CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Brigham and Women Faulkner 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
$1,372
About the fair price
about $29 over the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,343 This hospital $1,372 Cash price $1,765 Hospital's list price $2,353

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 $1,372

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). Brigham and Women Faulkner Hospital charges insurers about $1,372, or about $1,765 in cash — about the fair price. Located in Jamaica Plain, 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 $1,046 - $1,846 86%
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%
+ 2 smaller / regional plans $1,372 - $1,400
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1153 Centre Street, Jamaica Plain, MA 02130
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals