CMS Price Transparency Data

Colonoscopy with biopsy

Facility: UW Health

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$579
about 0.5× the $1,223 Medicare rate · typically $319–$951
modeled estimate · not a bill or quote
What this hospital charges insurers
$458
Below the fair price — a good deal
about $121 under the fair price · 0.4× Medicare
Medicare pays $1,223 Fair price $579 This hospital $458 Cash price $907 Hospital's list price $5,670

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 $458

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 $579 (about 0.5× the $1,223 Medicare rate). UW Health charges insurers about $458, or about $907 in cash — below the fair price — a good deal. Located in Rockford, 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 $181 - $2,836 15%
Blue Cross Blue Shieldmajor $181 - $1,825 15%
Aetnamajor $181 - $2,663 15%
Cignamajor $351 - $2,945 29%
Humanamajor $181 - $1,223 15%
Health Net $4,536 - $4,592 371%
Quartz $386 - $2,015 32%
+ 8 smaller / regional plans $181 - $4,305
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals