CMS Price Transparency Data

Colonoscopy with biopsy

Facility: CHI Saint Joseph Berea Nf

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,567
about 1.3× the $1,223 Medicare rate · typically $587–$1,632
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,550
About the fair price
about $17 under the fair price · 1.3× Medicare
Medicare pays $1,223 Fair price $1,567 This hospital $1,550 Cash price $1,334 Hospital's list price $2,768

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 $1,550

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 $1,567 (about 1.3× the $1,223 Medicare rate). CHI Saint Joseph Berea Nf charges insurers about $1,550, or about $1,334 in cash — about the fair price. Located in Berea, KY.

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 $791 - $1,522 65%
Blue Cross Blue Shieldmajor $775 - $2,565 63%
Aetnamajor $798 - $2,214 65%
Cignamajor $1,910 156%
Humanamajor $775 - $1,605 63%
CareSource $1,550 127%
Molina $814 - $875 67%
WellCare $764 - $775 62%
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: 305 Estill Street, Berea, KY 40403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals