CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Kootenai Health

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$414
about 0.3× the $1,223 Medicare rate · typically $343–$1,071
modeled estimate · not a bill or quote
What this hospital charges insurers
$343
Below the fair price — a good deal
about $71 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $414 This hospital $343

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ID hospitals compared.

Cheapest $169 Priciest $1,035

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 $414 (about 0.3× the $1,223 Medicare rate). Kootenai Health charges insurers about $343 — below the fair price — a good deal. Located in Coeur D'Alene, ID.

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✓ Humana✓ Kaiser Permanente Cigna

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 $166 - $1,237 14%
Blue Cross Blue Shieldmajor $166 - $2,129 14%
Aetnamajor $175 - $1,299 14%
Humanamajor $166 - $1,237 14%
Kaiser Permanentemajor $344 - $4,452 28%
Molina $117 - $1,274 10%
PacificSource $168 - $1,249 14%
+ 2 smaller / regional plans $117 - $343

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Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals