▸ Compare · PriceTransparency
Sigmoidoscopy with biopsy
CPT 45331 · negotiated-rate distribution across hospitals in MA
Hospitals
9
Min
$1,017.50
Median
$1,159.58
Max
$1,170.23
Range multiplier
1.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 45 | $52.12 | $851.82 | $3,044.10 | 58.4× |
| UnitedHealthcare | 6 | 43 | $22.71 | $1,184.72 | $3,345.00 | 147.3× |
| Medicaid | 4 | 34 | $7.46 | $47.14 | $1,436.24 | 192.5× |
| institution [10406] | 4 | 30 | $41.90 | $1,128.30 | $2,762.00 | 65.9× |
| harvard pilgrim [10701] | 4 | 24 | $492.45 | $744.89 | $744.89 | 1.5× |
| Cigna | 6 | 20 | $705.11 | $1,589.50 | $3,563.91 | 5.1× |
| Aetna | 6 | 18 | $24.88 | $1,184.72 | $5,350.00 | 215.0× |
| correctional care [11003] | 3 | 16 | $1,114.51 | $1,121.41 | $3,563.91 | 3.2× |
| tufts [11201] | 4 | 11 | $705.11 | $2,158.43 | $2,374.30 | 3.4× |
| tufts connectorcare [10507] | 4 | 9 | $1,895.77 | $1,895.77 | $1,919.24 | 1.0× |
| mgb mcr [10124] | 4 | 9 | $1,114.51 | $1,170.23 | $1,184.72 | 1.1× |
| senior whole health [10110] | 4 | 8 | $1,192.52 | $1,199.90 | $1,207.28 | 1.0× |
| wellpoint [11112] | 4 | 8 | $627.22 | $627.22 | $627.22 | 1.0× |
| tufts us family [11203] | 4 | 8 | $1,114.51 | $1,121.41 | $1,128.30 | 1.0× |
| CHAMPVA | 4 | 8 | $974.44 | $1,121.15 | $1,159.58 | 1.2× |
| hsno/free care [10801] | 4 | 8 | $294.30 | $672.16 | $680.81 | 2.3× |
| fallon mcr [10105] | 3 | 7 | $1,170.23 | $1,170.23 | $1,184.72 | 1.0× |
| commonwealth care mcr [10115] | 3 | 6 | $1,170.23 | $1,170.23 | $1,184.72 | 1.0× |
| grants [20507] | 4 | 6 | $8.73 | $1,850.00 | $2,762.00 | 316.4× |
| Medicare | 3 | 6 | $1,114.51 | $1,114.51 | $1,128.30 | 1.0× |
| tufts dual [10111] | 3 | 6 | $1,114.51 | $1,114.51 | $1,128.30 | 1.0× |
| tufts mcr [10112] | 2 | 5 | $1,170.23 | $1,184.72 | $1,184.72 | 1.0× |
| First Health | 5 | 5 | $60.00 | $2,031.00 | $2,071.50 | 34.5× |
| fallon mcr supp [20202] | 2 | 5 | $1,170.23 | $1,184.72 | $1,184.72 | 1.0× |
| hne [11108] | 4 | 4 | $645.59 | $1,245.66 | $1,510.79 | 2.3× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $992.00 | $2,735.00 | $2,762.00 | 2.8× |
| tufts mcr supp [20209] | 2 | 4 | $1,170.23 | $1,170.23 | $1,170.23 | 1.0× |
| workers compensation [20501] | 4 | 4 | $483.90 | $997.46 | $1,104.80 | 2.3× |
| connecticare [11105] | 4 | 4 | $992.00 | $2,735.00 | $2,762.00 | 2.8× |
| eternalhealth mcr replace [10116] | 2 | 4 | $1,170.23 | $1,170.23 | $1,170.23 | 1.0× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $1,170.23 | $1,170.23 | $1,170.23 | 1.0× |
| evernorth behavioral health [27] | 3 | 3 | $793.60 | $2,209.60 | $2,209.60 | 2.8× |
| masshealth mcd mbhp [38] | 3 | 3 | $992.00 | $2,762.00 | $2,762.00 | 2.8× |
| geisinger | 1 | 3 | $993.62 | $1,948.32 | $2,050.00 | 2.1× |
| fallon connectorcare [10503] | 2 | 3 | $377.00 | $713.55 | $1,947.86 | 5.2× |
| upmc health plan | 1 | 3 | $89.14 | $127.34 | $1,003.17 | 11.3× |
| pennsylvania health and wellness | 1 | 3 | $1,000.00 | $1,003.17 | $1,767.49 | 1.8× |
| commonwealth care alliance [10103] | 1 | 3 | $1,170.23 | $1,184.72 | $1,184.72 | 1.0× |
| Multiplan | 3 | 3 | $2,031.00 | $2,071.50 | $2,071.50 | 1.0× |
| hp optum bh [32] | 2 | 2 | $992.00 | $1,850.00 | $2,708.00 | 2.7× |
| wellsense cc carelon hlth [20] | 2 | 2 | $2,762.00 | $2,762.00 | $2,762.00 | 1.0× |
| fallon carelon hlth [28] | 2 | 2 | $992.00 | $1,850.00 | $2,708.00 | 2.7× |
| harvard pilgrim mcr [10106] | 1 | 2 | $1,184.72 | $1,184.72 | $1,184.72 | 1.0× |
| health partners plans | 1 | 2 | $1,003.17 | $1,108.59 | $1,214.00 | 1.2× |
| fidelis care | 1 | 2 | $25.96 | $524.42 | $1,022.87 | 39.4× |
| Humana | 2 | 2 | $984.06 | $1,003.47 | $1,022.87 | 1.0× |
| keystone first | 1 | 2 | $974.51 | $1,158.26 | $1,342.00 | 1.4× |
| masshealth [20302] | 2 | 2 | $41.90 | $41.90 | $41.90 | 1.0× |
| optum transplant [20601] | 2 | 2 | $2,762.00 | $2,762.00 | $2,762.00 | 1.0× |
| qualcare inc | 1 | 2 | $87.00 | $1,393.00 | $2,699.00 | 31.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Healthalliance-Clinton | Leominster | MA | 32 | $6,814.11 | $6,814.11 | $27.79 | $1,170.23 | $3,290.17 |
| Marlborough Hospital | Marlborough | MA | 37 | $12,294 | $12,294 | $7.46 | $1,159.58 | $3,563.91 |
| Umass Memorial Medical Center | Worcester | MA | 37 | $12,294 | $12,294 | $7.46 | $1,159.58 | $3,563.91 |
| Harrington Memorial Hospital | Southbridge | MA | 31 | $6,055.27 | $6,055.27 | $55.58 | $1,114.51 | $1,919.24 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 13 | — | $4,881.00 | $22.71 | $1,022.87 | $4,049.00 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 19 | $3,468.00 | — | $89.14 | $1,017.50 | $5,350.00 |
| North Adams Regional Hospital | North Adams | MA | 0 | $2,673.58 | $2,539.90 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $2,673.58 | $2,539.90 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $2,673.58 | $2,539.90 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.