CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Saint John Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,541

about 1.3× the $1,223 Medicare rate · typically $809–$2,003

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,184

Below the fair price — a good deal

about $357 under the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,541 This hospital $1,184 Cash price $1,127 Hospital's list price $6,202

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $168 Priciest $1,184

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

A fair price for a Colonoscopy with biopsy is about $1,541 (about 1.3× the $1,223 Medicare rate). Saint John Hospital charges insurers about $1,184, or about $1,127 in cash — below the fair price — a good deal. Located in Leavenworth, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$382 - $1,578	31%
Blue Cross Blue Shieldmajor	$682 - $1,364	56%
Aetnamajor	$1,127 - $2,488	92%
Cignamajor	$1,127	92%
+ 10 smaller / regional plans	$390 - $1,873

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 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 1,127), 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: 45380.

Insurance Before you use insurance

Call your insurance company to confirm Saint John Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
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 Saint John Hospital

Compare: Colonoscopy with biopsy at other KS hospitals

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