CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Charlevoix Area Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$289
about 0.2× the $1,223 Medicare rate · typically $190–$1,013
modeled estimate · not a bill or quote
What this hospital charges insurers
$190
Below the fair price — a good deal
about $99 under the fair price · 0.2× Medicare
Medicare pays $1,223 Fair price $289 This hospital $190

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MI hospitals compared.

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 $289 (about 0.2× the $1,223 Medicare rate). Charlevoix Area Hospital charges insurers about $190 — below the fair price — a good deal. Located in Charlevoix, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $127 - $844 10%
Blue Cross Blue Shieldmajor $58 - $844 5%
Aetnamajor $175 14%
Cignamajor $362 30%
Meridian $127 - $844 10%
Molina $175 14%
Priority Health $127 - $844 10%
+ 8 smaller / regional plans $127 - $1,797
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals