CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Mt Sinai Hospital Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,271
about 1.0× the $1,223 Medicare rate · typically $1,247–$1,663
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,334
About the fair price
about $63 over the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,271 This hospital $1,334 Cash price $1,052 Hospital's list price $1,503

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $181 Priciest $1,334

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

A fair price for a Colonoscopy with biopsy is about $1,271 (about 1.0× the $1,223 Medicare rate). Mt Sinai Hospital Medical Center charges insurers about $1,334, or about $1,052 in cash — about the fair price. Located in Chicago, IL.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $672 - $1,499 55%
Aetnamajor $1,499 - $3,396 123%
Cignamajor $1,205 - $1,857 99%
Humanamajor $1,282 - $4,718 105%
Ambetter (Centene) $1,411 - $1,578 115%
Health Net $1,244 - $1,499 102%
HealthLink $977 80%
Meridian $1,282 105%
Molina $1,346 - $1,574 110%
Oscar Health $526 43%
+ 10 smaller / regional plans $601 - $1,411
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals