CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Southwestern Vermont Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$335
about 0.3× the $1,223 Medicare rate · typically $196–$935
modeled estimate · not a bill or quote
What this hospital charges insurers
$336
About the fair price
about $1 over the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $335 This hospital $336 Cash price $774 Hospital's list price $1,105

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 6 of 8 other VT hospitals charge more for the same procedure.

Cheapest $270 Priciest $967

Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $335 (about 0.3× the $1,223 Medicare rate). Southwestern Vermont Medical Center charges insurers about $336, or about $774 in cash — about the fair price. Located in Bennington, VT.

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 $160 - $563 13%
Blue Cross Blue Shieldmajor $182 - $650 15%
Aetnamajor $182 - $662 15%
Cignamajor $182 - $647 15%
Humanamajor $182 - $402 15%
CDPHP $127 - $575 10%
Fidelis Care $182 - $422 15%
Harvard Pilgrim $358 - $639 29%
MVP Health Care $138 - $597 11%
Tufts Health Plan $340 - $605 28%
WellCare $182 - $402 15%
+ 3 smaller / regional plans $157 - $563

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Bennington, VT 05201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals