CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Crittenden Community Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$910
about 1.0× the $950 Medicare rate · typically $235–$1,287
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,021
About the fair price
about $111 over the fair price · 1.1× Medicare
Medicare pays $950 Fair price $910 This hospital $1,021 Cash price $1,343 Hospital's list price $3,014

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 $1,021

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 $910 (about 1.0× the $950 Medicare rate). Crittenden Community Hospital charges insurers about $1,021, or about $1,343 in cash — about the fair price. Located in Marion, 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✓ 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 $1,317 139%
Blue Cross Blue Shieldmajor $383 - $2,200 40%
Aetnamajor $2,562 270%
Cignamajor $2,562 270%
Ambetter (Centene) $1,568 165%
+ 1 smaller / regional plan $1,021
Government programs also on file: Medicare.
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: 520 West Gum Street, Marion, KY 42064
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Rural Emergency Hospital