CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Mount Carmel St Ann's
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,473
about 1.2× the $1,223 Medicare rate · typically $985–$3,343
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,473 Hospital's list price $546
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $546 - $6,061 | 45% |
| Blue Cross Blue Shieldmajor | $546 - $4,304 | 45% |
| Aetnamajor | $85 - $3,698 | 7% |
| Cignamajor | $546 - $3,262 | 45% |
| Humanamajor | $94 - $679 | 8% |
| Kaiser Permanentemajor | $546 - $679 | 45% |
| Ambetter (Centene) | $546 - $679 | 45% |
| AmeriHealth | $546 - $679 | 45% |
| AvMed | $546 - $679 | 45% |
| Bright Health | $546 - $679 | 45% |
| CareSource | $546 - $679 | 45% |
| Clover Health | $546 - $679 | 45% |
| Dean Health Plan | $546 - $679 | 45% |
| Fidelis Care | $546 - $679 | 45% |
| Friday Health | $546 - $679 | 45% |
| GEHA | $546 - $6,061 | 45% |
| Geisinger | $546 - $679 | 45% |
| Harvard Pilgrim | $546 - $679 | 45% |
| Health Net | $546 - $679 | 45% |
| HealthLink | $546 - $679 | 45% |
| HealthPartners | $546 - $3,262 | 45% |
| Independent Health | $546 - $679 | 45% |
| MagnaCare | $546 - $679 | 45% |
| Medica | $546 - $679 | 45% |
| Medical Mutual | $2,835 - $4,105 | 232% |
| Meridian | $546 - $679 | 45% |
| Moda Health | $546 - $679 | 45% |
| Molina | $546 - $679 | 45% |
| MVP Health Care | $546 - $3,262 | 45% |
| Oscar Health | $546 - $1,904 | 45% |
| PacificSource | $546 - $679 | 45% |
| Paramount | $546 - $679 | 45% |
| Presbyterian | $546 - $679 | 45% |
| Priority Health | $546 - $3,262 | 45% |
| Providence Health Plan | $546 - $679 | 45% |
| Sanford Health Plan | $546 - $679 | 45% |
| Security Health Plan | $546 - $679 | 45% |
| SelectHealth | $546 - $679 | 45% |
| Sentara | $546 - $679 | 45% |
| Tufts Health Plan | $546 - $679 | 45% |
| UCare | $546 - $679 | 45% |
| UniCare | $546 - $679 | 45% |
| UPMC Health Plan | $546 - $679 | 45% |
| WellCare | $546 - $679 | 45% |
| WellMed | $546 - $679 | 45% |
| WellSense | $546 - $679 | 45% |
| + 1044 smaller / regional plans | $94 - $4,304 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Mount Carmel St Ann's
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.