Colonoscopy with biopsy
Facility: Brigham and Women's Hospital
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $1,246 compared to the $1,452 fair price benchmark.
5-Star CMS clinical quality rating paired with 0.86× fair market pricing.
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 $1,452 (about 1.2× the $1,223 Medicare rate). Brigham and Women's Hospital charges insurers about $1,246, or about $1,966 in cash — below the fair price — a good deal. Located in Boston, 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
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 | $1,124 - $2,142 | 92% |
| Blue Cross Blue Shieldmajor | $1,120 - $1,400 | 92% |
| Aetnamajor | $1,442 - $2,107 | 118% |
| Cignamajor | $1,397 - $2,084 | 114% |
| Humanamajor | $1,400 | 115% |
| Harvard Pilgrim | $980 | 80% |
| Tufts Health Plan | $1,372 | 112% |
| + 5 smaller / regional plans | $957 - $2,107 |
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 Brigham and Women's Hospital
Compare: Colonoscopy with biopsy at other MA hospitals
- Holyoke Medical Center · Holyoke $172
- 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
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Brigham and Women's Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $951
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $951).
Self-Pay Cash Rate ($1,966) Beats Your Bill
Brigham and Women's Hospital's published 45 CFR § 180 self-pay cash rate is $1,966 (vs. $1,246 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,452 Fair BaseRate ($1,223 Medicare)
Your bill ($2,621) is $1,169 above the denoised Fair BaseRate ($1,452) and 2.1× the $1,223 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.