CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Presence Saints Mary and Elizabeth Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,305
about 1.1× the $1,223 Medicare rate · typically $1,204–$1,643
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,276
About the fair price
about $29 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,305 This hospital $1,276 Cash price $1,276 Hospital's list price $6,145

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 $1,276

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 $1,305 (about 1.1× the $1,223 Medicare rate). Presence Saints Mary and Elizabeth Medical Center charges insurers about $1,276, or about $1,276 in cash — about the fair price. Located in Chicago, 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 $1,276 - $2,821 104%
Blue Cross Blue Shieldmajor $1,212 - $1,786 99%
Aetnamajor $1,238 - $2,571 101%
Cignamajor $488 - $4,550 40%
Humanamajor $1,238 - $1,404 101%
Ambetter (Centene) $2,067 169%
Devoted Health $1,276 104%
Health Net $1,531 125%
HealthPartners $1,276 - $1,467 104%
Meridian $1,299 - $1,340 106%
Molina $1,299 - $1,914 106%
WellCare $1,276 104%
+ 11 smaller / regional plans $197 - $1,978
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2233 W Division St, Chicago, IL 60622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals