CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Lutheran Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,098
about 0.9× the $1,223 Medicare rate · typically $628–$1,260
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,093
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,098 This hospital $1,093 Cash price $3,158 Hospital's list price $4,858

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 $1,093

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

A fair price for a Colonoscopy with biopsy is about $1,098 (about 0.9× the $1,223 Medicare rate). Lutheran Hospital charges insurers about $1,093, or about $3,158 in cash — about the fair price. Located in Cleveland, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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 $689 - $4,338 56%
Blue Cross Blue Shieldmajor $761 - $3,806 62%
Aetnamajor $1,093 - $4,858 89%
Cignamajor $1,126 - $3,886 92%
Humanamajor $1,093 - $4,129 89%
AmeriHealth $797 65%
CareSource $776 63%
Devoted Health $1,093 89%
Molina $761 62%
Oscar Health $1,464 - $1,868 120%
Paramount $747 61%
UniCare $1,148 94%
UPMC Health Plan $1,093 - $2,915 89%
+ 19 smaller / regional plans $761 - $4,372
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals