CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Penobscot Valley Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$365
about 0.4× the $950 Medicare rate · typically $208–$1,022
modeled estimate · not a bill or quote
What this hospital charges insurers
$382
About the fair price
about $17 over the fair price · 0.4× Medicare
Medicare pays $950 Fair price $365 This hospital $382 Cash price $824 Hospital's list price $1,030

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 $177 Priciest $409

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

A fair price for a Colonoscopy (diagnostic) is about $365 (about 0.4× the $950 Medicare rate). Penobscot Valley Hospital charges insurers about $382, or about $824 in cash — about the fair price. Located in Lincoln, 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 $176 - $812 19%
Blue Cross Blue Shieldmajor $181 - $390 19%
Aetnamajor $101 - $1,658 11%
Cignamajor $361 - $1,623 38%
Humanamajor $99 - $397 10%
Harvard Pilgrim $367 - $1,649 39%
WellCare $87 - $349 9%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals