CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$98
about 0.1× the $950 Medicare rate · typically $80–$382
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $6 over the fair price · 0.1× Medicare
Medicare pays $950 Fair price $98 This hospital $104 Cash price $671 Hospital's list price $671

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Lowest price of the 9 IA hospitals we have prices for — a strong deal.

Cheapest $104 Priciest $153

Black dot = this hospital, among the 9 IA 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 (diagnostic) is about $98 (about 0.1× the $950 Medicare rate). Sartori Memorial Hospital, Inc charges insurers about $104, or about $671 in cash — about the fair price. Located in Cedar Falls, IA.

What each insurance company pays

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

6 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 $75 - $894 8%
Blue Cross Blue Shieldmajor $75 - $950 8%
Aetnamajor $75 - $4,236 8%
Cignamajor $75 - $253 8%
Humanamajor $75 - $122 8%
Kaiser Permanentemajor $176 - $950 19%
Ambetter (Centene) $104 - $1,502 11%
Clover Health $75 8%
GEHA $216 23%
Health Net $104 - $671 11%
HealthPartners $104 - $213 11%
Medical Mutual $4,236 446%
Meridian $75 - $104 8%
Molina $104 11%
Oscar Health $143 - $1,372 15%
Paramount $104 11%
Presbyterian $75 - $104 8%
Sanford Health Plan $132 14%
Tufts Health Plan $104 11%
UCare $137 14%
WellMed $75 8%
WellSense $104 11%
+ 358 smaller / regional plans $75 - $4,236
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals