NY | Commercial$600
Blue Cross Blue Shield of New Hampshire | Commercial$633
Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange$633
Multiplan | Commercial$657
Aetna of VT | Commercial$671
United Healthcare | Commercial$671

Inpatient

$353cash price (self-pay)
$706list price
$523–$1,228range insurers pay
Insurance planNegotiated rate
Blue Cross Blue Shield of New Hampshire | Commercial$523
Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange$523
Blue Cross Blue Shield of Vermont | Vermont Health Plan$565
Cigna | Commercial$565
Harvard Pilgrim Health Care | HMO$565
Harvard Pilgrim Health Care | PPO$565
Blue Cross Blue Shield of Vermont | Managed Care$593
Blue Cross Blue Shield of Vermont | Commercial$600
MVP Health Care of NY | Commercial$600
Multiplan | Commercial$657
Aetna of VT | Commercial$671
United Healthcare | Commercial$671
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All common services at Gifford Medical Center