CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Advocate Condell Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,581
about 1.7× the $950 Medicare rate · typically $977–$1,993
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,717
About the fair price
about $136 over the fair price · 1.8× Medicare
Medicare pays $950 Fair price $1,581 This hospital $1,717

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 $168 Priciest $1,717

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $1,581 (about 1.7× the $950 Medicare rate). Advocate Condell Medical Center charges insurers about $1,717 — about the fair price. Located in Libertyville, 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✓ Cigna AetnaHumanaKaiser 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 $3,277 - $4,636 345%
Blue Cross Blue Shieldmajor $1,588 - $1,808 167%
Cignamajor $1,555 - $1,653 164%
Ambetter (Centene) $1,378 145%
Molina $1,378 145%
Oscar Health $1,426 150%
+ 1 smaller / regional plan $1,825

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Facility Profile & Credentials

  • Address: 801 S Milwaukee Ave, Libertyville, IL 60048
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals