CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Lima Memorial Health System
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,327
about 1.1× the $1,223 Medicare rate · typically $1,267–$1,737
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,327 Cash price $1,301 Hospital's list price $1,446
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 | $4,728 - $5,253 | 387% |
| Aetnamajor | $1,143 - $1,371 | 93% |
| CareSource | $2,000 | 164% |
| Devoted Health | $1,154 | 94% |
| + 1 smaller / regional plan | $1,942 |
Self-Pay How to get the cash price
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Other Procedures at Lima Memorial Health System
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.