Colonoscopy with biopsy
Facility: Melrosewakefield Healthcare
Billing Code: 45380 (CPT)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
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 $1,498 (about 1.2× the $1,223 Medicare rate). Melrosewakefield Healthcare charges insurers about $1,771, or about $2,339 in cash — above the fair price. Located in Melrose, MA.
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 $1,498. 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.
4 of 6 major insurers have a published price at this hospital
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 | $980 - $3,400 | 80% |
| Blue Cross Blue Shieldmajor | $560 - $3,341 | 46% |
| Aetnamajor | $585 - $2,410 | 48% |
| Cignamajor | $835 - $3,341 | 68% |
| AmeriHealth | $585 - $1,169 | 48% |
| AvMed | $585 - $1,169 | 48% |
| GEHA | $585 - $1,169 | 48% |
| Harvard Pilgrim | $980 - $3,400 | 80% |
| Tufts Health Plan | $623 - $3,341 | 51% |
| WellSense | $3,341 | 273% |
| + 107 smaller / regional plans | $531 - $3,400 |
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.
Other Procedures at Melrosewakefield Healthcare
Compare: Colonoscopy with biopsy at other MA hospitals
- Metrowest Medical Center · Framingham $395
- St Vincent Hospital · Worcester $395
- North Adams Regional Hospital Corporation · North Adams $873
- Cambridge Health Alliance · Cambridge $1,120
- Newton-Wellesley Hospital · Newton $1,120
- North Shore Medical Center - · Salem $1,246
- Massachusetts General Hospital · Boston $1,246
- Brigham and Women's Hospital · Boston $1,246
Insurance negotiated median for the same procedure, sorted lowest first.