CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Rhode Island Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$2,085
about 1.7× the $1,223 Medicare rate · typically $1,172–$2,633
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $2,085 Cash price $2,308 Hospital's list price $2,308
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 | $4,274 | 350% |
| Blue Cross Blue Shieldmajor | $1,232 - $2,441 | 101% |
| Aetnamajor | $1,376 | 113% |
| Cignamajor | $1,345 - $5,656 | 110% |
| Harvard Pilgrim | $3,317 | 271% |
| Tufts Health Plan | $2,630 | 215% |
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Other Procedures at Rhode Island Hospital
Compare: Colonoscopy with biopsy at other RI hospitals
- South County Hospital Inc · Wakefield $965
- Landmark Medical Center · Woonsocket $1,339
- Newport Hospital · Newport $2,403
- The Miriam Hospital · Providence $2,459
Insurance negotiated median for the same procedure, sorted lowest first.