CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ottumwa Regional Health Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,256
about 1.0× the $1,223 Medicare rate · typically $939–$1,965
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,251
About the fair price
about $5 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,256 This hospital $1,251 Cash price $2,596 Hospital's list price $6,490

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $165 Priciest $1,251

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

A fair price for a Colonoscopy with biopsy is about $1,256 (about 1.0× the $1,223 Medicare rate). Ottumwa Regional Health Center charges insurers about $1,251, or about $2,596 in cash — about the fair price. Located in Ottumwa, IA.

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 $554 - $3,733 45%
Blue Cross Blue Shieldmajor $1,099 - $2,425 90%
Aetnamajor $570 - $1,206 47%
Cignamajor $6,284 514%
Humanamajor $1,211 99%
Molina $571 47%
+ 2 smaller / regional plans $1,099 - $1,108

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Facility Profile & Credentials

  • Address: 1001 E Pennsylvania, Ottumwa, IA 52501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals