CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Northeastern Vermont Regional Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$365
about 0.4× the $950 Medicare rate · typically $174–$1,547
modeled estimate · not a bill or quote
What this hospital charges insurers
$369
About the fair price
about $4 over the fair price · 0.4× Medicare
Medicare pays $950 Fair price $365 This hospital $369 Cash price $365 Hospital's list price $487

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

A typical price — 4 charge more and 4 charge less, among the 9 VT hospitals compared.

Cheapest $186 Priciest $748

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

A fair price for a Colonoscopy (diagnostic) is about $365 (about 0.4× the $950 Medicare rate). Northeastern Vermont Regional Hospital charges insurers about $369, or about $365 in cash — about the fair price. Located in Saint Johnsbury, VT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $107 - $570 11%
Blue Cross Blue Shieldmajor $42 - $222 4%
Harvard Pilgrim $105 - $558 11%
+ 1 smaller / regional plan $41 - $369

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1315 Hospital Drive, Saint Johnsbury, VT 05819
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals