CMS Price Transparency Data

Colonoscopy with biopsy

Facility: St Joseph Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,302
about 1.1× the $1,223 Medicare rate · typically $1,261–$1,308
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,308
About the fair price
about $6 over the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,302 This hospital $1,308

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 $1,308

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 $1,302 (about 1.1× the $1,223 Medicare rate). St Joseph Medical Center charges insurers about $1,308 — about the fair price. Located in Bloomington, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $4,157 340%
Blue Cross Blue Shieldmajor $1,308 107%
Aetnamajor $1,295 106%
+ 2 smaller / regional plans $1,282 - $4,652

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Facility Profile & Credentials

  • Address: 2200 E Washington, Bloomington, IL 61701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals