CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Houlton Regional Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$602
about 0.5× the $1,223 Medicare rate · typically $271–$1,919
modeled estimate · not a bill or quote
What this hospital charges insurers
$519
Below the fair price — a good deal
about $83 under the fair price · 0.4× Medicare
Medicare pays $1,223 Fair price $602 This hospital $519 Cash price $1,297 Hospital's list price $1,365

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 $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 $602 (about 0.5× the $1,223 Medicare rate). Houlton Regional Hospital charges insurers about $519, or about $1,297 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 $1,297 106%
Blue Cross Blue Shieldmajor $500 - $1,151 41%
Aetnamajor $524 43%
Cignamajor $1,242 102%
WellCare $519 42%
+ 2 smaller / regional plans $696 - $1,201
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