CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Spectrum Health
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$990
about 0.8× the $1,223 Medicare rate · typically $517–$1,444
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $990 Cash price $1,137 Hospital's list price $1,137
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,192 | 98% |
| Aetnamajor | $1,252 | 102% |
| Meridian | $2,146 | 176% |
| Priority Health | $1,115 - $1,282 | 91% |
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Other Procedures at Spectrum Health
Compare: Colonoscopy with biopsy at other MI hospitals
- St Joe Mercy Hospital System Livonia · Livonia $150
- Chelsea Hospital · Chelsea $150
- Munson Healthcare Otsego Memorial Hospital · Gaylord $189
- Charlevoix Area Hospital · Charlevoix $190
- Hurley Medical Center · Flint $239
- University of Michigan Health System · Ann Arbor $273
- Munson Healthcare Cadillac Hospital · Cadillac $279
- Munson Healthcare Manistee Hospital · Manistee $279
Insurance negotiated median for the same procedure, sorted lowest first.