CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Mainehealth Franklin Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$449
about 0.4× the $1,223 Medicare rate · typically $279–$1,298
modeled estimate · not a bill or quote
What this hospital charges insurers
$394
Below the fair price — a good deal
about $55 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $449 This hospital $394

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 4 charge more and 3 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 $449 (about 0.4× the $1,223 Medicare rate). Mainehealth Franklin Hospital charges insurers about $394 — below the fair price — a good deal. Located in Farmington, 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 $221 - $373 18%
Blue Cross Blue Shieldmajor $221 - $5,119 18%
Aetnamajor $192 - $394 16%
Cignamajor $793 65%
Harvard Pilgrim $835 - $980 68%
WellCare $221 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: 111 Franklin Health Commons, Farmington, ME 04938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals