CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: CHI Health Midlands

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,022
about 1.1× the $950 Medicare rate · typically $813–$1,980
modeled estimate · not a bill or quote
What this hospital charges insurers
$933
About the fair price
about $89 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $1,022 This hospital $933

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 $144 Priciest $933

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

A fair price for a Colonoscopy (diagnostic) is about $1,022 (about 1.1× the $950 Medicare rate). CHI Health Midlands charges insurers about $933 — about the fair price. Located in Papillion, 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 $889 94%
Blue Cross Blue Shieldmajor $889 94%
Humanamajor $889 94%
Ambetter (Centene) $743 - $915 78%
Amerigroup $743 - $933 78%
Medica $345 - $2,322 36%
Molina $757 80%
+ 8 smaller / regional plans $889 - $3,489

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Facility Profile & Credentials

  • Address: 11111 South 84Th St, Papillion, NE 68046
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals