CMS Price Transparency Data

Colonoscopy with biopsy

Facility: West Suburban Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,208
about 1.0× the $1,223 Medicare rate · typically $1,208–$1,506
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,229
About the fair price
about $21 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,208 This hospital $1,229

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 $1,229

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 $1,208 (about 1.0× the $1,223 Medicare rate). West Suburban Medical Center charges insurers about $1,229 — about the fair price. Located in Oak Park, IL.

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✓ Cigna✓ Humana Kaiser 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 $2,058 - $2,256 168%
Blue Cross Blue Shieldmajor $1,192 - $1,229 98%
Aetnamajor $1,100 - $1,229 90%
Cignamajor $1,229 - $2,430 101%
Humanamajor $1,192 - $1,229 98%
Ambetter (Centene) $1,229 101%
Oscar Health $1,254 103%
WellCare $1,229 101%
+ 4 smaller / regional plans $1,229 - $2,430

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Facility Profile & Credentials

  • Address: 3 Erie Court, Oak Park, IL 60302
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals