CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Allen Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$462
about 0.5× the $950 Medicare rate · typically $410–$755
modeled estimate · not a bill or quote
What this hospital charges insurers
$427
About the fair price
about $35 under the fair price · 0.4× Medicare
Medicare pays $950 Fair price $462 This hospital $427 Cash price $814 Hospital's list price $1,017

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 $104 Priciest $427

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

A fair price for a Colonoscopy (diagnostic) is about $462 (about 0.5× the $950 Medicare rate). Allen Hospital charges insurers about $427, or about $814 in cash — about the fair price. Located in Waterloo, 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 $87 - $2,485 9%
Blue Cross Blue Shieldmajor $84 - $857 9%
Aetnamajor $83 - $2,106 9%
Cignamajor $220 - $440 23%
Humanamajor $87 - $883 9%
Amerigroup $756 80%
HealthPartners $167 - $1,304 18%
Molina $84 - $857 9%
+ 2 smaller / regional plans $87 - $883

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Facility Profile & Credentials

  • Address: 1825 Logan Avenue, Waterloo, IA 50703
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals