CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Saint Joseph London

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,281
about 1.0× the $1,223 Medicare rate · typically $546–$1,437
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,095
Below the fair price — a good deal
about $186 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,281 This hospital $1,095 Cash price $1,143 Hospital's list price $3,204

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $171 Priciest $1,095

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

A fair price for a Colonoscopy with biopsy is about $1,281 (about 1.0× the $1,223 Medicare rate). Saint Joseph London charges insurers about $1,095, or about $1,143 in cash — below the fair price — a good deal. Located in London, KY.

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✓ Humana CignaKaiser 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 $686 - $1,954 56%
Blue Cross Blue Shieldmajor $706 - $2,356 58%
Aetnamajor $673 - $1,100 55%
Humanamajor $673 - $2,307 55%
CareSource $2,136 175%
Molina $458 - $1,122 37%
WellCare $538 - $1,068 44%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 Saint Joseph Lane, London, KY 40741
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals