CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Mainehealth Mid Coast Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$430
about 0.4× the $1,223 Medicare rate · typically $348–$1,006
modeled estimate · not a bill or quote
What this hospital charges insurers
$399
About the fair price
about $31 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $430 This hospital $399

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ME hospitals compared.

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 $430 (about 0.4× the $1,223 Medicare rate). Mainehealth Mid Coast Hospital charges insurers about $399 — about the fair price. Located in Brunswick, 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 - $1,151 15%
Blue Cross Blue Shieldmajor $188 - $4,118 15%
Aetnamajor $192 - $1,151 16%
Cignamajor $793 65%
Humanamajor $217 - $1,151 18%
Harvard Pilgrim $835 68%
WellCare $217 - $1,186 18%
+ 1 smaller / regional plan $404
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: 123 Medical Center Drive, Brunswick, ME 04011
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals