CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Saint James Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,283
about 1.0× the $1,223 Medicare rate · typically $1,283–$1,299
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,302
About the fair price
about $19 over the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,283 This hospital $1,302

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 $1,302

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 $1,283 (about 1.0× the $1,223 Medicare rate). Saint James Hospital charges insurers about $1,302 — about the fair price. Located in Pontiac, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $1,308 107%
Aetnamajor $1,295 106%
+ 2 smaller / regional plans $1,282 - $5,947

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Facility Profile & Credentials

  • Address: 2500 West Reynolds Street, Pontiac, IL 61764
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals