CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$694
about 0.6× the $1,223 Medicare rate · typically $497–$1,000
modeled estimate · not a bill or quote
What this hospital charges insurers
$803
Above the fair price
about $109 over the fair price · 0.7× Medicare
Medicare pays $1,223 Fair price $694 This hospital $803 Cash price $4,918 Hospital's list price $4,918

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

On the higher side — 7 of 8 other VT hospitals charge less.

Cheapest $270 Priciest $967

Black dot = this hospital, among the 9 VT 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 $694 (about 0.6× the $1,223 Medicare rate). Univ. of Vermont - Fletcher Allen Health Care charges insurers about $803, or about $4,918 in cash — above the fair price. Located in Burlington, VT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $694. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $277 - $4,841 23%
Blue Cross Blue Shieldmajor $189 - $4,762 15%
Aetnamajor $185 - $4,180 15%
Cignamajor $1,592 - $4,426 130%
Humanamajor $185 - $1,377 15%
Fidelis Care $213 - $1,307 17%
Harvard Pilgrim $1,442 - $3,934 118%
MagnaCare $1,442 - $3,934 118%
MVP Health Care $157 - $3,504 13%
+ 4 smaller / regional plans $185 - $4,229
Government programs also on file: Military & VA.
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 111 Colchester Ave, Burlington, VT 05401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals