CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Houlton Regional Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$515
about 0.5× the $950 Medicare rate · typically $230–$1,694
modeled estimate · not a bill or quote
What this hospital charges insurers
$409
Below the fair price — a good deal
about $106 under the fair price · 0.4× Medicare
Medicare pays $950 Fair price $515 This hospital $409 Cash price $1,192 Hospital's list price $1,255

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 9 ME hospitals we have prices for — worth calling around.

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 $515 (about 0.5× the $950 Medicare rate). Houlton Regional Hospital charges insurers about $409, or about $1,192 in cash — below the fair price — a good deal. Located in Houlton, ME.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $1,192 125%
Blue Cross Blue Shieldmajor $395 - $1,058 42%
Aetnamajor $413 43%
Cignamajor $1,142 120%
WellCare $409 43%
+ 2 smaller / regional plans $640 - $1,104
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 20 Hartford Street, Houlton, ME 04730
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals