CMS Price Transparency Data

Colonoscopy with biopsy

Facility: South Shore Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,444
about 1.2× the $1,223 Medicare rate · typically $1,099–$2,024
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,277
Below the fair price — a good deal
about $167 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,444 This hospital $1,277

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 $1,277

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 $1,444 (about 1.2× the $1,223 Medicare rate). South Shore Hospital charges insurers about $1,277 — below the fair price — a good deal. Located in South Weymouth, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $897 73%
Blue Cross Blue Shieldmajor $1,120 92%
Aetnamajor $1,434 117%
Harvard Pilgrim $691 57%
Tufts Health Plan $1,728 - $1,805 141%

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Facility Profile & Credentials

  • Address: 55 Fogg Road, South Weymouth, MA 02190
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals