CMS Price Transparency Data

Colonoscopy with biopsy

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 0.1× the $1,223 Medicare rate · typically $68–$421
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
Above the fair price
about $56 over the fair price · 0.1× Medicare
Medicare pays $1,223 Fair price $94 This hospital $150 Hospital's list price $403

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Lowest price of the 9 MI hospitals we have prices for — a strong deal.

Cheapest $150 Priciest $280

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

A fair price for a Colonoscopy with biopsy is about $94 (about 0.1× the $1,223 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $150 — above the fair price. Located in Livonia, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $94. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $63 - $1,229 5%
Blue Cross Blue Shieldmajor $63 - $1,169 5%
Aetnamajor $63 - $1,169 5%
Cignamajor $63 - $419 5%
Humanamajor $63 - $394 5%
Kaiser Permanentemajor $1,022 84%
Ambetter (Centene) $63 - $137 5%
AmeriHealth $234 - $394 19%
CareSource $1,408 115%
Clover Health $91 - $234 7%
Dean Health Plan $125 - $322 10%
Health Net $63 - $311 5%
HealthPartners $63 - $251 5%
MagnaCare $234 - $394 19%
Medical Mutual $234 - $394 19%
Meridian $63 - $234 5%
Molina $63 - $1,551 5%
MVP Health Care $125 - $322 10%
Paramount $63 - $137 5%
Presbyterian $63 - $234 5%
Priority Health $153 - $1,131 13%
Tufts Health Plan $63 - $251 5%
UniCare $234 - $394 19%
WellMed $91 - $234 7%
WellSense $63 - $137 5%
+ 425 smaller / regional plans $63 - $2,684
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals