CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Madison Health

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,281
about 1.0× the $1,223 Medicare rate · typically $1,180–$3,015
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,212
About the fair price
about $69 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,281 This hospital $1,212 Cash price $3,704 Hospital's list price $4,630

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 $1,212

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 $1,281 (about 1.0× the $1,223 Medicare rate). Madison Health charges insurers about $1,212, or about $3,704 in cash — about the fair price. Located in London, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue 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
Aetnamajor $1,154 94%
Ambetter (Centene) $1,788 146%
CareSource $1,177 - $1,846 96%
Molina $1,188 - $1,800 97%
+ 1 smaller / regional plan $1,212

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals