CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Mainehealth Maine Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$434
about 0.4× the $1,223 Medicare rate · typically $332–$1,018
modeled estimate · not a bill or quote
What this hospital charges insurers
$403
About the fair price
about $31 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $434 This hospital $403

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 6 of 8 other ME hospitals charge less.

Cheapest $192 Priciest $519

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

A fair price for a Colonoscopy with biopsy is about $434 (about 0.4× the $1,223 Medicare rate). Mainehealth Maine Medical Center charges insurers about $403 — about the fair price. Located in Portland, ME.

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 $188 - $1,141 15%
Blue Cross Blue Shieldmajor $190 - $5,183 16%
Aetnamajor $192 - $1,141 16%
Cignamajor $793 65%
Humanamajor $217 - $1,141 18%
Harvard Pilgrim $835 68%
WellCare $217 - $1,175 18%
+ 1 smaller / regional plan $401 - $404
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals