CMS Price Transparency Data

Colonoscopy with biopsy

Facility: South County Hospital Inc

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,848
about 1.5× the $1,223 Medicare rate · typically $1,016–$2,685
modeled estimate · not a bill or quote
What this hospital charges insurers
$965
Below the fair price — a good deal
about $883 under the fair price · 0.8× Medicare
Medicare pays $1,223 Fair price $1,848 This hospital $965 Cash price $3,101 Hospital's list price $5,169

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Lowest price of the 4 RI hospitals we have prices for — a strong deal.

Cheapest $965 Priciest $2,459

Black dot = this hospital, among the 4 RI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $1,848 (about 1.5× the $1,223 Medicare rate). South County Hospital Inc charges insurers about $965, or about $3,101 in cash — below the fair price — a good deal. Located in Wakefield, RI.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $959 78%
Tufts Health Plan $924 76%
+ 1 smaller / regional plan $3,214
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 100 Kenyon Ave, Wakefield, RI 02879
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals