CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Billing Code: 45378 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$933
about 1.0× the $950 Medicare rate · typically $436–$1,474
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $933 Cash price $516 Hospital's list price $860
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $982 | 103% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Compare: Colonoscopy (diagnostic) at other IL hospitals
- Kirby Medical Center · Monticello $168
- Clay County Hospital · Flora $168
- Sarah Bush Lincoln Health Center · Mattoon $172
- Washington County Hospital · Nashville $175
- Carle Eureka Hospital · Eureka $184
- Carle Hoopeston Regional Health Center · Hoopeston $184
- Crawford Memorial Hospital · Robinson $198
- Sarah D Culbertson Memorial Hospital · Rushville $202
Insurance negotiated median for the same procedure, sorted lowest first.