CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Cambridge Health Alliance

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,283
about 1.0× the $1,223 Medicare rate · typically $697–$2,006
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,120
Below the fair price — a good deal
about $163 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,283 This hospital $1,120 Cash price $3,230 Hospital's list price $3,230

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 4 charge more and 3 charge less, among the 9 MA hospitals compared.

Cheapest $395 Priciest $1,277

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

A fair price for a Colonoscopy with biopsy is about $1,283 (about 1.0× the $1,223 Medicare rate). Cambridge Health Alliance charges insurers about $1,120, or about $3,230 in cash — below the fair price — a good deal. Located in Cambridge, MA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $1,070 - $1,646 88%
Aetnamajor $1,646 135%
Cignamajor $1,646 135%
Humanamajor $1,646 135%
Medical Mutual $1,646 135%
Tufts Health Plan $1,140 93%
+ 30 smaller / regional plans $163 - $1,646
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals