CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Munson Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$299
about 0.3× the $950 Medicare rate · typically $220–$711
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
Below the fair price — a good deal
about $136 under the fair price · 0.2× Medicare
Medicare pays $950 Fair price $299 This hospital $163

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 1 charge more and 3 charge less, among the 9 MI hospitals compared.

Cheapest $138 Priciest $201

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

A fair price for a Colonoscopy (diagnostic) is about $299 (about 0.3× the $950 Medicare rate). Munson Medical Center charges insurers about $163 — below the fair price — a good deal. Located in Traverse City, MI.

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 $59 - $927 6%
Blue Cross Blue Shieldmajor $53 - $1,466 6%
Aetnamajor $81 - $927 9%
Cignamajor $333 - $1,019 35%
Humanamajor $81 - $927 9%
Meridian $59 - $485 6%
Molina $59 - $1,001 6%
Priority Health $59 - $1,019 6%
+ 12 smaller / regional plans $59 - $1,390
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1105 Sixth Street, Traverse City, MI 49684
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals