CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Madison Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,172
about 1.0× the $1,223 Medicare rate · typically $1,075–$1,213
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,178
About the fair price
about $6 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,172 This hospital $1,178 Cash price $1,511 Hospital's list price $2,015

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $169 Priciest $1,178

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

A fair price for a Colonoscopy with biopsy is about $1,172 (about 1.0× the $1,223 Medicare rate). Madison Memorial Hospital charges insurers about $1,178, or about $1,511 in cash — about the fair price. Located in Rexburg, ID.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $1,176 96%
Aetnamajor $1,176 - $1,179 96%
Moda Health $2,353 192%
Molina $1,176 96%
SelectHealth $1,188 97%
+ 3 smaller / regional plans $1,176 - $2,000
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 450 East Main Street, Rexburg, ID 83440
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals