CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Saint Mary's Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$114
about 0.1× the $950 Medicare rate · typically $82–$791
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
Above the fair price
about $83 over the fair price · 0.2× Medicare
Medicare pays $950 Fair price $114 This hospital $197 Hospital's list price $1,142

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 7 of 8 other CT hospitals charge more for the same procedure.

Cheapest $173 Priciest $1,134

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $114 (about 0.1× the $950 Medicare rate). Saint Mary's Hospital charges insurers about $197 — above the fair price. Located in Waterbury, CT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $114. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $60 - $1,093 6%
Blue Cross Blue Shieldmajor $60 - $3,307 6%
Aetnamajor $60 - $1,093 6%
Cignamajor $60 - $1,125 6%
Humanamajor $60 - $197 6%
Kaiser Permanentemajor $322 - $3,307 34%
Ambetter (Centene) $60 - $120 6%
Clover Health $85 - $197 9%
Harvard Pilgrim $204 - $377 21%
Health Net $60 - $438 6%
HealthPartners $60 - $120 6%
Meridian $60 - $197 6%
Molina $60 - $120 6%
Paramount $60 - $120 6%
Presbyterian $60 - $197 6%
Tufts Health Plan $60 - $371 6%
UniCare $149 - $3,307 16%
WellMed $85 - $197 9%
WellSense $60 - $120 6%
+ 356 smaller / regional plans $60 - $3,307
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals