CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Heywood Hospital -
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,498
about 1.2× the $1,223 Medicare rate · typically $576–$1,561
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,498 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 | 389% |
| Blue Cross Blue Shieldmajor | $1,765 - $1,808 | 144% |
| Aetnamajor | $1,288 - $1,400 | 105% |
| Cignamajor | $1,725 | 141% |
| Harvard Pilgrim | $2,438 | 199% |
| Tufts Health Plan | $1,426 | 117% |
| + 2 smaller / regional plans | $1,288 - $1,932 |
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Other Procedures at Heywood Hospital -
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.