CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Indiana University Health Bloomington Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,459
about 2.0× the $1,223 Medicare rate · typically $1,400–$3,780
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,177
Above the fair price
about $718 over the fair price · 2.6× Medicare
Medicare pays $1,223 Fair price $2,459 This hospital $3,177

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $167 Priciest $3,177

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $2,459 (about 2.0× the $1,223 Medicare rate). Indiana University Health Bloomington Hospital charges insurers about $3,177 — above the fair price. Located in Bloomington, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,459. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $1,271 - $3,122 104%
Blue Cross Blue Shieldmajor $1,271 - $5,000 104%
Aetnamajor $1,271 - $5,000 104%
Cignamajor $5,000 409%
Humanamajor $1,271 - $1,296 104%
Ambetter (Centene) $2,097 172%
CareSource $1,906 - $3,122 156%
Health Net $3,177 - $10,000 260%
WellCare $1,296 106%
+ 5 smaller / regional plans $1,271 - $5,000

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.

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Facility Profile & Credentials

  • Address: 601 W Second St, Bloomington, IN 47403
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals