CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Riverside Methodist Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,478
about 1.2× the $1,223 Medicare rate · typically $1,193–$3,713
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,478 Cash price $3,199 Hospital's list price $4,921
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $9,206 | 753% |
| Aetnamajor | $1,154 | 94% |
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.
Other Procedures at Riverside Methodist Hospital
Compare: Colonoscopy with biopsy at other OH hospitals
- Genesis Hospital · Zanesville $175
- Cincinnati Children's Hospital Medical Center · Cincinnati $213
- Fisher-Titus Hospital · Norwalk $263
- Union Hospital · Dover $293
- Southwest General Health Center · Middleburg Heights $331
- Southern Ohio Medical Center · Portsmouth $416
- Henry County Hospital, Inc · Napoleon $469
- Mercy Medical Center · Canton $720
Insurance negotiated median for the same procedure, sorted lowest first.