Colonoscopy with biopsy
Facility: Ferrell Hospital Community Foundations
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $227 compared to the $315 fair price benchmark.
1-Star CMS clinical quality rating paired with 0.72× fair market pricing.
Highest price of the 9 IL hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Colonoscopy with biopsy is about $315 (about 0.3× the $1,223 Medicare rate). Ferrell Hospital Community Foundations charges insurers about $227, or about $734 in cash — below the fair price — a good deal. Located in Eldorado, 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
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 | $441 | 36% |
| Blue Cross Blue Shieldmajor | $194 - $861 | 16% |
| Aetnamajor | $194 - $575 | 16% |
| Cignamajor | $219 | 18% |
| Humanamajor | $441 | 36% |
| Ambetter (Centene) | $441 | 36% |
| HealthLink | $235 - $245 | 19% |
| Meridian | $194 | 16% |
| Molina | $194 | 16% |
| WellCare | $441 | 36% |
| + 2 smaller / regional plans | $705 - $771 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Ferrell Hospital Community Foundations
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.
Audit a Bill or Quote at Ferrell Hospital Community Foundations (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $355
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $355).
Self-Pay Cash Rate ($734) Beats Your Bill
Ferrell Hospital Community Foundations's published 45 CFR § 180 self-pay cash rate is $734 (vs. $227 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $315 Fair BaseRate ($1,223 Medicare)
Your bill ($979) is $664 above the denoised Fair BaseRate ($315) and 0.8× the $1,223 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.