CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Cooley Dickinson Hospital Inc,The

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,453
about 1.2× the $1,223 Medicare rate · typically $1,114–$1,715
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,400
About the fair price
about $53 under the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,453 This hospital $1,400 Cash price $1,498 Hospital's list price $1,997

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $395 Priciest $1,400

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 $1,453 (about 1.2× the $1,223 Medicare rate). Cooley Dickinson Hospital Inc,The charges insurers about $1,400, or about $1,498 in cash — about the fair price. Located in Northampton, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $1,400 - $1,997 115%
Blue Cross Blue Shieldmajor $1,120 - $1,400 92%
Aetnamajor $1,857 152%
Cignamajor $1,939 159%
Harvard Pilgrim $980 80%
Tufts Health Plan $1,400 115%
+ 3 smaller / regional plans $1,205 - $1,442
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 30 Locust Street, Northampton, MA 01061
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals