CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Mercyone Elkader Medical Center
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$353
about 0.3× the $1,223 Medicare rate · typically $179–$1,296
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $353 Hospital's list price $1,597
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $880 - $1,397 | 72% |
| Blue Cross Blue Shieldmajor | $822 | 67% |
| Aetnamajor | $165 - $1,175 | 13% |
| Cignamajor | $1,565 | 128% |
| Ambetter (Centene) | $1,395 | 114% |
| GEHA | $1,397 | 114% |
| HealthPartners | $1,536 | 126% |
| Medica | $1,565 | 128% |
| Medical Mutual | $1,175 | 96% |
| + 18 smaller / regional plans | $94 - $1,669 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Mercyone Elkader Medical Center
Compare: Colonoscopy with biopsy at other IA hospitals
- Waverly Health Center · Waverly $165
- Mahaska Health Partnership · Oskaloosa $165
- Virginia Gay Hospital · Vinton $167
- Guthrie County Hospital · Guthrie Center $168
- Story County Hospital · Nevada $179
- Cass County Memorial Hospital · Atlantic $182
- Clarke County Hospital · Osceola $206
- Greene County Medical Center · Jefferson $258
Insurance negotiated median for the same procedure, sorted lowest first.