CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Macneal Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,066
about 1.1× the $950 Medicare rate · typically $953–$1,515
modeled estimate · not a bill or quote
What this hospital charges insurers
$990
About the fair price
about $76 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $1,066 This hospital $990 Hospital's list price $3,646

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 $168 Priciest $990

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

A fair price for a Colonoscopy (diagnostic) is about $1,066 (about 1.1× the $950 Medicare rate). Macneal Hospital charges insurers about $990 — about the fair price. Located in Berwyn, 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 $1,786 - $1,942 188%
Blue Cross Blue Shieldmajor $163 - $6,401 17%
Aetnamajor $950 - $3,684 100%
Cignamajor $979 - $1,516 103%
Humanamajor $972 - $1,074 102%
Ambetter (Centene) $1,140 120%
Meridian $982 - $1,093 103%
Molina $982 - $1,188 103%
Oscar Health $1,045 110%
WellCare $998 105%
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 3249 South Oak Park Avenue, Berwyn, IL 60402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals