CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Clinton Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,335
about 1.1× the $1,223 Medicare rate · typically $1,168–$1,378
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,348
About the fair price
about $13 over the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,335 This hospital $1,348

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 $1,348

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 $1,335 (about 1.1× the $1,223 Medicare rate). Clinton Memorial Hospital charges insurers about $1,348 — about the fair price. Located in Wilmington, OH.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $5,235 428%
Aetnamajor $538 - $1,791 44%
CareSource $1,504 123%
+ 1 smaller / regional plan $1,192 - $1,678

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Facility Profile & Credentials

  • Address: 610 West Main Street, Wilmington, OH 45177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals