Colonoscopy with biopsy
Facility: Porter Hospital Inc
Billing Code: 45380 (CPT)
A typical price — 5 charge more and 3 charge less, among the 9 VT hospitals compared.
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 $290 (about 0.2× the $1,223 Medicare rate). Porter Hospital Inc charges insurers about $396, or about $2,181 in cash — above the fair price. Located in Middlebury, 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 $290. 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
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 - $3,641 | 23% |
| Blue Cross Blue Shieldmajor | $213 - $3,196 | 17% |
| Aetnamajor | $185 - $3,237 | 15% |
| Cignamajor | $677 - $3,345 | 55% |
| Humanamajor | $176 - $1,120 | 14% |
| Fidelis Care | $167 - $1,556 | 14% |
| Harvard Pilgrim | $221 - $2,942 | 18% |
| MVP Health Care | $157 - $3,428 | 13% |
| + 3 smaller / regional plans | $396 - $3,494 |
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.
Other Procedures at Porter Hospital Inc
Compare: Colonoscopy with biopsy at other VT hospitals
- North Country Hospital and Health Center · Newport $270
- Gifford Medical Center · Randolph $285
- Southwestern Vermont Medical Center · Bennington $336
- Northeastern Vermont Regional Hospital · Saint Johnsbury $470
- Copley Hospital · Morrisville $550
- Brattleboro Memorial Hospital · Brattleboro $657
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $803
- Central Vermont Medical Center · Barre $967
Insurance negotiated median for the same procedure, sorted lowest first.