CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Lakeland Hospital, St Joseph

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,276
about 1.0× the $1,223 Medicare rate · typically $1,095–$1,609
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,256
About the fair price
about $20 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,276 This hospital $1,256

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $150 Priciest $1,256

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 $1,276 (about 1.0× the $1,223 Medicare rate). Lakeland Hospital, St Joseph charges insurers about $1,256 — about the fair price. Located in St Joseph, MI.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $1,192 98%
Ambetter (Centene) $1,789 146%
Priority Health $1,256 103%

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Facility Profile & Credentials

  • Address: 1234 Napier Avenue, St Joseph, MI 49085
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals