CMS Price Transparency Data

Colonoscopy with biopsy

Facility: CHI Health Bergan Mercy

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,153
about 0.9× the $1,223 Medicare rate · typically $940–$2,001
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,207
About the fair price
about $54 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,153 This hospital $1,207

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $179 Priciest $1,207

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

A fair price for a Colonoscopy with biopsy is about $1,153 (about 0.9× the $1,223 Medicare rate). CHI Health Bergan Mercy charges insurers about $1,207 — about the fair price. Located in Omaha, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $1,149 94%
Blue Cross Blue Shieldmajor $1,149 94%
Humanamajor $1,149 94%
Ambetter (Centene) $995 - $1,184 81%
Amerigroup $995 - $1,207 81%
Medica $375 - $2,322 31%
Molina $1,014 83%
+ 8 smaller / regional plans $1,149 - $3,489

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Facility Profile & Credentials

  • Address: 7500 Mercy Rd, Omaha, NE 68124
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals