CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,158
about 0.9× the $1,223 Medicare rate · typically $510–$1,676
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,158 Cash price $338 Hospital's list price $563
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 | 80% |
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 with biopsy at other IL hospitals
- Sarah Bush Lincoln Health Center · Mattoon $181
- Marshall Browning Hospital · Du Quoin $181
- Sarah D Culbertson Memorial Hospital · Rushville $181
- Kirby Medical Center · Monticello $188
- Washington County Hospital · Nashville $194
- Fayette County Hospital · Vandalia $194
- Clay County Hospital · Flora $194
- Carle Eureka Hospital · Eureka $200
Insurance negotiated median for the same procedure, sorted lowest first.