CMS Price Transparency Data

Colonoscopy with biopsy

Facility: The Jewish Hospital-Mercy Health

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,725
about 1.4× the $1,223 Medicare rate · typically $1,161–$2,945
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,166
Below the fair price — a good deal
about $559 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,725 This hospital $1,166 Cash price $5,626 Hospital's list price $9,377

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $175 Priciest $1,166

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $1,725 (about 1.4× the $1,223 Medicare rate). The Jewish Hospital-Mercy Health charges insurers about $1,166, or about $5,626 in cash — below the fair price — a good deal. Located in Cincinnati, OH.

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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $1,166 95%
Aetnamajor $1,166 95%
Humanamajor $1,166 95%
CareSource $1,189 97%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 4777 East Galbraith Road, Cincinnati, OH 45236
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals