CMS Price Transparency Data

Colonoscopy with biopsy

Facility: York Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$726
about 0.6× the $1,223 Medicare rate · typically $354–$1,226
modeled estimate · not a bill or quote
What this hospital charges insurers
$498
Below the fair price — a good deal
about $228 under the fair price · 0.4× Medicare
Medicare pays $1,223 Fair price $726 This hospital $498 Cash price $378 Hospital's list price $630

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 7 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 $726 (about 0.6× the $1,223 Medicare rate). York Hospital charges insurers about $498, or about $378 in cash — below the fair price — a good deal. Located in York, ME.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue 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
UnitedHealthcaremajor $296 24%
Aetnamajor $516 42%
Cignamajor $233 19%
Harvard Pilgrim $536 44%
+ 1 smaller / regional plan $498
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: 15 Hospital Drive, York, ME 03909
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals