CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Saint Joseph East

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,485
about 1.6× the $950 Medicare rate · typically $796–$2,832
modeled estimate · not a bill or quote
What this hospital charges insurers
$936
Below the fair price — a good deal
about $549 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $1,485 This hospital $936

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 $159 Priciest $936

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

A fair price for a Colonoscopy (diagnostic) is about $1,485 (about 1.6× the $950 Medicare rate). Saint Joseph East charges insurers about $936 — below the fair price — a good deal. Located in Lexington, 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 $932 98%
Blue Cross Blue Shieldmajor $896 - $2,855 94%
Aetnamajor $923 97%
Humanamajor $896 - $1,924 94%
CareSource $1,791 189%
Molina $941 99%
WellCare $896 94%

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Facility Profile & Credentials

  • Address: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals