CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Metrowest Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$961
about 1.0× the $950 Medicare rate · typically $592–$1,662
modeled estimate · not a bill or quote
What this hospital charges insurers
$395
Below the fair price — a good deal
about $566 under the fair price · 0.4× Medicare
Medicare pays $950 Fair price $961 This hospital $395

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Lowest price of the 9 MA hospitals we have prices for — a strong deal.

Cheapest $395 Priciest $852

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $961 (about 1.0× the $950 Medicare rate). Metrowest Medical Center charges insurers about $395 — below the fair price — a good deal. Located in Framingham, MA.

What each insurance company pays

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

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

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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
Aetnamajor $4,898 516%
Cignamajor $3,913 - $13,614 412%
Health Net $395 42%
+ 1 smaller / regional plan $395
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 115 Lincoln Street, Framingham, MA 01701
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals