CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Alexian Brothers Medical Center 1

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,141

about 1.2× the $950 Medicare rate · typically $968–$1,629

modeled estimate · not a bill or quote

What this hospital charges insurers

$979

Below the fair price — a good deal

about $162 under the fair price · 1.0× Medicare

Medicare pays $950 Fair price $1,141 This hospital $979

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 $979

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 $1,141 (about 1.2× the $950 Medicare rate). Alexian Brothers Medical Center 1 charges insurers about $979 — below the fair price — a good deal. Located in Elk Grove Village, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$903 - $960	95%
Blue Cross Blue Shieldmajor	$950 - $1,663	100%
Aetnamajor	$950 - $998	100%
Humanamajor	$950	100%
Ambetter (Centene)	$1,540	162%
Bright Health	$1,188	125%
Molina	$979	103%
+ 3 smaller / regional plans	$903 - $1,473

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Alexian Brothers Medical Center 1 is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Alexian Brothers Medical Center 1

Compare: Colonoscopy (diagnostic) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.