CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Mercy Health St Ritas Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,268
about 1.0× the $1,223 Medicare rate · typically $1,197–$1,738
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,186
About the fair price
about $82 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,268 This hospital $1,186 Cash price $6,348 Hospital's list price $10,580

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 $1,186

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 $1,268 (about 1.0× the $1,223 Medicare rate). Mercy Health St Ritas Medical Center charges insurers about $1,186, or about $6,348 in cash — about the fair price. Located in Lima, 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 $1,186 97%
Aetnamajor $1,186 97%
Humanamajor $1,186 97%
CareSource $1,210 99%

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.

Facility Profile & Credentials

  • Address: 730 West Market Street, Lima, OH 45801
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals