CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Deaconess Illinois Crossroads

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$419

about 0.4× the $950 Medicare rate · typically $288–$763

modeled estimate · not a bill or quote

What this hospital charges insurers

$356

Below the fair price — a good deal

about $63 under the fair price · 0.4× Medicare

Medicare pays $950 Fair price $419 This hospital $356 Cash price $444 Hospital's list price $1,269

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 $356

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 $419 (about 0.4× the $950 Medicare rate). Deaconess Illinois Crossroads charges insurers about $356, or about $444 in cash — below the fair price — a good deal. Located in Mount Vernon, 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	$175 - $950	18%
Blue Cross Blue Shieldmajor	$175 - $950	18%
Aetnamajor	$175 - $1,003	18%
Cignamajor	$494	52%
Humanamajor	$175 - $990	18%
HealthLink	$217 - $226	23%
Meridian	$175 - $950	18%
Molina	$175 - $960	18%
WellCare	$175 - $950	18%
+ 13 smaller / regional plans	$175 - $2,709

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 444), 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 Deaconess Illinois Crossroads 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 Deaconess Illinois Crossroads

Compare: Colonoscopy (diagnostic) at other IL hospitals

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