CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Southwest General Health Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,075
about 0.9× the $1,223 Medicare rate · typically $622–$1,254
modeled estimate · not a bill or quote
What this hospital charges insurers
$331
Below the fair price — a good deal
about $744 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $1,075 This hospital $331 Hospital's list price $650

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 4 charge more and 4 charge less, among the 9 OH hospitals compared.

Cheapest $175 Priciest $727

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 $1,075 (about 0.9× the $1,223 Medicare rate). Southwest General Health Center charges insurers about $331 — 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 $203 - $764 17%
Blue Cross Blue Shieldmajor $249 - $764 20%
Humanamajor $203 - $764 17%
AmeriHealth $211 - $764 17%
CareSource $203 - $764 17%
Medical Mutual $249 - $491 20%
Molina $203 - $1,476 17%
+ 2 smaller / regional plans $203 - $1,476

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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