CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Newton-Wellesley Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,343
about 1.1× the $1,223 Medicare rate · typically $1,133–$1,865
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,120
Below the fair price — a good deal
about $223 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,343 This hospital $1,120 Cash price $1,765 Hospital's list price $2,353

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 4 charge more and 3 charge less, among the 9 MA hospitals compared.

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 $1,343 (about 1.1× the $1,223 Medicare rate). Newton-Wellesley Hospital charges insurers about $1,120, or about $1,765 in cash — below the fair price — a good deal. Located in Newton, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $980 - $1,846 80%
Blue Cross Blue Shieldmajor $1,120 - $1,400 92%
Aetnamajor $1,372 - $1,442 112%
Cignamajor $1,395 114%
Humanamajor $1,400 115%
Harvard Pilgrim $980 80%
Tufts Health Plan $1,372 112%
+ 1 smaller / regional plan $1,395
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2014 Washington Street, Newton, MA 02462
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals