CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Chelsea Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.1× the $1,223 Medicare rate · typically $84–$561
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
Above the fair price
about $60 over the fair price · 0.1× Medicare
Medicare pays $1,223 Fair price $90 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 $90 (about 0.1× the $1,223 Medicare rate). Chelsea Hospital charges insurers about $150 — above the fair price. Located in Chelsea, 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 $90. 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 - $1,233 5%
Blue Cross Blue Shieldmajor $63 - $1,173 5%
Aetnamajor $91 - $1,173 7%
Cignamajor $63 - $234 5%
Humanamajor $63 - $234 5%
Kaiser Permanentemajor $963 79%
Ambetter (Centene) $63 - $137 5%
CareSource $1,293 106%
Clover Health $91 - $234 7%
Dean Health Plan $125 - $322 10%
Health Net $63 - $311 5%
HealthPartners $63 - $588 5%
Meridian $63 - $234 5%
Molina $63 - $1,556 5%
MVP Health Care $125 - $322 10%
Paramount $63 - $137 5%
Presbyterian $63 - $234 5%
Priority Health $1,018 - $1,131 83%
Tufts Health Plan $63 - $588 5%
WellMed $91 - $234 7%
WellSense $63 - $137 5%
+ 357 smaller / regional plans $63 - $2,693
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals