CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Heywood Hospital -
Billing Code: 45378 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,186
about 1.2× the $950 Medicare rate · typically $485–$1,304
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,186 Cash price $1,126 Hospital's list price $1,126
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 | $4,755 | 500% |
| Blue Cross Blue Shieldmajor | $1,342 - $1,375 | 141% |
| Aetnamajor | $998 - $1,400 | 105% |
| Cignamajor | $1,725 | 182% |
| Harvard Pilgrim | $1,853 | 195% |
| Tufts Health Plan | $1,426 | 150% |
| + 2 smaller / regional plans | $998 - $1,496 |
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Other Procedures at Heywood Hospital -
Compare: Colonoscopy (diagnostic) at other MA hospitals
- Metrowest Medical Center · Framingham $395
- St Vincent Hospital · Worcester $395
- North Adams Regional Hospital Corporation · North Adams $680
- Lowell General Hospital · Lowell $791
- Newton-Wellesley Hospital · Newton $798
- North Shore Medical Center - · Salem $852
- Brigham and Women's Hospital · Boston $852
- Brigham and Women Faulkner Hospital · Jamaica Plain $852
Insurance negotiated median for the same procedure, sorted lowest first.