CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Connecticut Childrens Medical Center
Billing Code: 45380 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$612
about 0.5× the $1,223 Medicare rate · typically $226–$2,446
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $612 Cash price $2,975 Hospital's list price $4,958
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $3,617 - $4,449 | 296% |
| Blue Cross Blue Shieldmajor | $6,936 | 567% |
| Aetnamajor | $3,753 - $4,170 | 307% |
| Cignamajor | $3,698 | 302% |
| Humanamajor | $4,170 | 341% |
| CDPHP | $4,214 | 345% |
| Harvard Pilgrim | $3,617 | 296% |
| HealthPartners | $3,698 | 302% |
| MVP Health Care | $3,698 | 302% |
| Tufts Health Plan | $3,698 | 302% |
| UniCare | $6,936 | 567% |
| + 7 smaller / regional plans | $3,698 - $4,449 |
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Connecticut Childrens Medical Center
Compare: Colonoscopy with biopsy at other CT hospitals
- Gaylord Hospital · Wallingford $205
- Saint Mary's Hospital · Waterbury $248
- Midstate Medical Center · Meriden $489
- William W Backus Hospital · Norwich $489
- The Hospital of Central Connecticut · New Britain $489
- Windham Community Memorial Hospital · Willimantic $499
- St Vincent's Medical Center · Bridgeport $501
- John Dempsey Hospital of the University of Connect · Farmington $1,410
Insurance negotiated median for the same procedure, sorted lowest first.