CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Macneal Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,414
about 1.2× the $1,223 Medicare rate · typically $1,237–$1,691
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,278
About the fair price
about $136 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,414 This hospital $1,278 Hospital's list price $5,362

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 $1,278

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 $1,414 (about 1.2× the $1,223 Medicare rate). Macneal Hospital charges insurers about $1,278 — 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 - $1,942 146%
Blue Cross Blue Shieldmajor $211 - $7,426 17%
Aetnamajor $982 - $4,274 80%
Cignamajor $1,266 - $1,759 104%
Humanamajor $1,061 - $1,389 87%
Ambetter (Centene) $1,475 121%
Meridian $982 - $1,413 80%
Molina $982 - $1,536 80%
Oscar Health $1,352 111%
WellCare $1,291 106%
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