CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Southwest General Health Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$859
about 0.9× the $950 Medicare rate · typically $514–$1,106
modeled estimate · not a bill or quote
What this hospital charges insurers
$305
Below the fair price — a good deal
about $554 under the fair price · 0.3× Medicare
Medicare pays $950 Fair price $859 This hospital $305 Hospital's list price $350

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OH hospitals compared.

Cheapest $139 Priciest $431

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

A fair price for a Colonoscopy (diagnostic) is about $859 (about 0.9× the $950 Medicare rate). Southwest General Health Center charges insurers about $305 — below the fair price — a good deal. Located in Middleburg Heights, 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✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $93 - $764 10%
Blue Cross Blue Shieldmajor $229 - $764 24%
Humanamajor $93 - $764 10%
AmeriHealth $97 - $764 10%
CareSource $93 - $764 10%
Medical Mutual $229 - $381 24%
Molina $93 - $1,141 10%
+ 2 smaller / regional plans $93 - $1,141

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Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals