Colonoscopy with biopsy
Facility: Presence St Marys Hospital
Billing Code: 45380 (CPT)
Highest price of the 9 IL hospitals we have prices for — worth calling around.
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 $1,266 (about 1.0× the $1,223 Medicare rate). Presence St Marys Hospital charges insurers about $1,276, or about $1,276 in cash — about the fair price. Located in Kankakee, 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
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 | $1,276 - $2,821 | 104% |
| Blue Cross Blue Shieldmajor | $855 - $1,786 | 70% |
| Aetnamajor | $855 - $2,594 | 70% |
| Cignamajor | $488 - $4,550 | 40% |
| Humanamajor | $855 - $1,404 | 70% |
| Ambetter (Centene) | $2,067 | 169% |
| Devoted Health | $1,276 | 104% |
| Health Net | $1,531 | 125% |
| HealthLink | $2,594 | 212% |
| HealthPartners | $1,276 - $1,467 | 104% |
| Meridian | $897 - $1,340 | 73% |
| Molina | $897 - $1,914 | 73% |
| WellCare | $1,276 | 104% |
| + 10 smaller / regional plans | $181 - $1,978 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Presence St Marys Hospital
Compare: Colonoscopy with biopsy at other IL hospitals
- Sarah Bush Lincoln Health Center · Mattoon $181
- Marshall Browning Hospital · Du Quoin $181
- Sarah D Culbertson Memorial Hospital · Rushville $181
- Kirby Medical Center · Monticello $188
- Washington County Hospital · Nashville $194
- Fayette County Hospital · Vandalia $194
- Clay County Hospital · Flora $194
- Carle Eureka Hospital · Eureka $200
Insurance negotiated median for the same procedure, sorted lowest first.