CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Idaho Falls Community Hospital, LLC

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$979
about 1.0× the $950 Medicare rate · typically $598–$1,117
modeled estimate · not a bill or quote
What this hospital charges insurers
$919
About the fair price
about $60 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $979 This hospital $919 Cash price $1,409 Hospital's list price $1,409

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 $91 Priciest $919

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

A fair price for a Colonoscopy (diagnostic) is about $979 (about 1.0× the $950 Medicare rate). Idaho Falls Community Hospital, LLC charges insurers about $919, or about $1,409 in cash — about the fair price. Located in Idaho Falls, ID.

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✓ Humana CignaKaiser 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 $919 97%
Blue Cross Blue Shieldmajor $919 - $1,158 97%
Aetnamajor $919 97%
Humanamajor $919 97%
Moda Health $2,067 218%
Molina $919 97%
PacificSource $919 97%
SelectHealth $919 97%
+ 3 smaller / regional plans $919 - $2,527

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Facility Profile & Credentials

  • Address: 2327 Coronado St, Idaho Falls, ID 83404
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals